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senn0%8 eo8 B Bank of Baroda W Post Nome/ wt se von surname/ se saw Fiat Nome/ none smivest Fauner's Name/ Rots ramonan Date of Birth cosneryr/ ene 30-08-1991 Gender or wave Nationality Cizenship/ ee moran Caste Categry/ e/a one state of rain/ ort comarriseann ear endifes Piece #2 (Prerwacn #1 sferert >= 40) os re you string from carabralpley an your writing speed isatected/ wera ten dod @ ace Fc re eet Bae NO venta? 0 you need compensatory time a the tie of examinaton?/ ar sree the & chee fare wore arite? no Whether ar you children/famy members of howe who ded imtoo vot/ sane i904 wees esate eaee/eatee NO wor? during the period 1ici980 to 31-12-19897/ wer are He Tok=: NO tomo # 31-12-1989 8 om sg mae a at 87 Are You an ExeServicoman/ rare eg tet? wo Are You still serving in Defence and applying as an Ex- Serviceman?/ wat 20% sat a saan a aot ra ate aT ra arte oce ? Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?/ #1 agg arc ea ea TT TH ‘ret tet ars 77 {Are you Regular employees of the Union Carbide Factory, Bhopal retrenched from service (Applicable to Madhya Pradesh State only) / yorax ares Gt, stra 3 Prat gata st Aesth ere are (Sora es ate TR FTC) Details for Communication / ware & fre fexrer Address For Correspondence / S21 a Cty / Village/ wee i District/ Fran p62. 18.1642 Afbobsstinn20 t6ttmapicariPrin.aspxtno-back-button ORDER FULL 13 ‘wo0r2016 State/ wo Pineode/ fer ats Permanent Address/ tt 331 city/vitage/ serait Distriet/ Fear State/ we Pincode/ fer we Aadhar No./ TTF E-Mail 10/ 8a aré2t Mobile No/ sang me Educational Qualifications (From 10th Onwards)/ afte stra (oder a arty 808 CHHATTISGARH 492008 SSHIVESH SAHU C/O KESHAV SAU H.NO.-10/253 NEAR WATER TANK ‘SANTOSHI NAGAR KHAMTARAL RAIPUR RAIPUR CHHATTISGARH 492008 657945488247 shiveshsahu921@gmail.com 7587294743, Class /Course/ 0/ Percentage/ | Year of Passing/ Degree/ rare | Name of Schoo!/College/ ren attayireumrae | Percentas eee eee KENDRIYA VIDYALAYA RAIGARH CG 45 2006 aepia/ssc sovayuscy = | kenonavaviovatava wns couony naspures | 53 2009 ae eraduation/ at | yecptkeay | CENTRAL INSTITUTE OF TECHNOLOGY RAIPUR CG] 63.39 2013 Languages Known/ aa x? Local Language of the State to be mentioned/ a # rere er ‘sedan fret oe Local Language(Specification)/ Hindi Language(Specitication) / Ra English Language(Specification)/ fe Whether registered with District Employment Office/ a at tere arc a dag & WRITE SPEAK READ were SPEAK READ wrrte SPEAK No Additional Information /iffeee set: Have you ever been arrested, or kept under detention was Imprisoned or bound down/fined/convicted by a Court of Law for any offence for any offence or FIR lodged / complaint ragistered/ charges framed against you or any criminal case ;pending against you before any Court of Law/authority oF debarred /disqualified by the Public Service Commission from ‘appearing at its examination selection or debarred from taking ‘any examination or restricted by any authority / any Institution / terminated from service by any previous ‘employer for any criminal offence/indiscipline or any other acts /s of misconduct ete./ #21 a Ph arere 3 ae wat Pewee sar er, Pa aa rer FE Pa e/a a eT eA ‘Remap ares fart rer ar at ART FIR Zt swag rae etc ete en Free eh Pa reese HR a ares a i at we at arr gare 8 ee st A dt a Foe ae aetre STAT sara re ace te wer fre aera e/a eer rer fer Fra ar Pe eT / STE p62. 18.1642 Afbobsstinn20 t6ttmapicariPrin.aspxtno-back-button ORDER FULL No ‘wo0r2016 808 xfer arora fst aa nf an re Ft abr ee er & ae Pr a Payment Details: Payment Mode “Transaction ID “Transaction Date ‘Transaction Amount ONLINE 7o1611305955526 30-11-2016 400.00 163.53.72.20 Pint) Lagout o VER 6» So PLEASE ORDER FULL VERSION & oe ee 4° “int-diw® p62. 18.164 2Afbobssthnn20 t6ttmapicaniPrin.aspxtno-back-button 33

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