CGPSC 2015
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8/9/2015 CGPSC 2015 https://www.digialm.com/EForms/SBIAfterPaymentAction.do?2397ZZ938ZZonline 1/2 Thanks for submitting your Application Form APL151027893 which can be used for all future correspondence Transaction No: CP27044729 Amount: 317.00 Application Form Personal Details Application Number: APL151027893 Name of The Candidate: MOHIT SINGH MARKAM Father's Name: NATTHU LAL MARKAM Mother's Name: VIMLA MARKAM Gender: Male Domicile: Chhattisgarh Nationality: Indian Category: SCScheduled Caste Physical Disability 40% or more: No ExServiceman: No Whether Govt Employee: No Whether Contract Govt Employee: No Other Age Relaxation: No Date of Birth: 04/08/1990 Date of Birth Proof Document: 10th Marksheet Roll No. of DOB Proof Marksheet: 12149423 Email ID: [email protected] Mobile No: 9685373777 Is candidate ever debarred from examination or from selection: No Any criminal case is filed or already proven against the candidate: No Permanent Address Address: NEAR R.T.O. OFFICE BANDHATOLA State: CHHATTISGARH City: BODLA District: Kabirdham Pincode: 491991 Current Address Address: NEAR R.T.O. OFFICE BANDHATOLA State: CHHATTISGARH City: BODLA District: Kabirdham Pincode: 491991 QR CODE
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Transcript of CGPSC 2015
8/9/2015 CGPSC2015https://www.digialm.com/EForms/SBIAfterPaymentAction.do?2397ZZ938ZZonline 1/2ThanksforsubmittingyourApplicationFormAPL151027893whichcanbeusedforallfuturecorrespondenceTransactionNo: CP27044729Amount: 317.00ApplicationFormPersonalDetailsApplicationNumber: APL151027893NameofTheCandidate: MOHITSINGHMARKAMFather'sName: NATTHULALMARKAMMother'sName: VIMLAMARKAMGender: MaleDomicile: ChhattisgarhNationality: IndianCategory: SCScheduledCastePhysicalDisability40%ormore: NoExServiceman: NoWhetherGovtEmployee: NoWhetherContractGovtEmployee: NoOtherAgeRelaxation: NoDateofBirth: 04/08/1990DateofBirthProofDocument: 10thMarksheetRollNo.ofDOBProofMarksheet: 12149423EmailID: [email protected]: 9685373777Iscandidateeverdebarredfromexaminationorfromselection: NoAnycriminalcaseisfiledoralreadyprovenagainstthecandidate: NoPermanentAddressAddress: NEARR.T.O.OFFICEBANDHATOLAState: CHHATTISGARHCity: BODLADistrict: KabirdhamPincode: 491991CurrentAddressAddress: NEARR.T.O.OFFICEBANDHATOLAState: CHHATTISGARHCity: BODLADistrict: KabirdhamPincode: 491991QR CODE8/9/2015 CGPSC2015https://www.digialm.com/EForms/SBIAfterPaymentAction.do?2397ZZ938ZZonline 2/2Version10.00.01ExamCityPreferenceExamCity: RaipurOtherDetailsIsCandidateMarried: NoIscandidateeversuspendedorpunishedduringthetermofservice: NoQualifyingExaminationDetailsQualification Title SubjectGrade/GradeValueBoard/University YearofPassingRollNumberGraduation B.E. Civil 1stDivisionCHHATTISGARHSWAMIVIVEKANANDTECHNICALUNIVRSITY2013 3132009022Post1: LecturerPaymentdetailsPaymentStatus: DonePaymentTransactionNo.: CP27044729CandidateSignature
