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Staff Selection Commission: Phase - Vii / 2019 / Selection Post

The document is a registration notice from the Staff Selection Commission for Surya Mani for the post of Sub Inspector/Fire at the graduate level and above. It provides personal details for Surya such as name, date of birth, gender, category, address, highest educational qualification of a science degree, and confirmation that the registration fee has been paid. The notice confirms provisional acceptance of Surya Mani's application for the selection post.

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Arya Bhatt
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56 views2 pages

Staff Selection Commission: Phase - Vii / 2019 / Selection Post

The document is a registration notice from the Staff Selection Commission for Surya Mani for the post of Sub Inspector/Fire at the graduate level and above. It provides personal details for Surya such as name, date of birth, gender, category, address, highest educational qualification of a science degree, and confirmation that the registration fee has been paid. The notice confirms provisional acceptance of Surya Mani's application for the selection post.

Uploaded by

Arya Bhatt
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
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STAFF SELECTION COMMISSION

BLOCK NO. 12, CGO COMPLEX, LODHI ROAD, NEW DELHI


110003

PHASE - VII / 2019 / SELECTION POST


REGISTRATION NO: 93000164658

APPLICATION IS PROVISIONALLY ACCEPTED

1. Candidate's Name (As per the 3. Father's Name (As per the 4. Mother's Name (As per the
2. New / Changed Name
Matriculation Certificate) Matriculation Certificate) Matriculation Certificate)

SURYA MANI - DAYA SHANKAR ARTI DEVI


5. Date of Birth (DD/MM/YYYY) (As per the Matriculation
6. Age as on 01/08/2019 7. Gender
Certificate)
10/03/1999 20.4 MALE
8. Category 9. Nationality 10. Mark of Visible Identification
OBC CITIZEN OF INDIA MOLE ON LEFT HAND THUMB
12. Matriculation (10th Class) Roll 13. Matriculation (10th Class)
11. Matriculation (10th Class) Examination Board
No. Year of Passing
CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) 8614021 2014

14. Region to which the post belong : NORTHERN REGION


15. Post Code 16. Post Name 17. Level of Post
NR15419 SUB INSPECTOR/FIRE GRADUATION & ABOVE
18. Preference of Examination Centre
Center 1 Center 2 Center 3
2201 - DELHI 2002 - DEHRADUN 2405 - JAIPUR
19.1. Have you already joined a
19.2. For Ex-Serviceman, Length 19.3. Date of Discharge from
19.Whether Ex-Serviceman civil post by availing benefit of
of Service in Armed Forces (In Armed Forces
(ESM)? reservation for Ex-Serviceman
Years) (DD/MM/YYYY)
(ESM)
NO - - -
20. Whether Person with Disability (PwD)? 20.1 If Yes, Type of Disability
NO -
20.2 Whether suffering from Cerebral-Palsy
-
20.3 Do you have a physical limitation to write and Scribe is required to write on your behalf (Certificate to this effect from the Chief
Medical Officer/ Civil Surgeon/ Medical Superintendent of a Government Health Care institution as per Notice of the Examination,
would be required at the time of Examination.)?
-
20.4 Whether scribe is required? 20.5 Will you make your own 20.6 If Scribe is to be arranged by
arrangement of Scribe? SSC, then indicate medium
- - -
21. Whether seeking Age Relaxation? 21.1 If Yes, indicate code
NO -
Details of Work Experience
S. No. Name of Organization(s) Designation Nature of Duty(ies) Period of Service Period of Service
From To (dd/mm/yyyy)
(dd/mm/yyyy)
1 NA NA NA - -
23. Highest Educational Qualification relevant to the Post of 24. Subject
interest
A DEGREE IN SCIENCE WITH PHYSICS, CHEMISTRY AND PHYSICS, CHEMISTRY AND
MATHEMATICS OF A RECOGNIZED UNIVERSITY OR MATHEMATICS/MECHANICAL, CIVIL, ELECTRICAL,
EQUIVALENT; OR AUTOMOBILES, CHEMICAL, MINING, AERONAUTICAL,
MATRICULATION OR EQUIVALENT AND THREE YEARS TELECOMMUNICATION
DIPLOMA IN MECHANICAL, CIVIL, ELECTRICAL,
AUTOMOBILES, CHEMICAL, MINING, AERONAUTICAL,
TELECOMMUNICATION ENGINEERING OR EQUIVALENT
EXAMINATION PASSED FROM RECOGNIZED
UNIVERSITY OR BOARD OR INSTITUTIONS.
26. Do you want to make your personal information available for
25. Do you belong to Economically Weaker Sections (EWS) accessing job opportunities in terms of DoP&T's
OM.No.39020/1/2016-Estt.(P) dated 21/06/2016?
- NO

ADDRESS DETAIL
27. Postal Address 28. Permanent Address
D-224 SECTOR -8 NOIDA NEAR POWER HOUSE IN FRONT D-224 SECTOR -8 NOIDA NEAR POWER HOUSE IN FRONT
OF C-40 CAMPANY SECTOR-8 NOIDA U.P. OF C-40 CAMPANY SECTOR-8 NOIDA U.P.
District: GAUTAM BUDDHA NAGAR District: GAUTAM BUDDHA NAGAR
State: UTTAR PRADESH State: UTTAR PRADESH
Pin Code: 201301 Pin Code: 201301
Mobile Number : 8851916981 Email: [email protected]
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 CPU2132854 22/08/2019
DECLARATION
1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF
THE NOTICE OF THE EXAMINATION.

2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF
ANY INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING
DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
PRINT TAKEN ON: 22/08/2019 5:47:46 PM

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