8/17/2019 Candidate Biodata

1/1

Signature of the candid ate in

running hand Not in Capital Letters)

Date _

UK State Rank: -----

3.

JE£

Main Roll No. : ----- AIR: -----

14. Bra ncb : _

t

5.

Oatp of Rpgl trAtlon :

Examination BoardlUniversity Year of Division Marks Name of

Subject/s)

Passing Obtained

 

Institution

Percentage

High

Schoo l

or Equivalent

Intermediate

or equivalent

Other

.

Telephone No  w ith STO Code M obile No  if any} _

E-mail Address if exists): _

12. Particulars of Examinations Passed:

  J U

J U

b)MailingAddress:

11.   a)

Permanent

Address:

Married/Unmarried

month s) years

6. Marital Status

8. State of Domicile: _

1 O . sub caregorv

5. Sex Male or Female)

7. Nationality: _

9. Category

 

month)

  I

I I  

date)

1 1 1

day s)

  M obile N o 1I I I I I I 1 I I I

 Mob i leN o ·  1 1 1 1 1 1 1 1 1 1

1 1 1 1

 year)

I I

2.

Father s Name

Mother s

Name

3. Date of Birth

  As per Class X certificate)

4. Ageon 30·6·2014

I. Name of the candidate In English) _

  In

Hindi)

TO BE FILLED IN BY THE CANDIDATE Use Capital Letters)

I I f f i > c

 im ya _ ~

fA 3J ern ••  em s i < o o Th e

~ftdd lab  * ' '

~ C I l Of

Goa:b

  lim

0 . T h o ~ ftdd

r

b e . . . . .

 ill  ._

8eIn:I

Of

Mo.sxtc tflbe~do

ncI

nonno II y

hm

BIODATA