Application Form For Civil Services (Preliminary) Examination - 2013

VERIFY YOUR APPLICATION DETAILS Examination Applied Year Name Gender Date of Birth Father's Name Mother's Name Nationality Marital Status Physically Handicapped Community If you belong to Minority Religion Fee Remission Claimed Address Line 1 Address Line 2 Address Line 3 District / City State / UT Pincode Phone Mobile E-Mail Claiming age relaxation Educational Qualification Degree Subject in Graduation Civil Services (Preliminary) Examination 2013 MD ABDUL MOID MUKARRAM Male 14-04-1990 MD ABDUL KHADER REHANA BEGUM Indian Unmarried No General Yes Muslim No HNO-5-408/25/2 OPP THE CITY SCHOOL KHAJA COLONY, ROZA (B) GULBARGA Karnataka 585104 9535103408 mukarram023@outlook.com No Already passed the degree or equivalent Examination. Degree in Engineering

For which examination you Civil Services like to be considered Your percentage at the Graduation level Number of Attempts Already Made in Civil Services 53%

CSP 14 1 GULBARGA mukarram023@o 1

2013 04 0 24

04/2013-CSP-05/ 1990 4 585104

05-03-2013

MD ABDUL MOID

1 1

MD ABDUL KHAD REHANA BEGUM HNO-5-408/25/2

OPP THE CITY SC KHAJA COLONY 9535103408

1 1 0 2 53

1 mukarram023@o 4

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Declaration
1. I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect, or ineligibilty being detected before or after the examination, action can be taken against me by the Commission under para 5 of the Commision's Notice no 04/2013-CSP-05/2013-IFoS to be published in Employment News/Rozgar Samachar dated 05-03-2013. 2. I have read the provisions in the rules and the notice of the Commision carefully and hereby undertake to abide by them. I further declare that I fulfil all the conditions of eligibility regarding age limits, educational qualification etc. prescribed for admission to the examination. 3. I have informed my Head of Office/Department in writing that I am applying for this examination.* * Applicable for those who are already in government service/similar organizations or government owned industrial undertakings whether in permanent or temporary capacity or as work charged employees other than casual or daily rated employees or those serving under public enterprises.