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Himachal Pradesh State Eligibility Test Application

1. This document contains an application for the Himachal Pradesh Public Service Commission State Eligibility Test in 2014. 2. It provides personal details of the applicant including name, father's name, date of birth, category, gender, address, phone numbers, academic qualifications and exam/test details. 3. The applicant, Pooja Thakur, is seeking to take the exam in Mandi and has declared that the information in the application is true and complete.

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Anurag Gupta
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108 views1 page

Himachal Pradesh State Eligibility Test Application

1. This document contains an application for the Himachal Pradesh Public Service Commission State Eligibility Test in 2014. 2. It provides personal details of the applicant including name, father's name, date of birth, category, gender, address, phone numbers, academic qualifications and exam/test details. 3. The applicant, Pooja Thakur, is seeking to take the exam in Mandi and has declared that the information in the application is true and complete.

Uploaded by

Anurag Gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

HIMACHAL PRADESH PUBLIC SERVICE COMMISSION

State Eligibility Test - 2014


279622

Application No :

1.
2.
3.
4.

Applicant's Name :
Father's Name :
Date of Birth :
Category:

Pooja Thakur
Pawan Kumar
07/12/1988
General - (01)

5. Sex :

Female

6. State to which belongs:

Himachal Pradesh

7. Phone No. :

01908268558

8. Mobile No. :

8010493776

9. Correspondance Address :
VPO.Gumma, Teh. Joginder Nagar, , , Mandi, Himachal Pradesh,
Pin:175015

10. Permanent Address :


VPO.Gumma, Teh. Joginder Nagar, , , Mandi, Himachal Pradesh,
Pin:175015

11. H.P.Govt.Servant :

No

13. Exam/Test Station

Mandi

12. Age Relaxation :

No

14. Academic Qualification :


S.No

Qualifaction

Board/ University

Matric

Plus 2/Equivalent

PSEB

Master Degree or
Equivalent

Shoolini university Solan


(HP)

HPSEB

% of Year
Marks

Subjects
Math, english,science,hindi,sanskrit.
biology,physics,chemistry,english,
PHC.
Botany

70.2 2004
54

2008

70.3 2014

4
5
15. Examination/Test Fee Details :
i. Registration ID
10341114396946

ii. Transaction ID :

iii. Branch Code :

iv. Fee :

v. Date of Deposit :
Subject (s)

Life Science,

DECLARATION
I hereby declare that I am an Indian National and the statements made in this application are true, complete and correct
to the best of my knowledge and belief. I undertake that in the event of any information being found false or
incorrect at any stage, my candidature is liable to be cancelled and if appointed, appointment itself shall be liable
to be cancelled. I also solemnly declare that I do not suffer from any of the disqualifications shown in the
advertisement for the post and I am eligible in all respects according to eligibility criteria prescribed.

Appl. Date :12/12/2014

Signature of the Applicant

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