lekhpal bharti 2015

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Application Form Personal Details Application Number: 105068855 Post Applied For: LEKHPAL/खपाल District Applied For(आव दत िजला): ALLAHABAD Name of The Candidate(आव दक का नाम): HEMANT SINGH SISODIYA Father's Name(आव दक क 㩰पता का नाम): MANGAL SINGH SISODIYA Mother's Name(आव दक कमाता का नाम): MAYA SISODIYA Date of Birth(जम त㯈थ): 19/11/1989 Age: 25 Age Months: 7 Age Days: 13 Gender(㜰ल ): Male Nationality(रायता): Indian Religion(धम ): Hindu Marital Status(वाहक िथत): Single Aadhar Card Number(आधार काड बर): 951233846621 UP Domicile(UP अ㯈धवास): No Applied in Category(अयथ णी): General Skilled Player of UP(श या राय 㣖खलाड़ी ह ?): No Gov/Ex Gov State Emp of UP(सरकार कम चार , तप वसरकारकम चार स वा , 00 सरकारककम चार ?): No Correspondence Address Address Line 1(पता प ित 1): WARD NO.33 Address Line 2(पता प ित 2): NEAR GREEN AVENUE COLONY Address Line 3(पता प ित 3): SATAI ROAD District(िजला): CHHATARPUR State(राय): Madhya Pradesh Pincode(㩰पन कोड): 471001 Mobile No(मोबाइल न बर): 9425779886 Email ID(ईम ): [email protected] Alternate Mobile No(किपक मोबाइल न बर): 8602027078 Permanent Address Permanent Address 1(पता प ित 1): WARD NO.33 Permanent Address 2(पता प ित 2): NEAR GREEN AVENUE COLONY Permanent Address 3(पता प ित 3): SATAI ROAD

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  • 7/21/2015 LEKHPALBHARTI2015

    https://uplr.digialm.com/EForms/loginAction.do?subAction=DisplayProfile&orgId=1169&eicuListing=&formId=2536&sessChk=1437501432822&encValues 1/3

    ApplicationForm

    PersonalDetails

    ApplicationNumber: 105068855

    PostAppliedFor: LEKHPAL/

    DistrictAppliedFor(): ALLAHABAD

    NameofTheCandidate(): HEMANTSINGHSISODIYA

    Father'sName(): MANGALSINGHSISODIYA

    Mother'sName(): MAYASISODIYA

    DateofBirth(): 19/11/1989

    Age: 25

    AgeMonths: 7

    AgeDays: 13

    Gender(): Male

    Nationality(): Indian

    Religion(): Hindu

    MaritalStatus(): Single

    AadharCardNumber(): 951233846621

    UPDomicile(UP): No

    AppliedinCategory(): General

    SkilledPlayerofUP(?): No

    Gov/ExGovStateEmpofUP(,

    ,00

    ?):

    No

    CorrespondenceAddress

    AddressLine1(1): WARDNO.33

    AddressLine2(2): NEARGREENAVENUECOLONY

    AddressLine3(3): SATAIROAD

    District(): CHHATARPUR

    State(): MadhyaPradesh

    Pincode(): 471001

    MobileNo(): 9425779886

    EmailID(): [email protected]

    AlternateMobileNo(): 8602027078

    PermanentAddress

    PermanentAddress1(1): WARDNO.33

    PermanentAddress2(2): NEARGREENAVENUECOLONY

    PermanentAddress3(3): SATAIROAD

  • 7/21/2015 LEKHPALBHARTI2015

    https://uplr.digialm.com/EForms/loginAction.do?subAction=DisplayProfile&orgId=1169&eicuListing=&formId=2536&sessChk=1437501432822&encValues 2/3

    PermanentAddressDistrict(): CHHATARPUR

    PermanentAddressState(): MadhyaPradesh

    PermanentAddressPincode(): 471001

    PermanentAddressMobileno(): 9425779886

    PermanentAddressemail(): [email protected]

    QualifyingExaminationDetails

    Examination()

    YearofPassing()

    Board/School()

    RollNumber(.)

    Percentage/Grade(/)

    10thorEquivalentExamination 2006

    BOARDOFSECONDERYEDUCATIONMADHYAPRADESHBHOPAL

    162216108 67.00

    12thIntermediate 2008

    BOARDOFSECONDERYEDUCATIONMADHYAPRADESHBHOPAL

    282222183 66.22

    DoyouhaveanyadditionalQualification??: Yes

    Examination()YearofPassing()

    Board/School()RollNumber(.)

    Percentage/Grade(/)

    B.Com 2011DEVIAHILYAVISHWAVIDYALAYA

    80014020442 61.80

    M.B.A. 2013DEVIAHILYAVISHWAVIDYALAYA

    11085 57.00

    Haveyouservedinterritorialarmyforminimumperiodof2years??:

    No

    Haveyouobtained'B'CertificateofNationalCadetCorps??:

    No

    ExaminationcenterDistrictPreferences()

    Examinationcenterdistrict1(1): MAHOBA

    Examinationcenterdistrict2(2): JHANSI

    Examinationcenterdistrict3(3): KANPUR

    FeeDetail

    FeeApplicable(): 300

    AmountPaid(): 300

    TransactionId(): DU27630935

    Dateoffeesubmission(): 20/07/2015

    Declaration

    ISOLEMNLYUNDERTAKEtoacceptandabidebythenotification/rulesoftheBoardofRevenue,U.PIherebysolemnlyaffirmthatIhavegonethroughthe

    Advertisement&Instructionsandsolemnlydeclareonoaththattheentriesmadebymeintheabovecolumnsaretruetothebestofmyknowledgeandbeliefandif

    atanytime,theentriesarefoundincorrect,therecruitmentmayoutrightlybecancelledandsuitableactionmaybeinitiatedagainstme.Iwouldnothaveany

    objection.

    (/,,/||/|/|,|)

  • 7/21/2015 LEKHPALBHARTI2015

    https://uplr.digialm.com/EForms/loginAction.do?subAction=DisplayProfile&orgId=1169&eicuListing=&formId=2536&sessChk=1437501432822&encValues 3/3

    Version10.00.01

    Date:21/07/2015 CandidateSignature