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UPSC - Candidate's Application Details (Registration-Id: 11804915972) 17/11/2017, 8)58 AM

Application details of Registration-Id: 11804915972 for Combined Defence Services Examination (I) -
2018
11804915972 (I) - 2018

PART - I / - I

Name / : SAI SWARUP BHARTI

Gender / : Male

Date of Birth / : 12-04-1996

Father's Name / : RAKESH KUMAR BHARTI

Mother's Name / : JYOTI BHARTI

Nationality / : Indian

Marital Status / : Unmarried

Community / : SC

Community certificate date /


24-06-2013
:

Do you belong to Minority / : No

Fee Remission Claimed / : Yes


FLAT NO 304305, MAHASRASWATI
SHAKTIPURAM, RAJAN PATH
BAILEY RD
Address / :
PATNA
Bihar - 801503
Mobile No. :8210993740
e-mail / - : ssbharti1996@gmail.com

Passed /appeared/appearing the final year of


Educational Qualification / :
Engineering Degree Examination
Commercial Pilot Licence issued by DGCA(India)
No
() :

Preferences: IMA: 0 | NA: 0 | AFA: 0 | OTA: 1


Whether having/likely to have NCC 'C' Certificate
None
Sr. Division(Army/Navy/AFA):
Whether Serving in Armed Forces: No
Whether belong to Sainik School: No

PART - II / - II
[Examination Center,Photograph & Signature of Registration-Id: 11804915972]
[ :11804915972 , ]

Examination Center

Bengaluru
Signature /

Photograph /

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UPSC - Candidate's Application Details (Registration-Id: 11804915972) 17/11/2017, 8)58 AM

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UPSC - Candidate's Application Details (Registration-Id: 11804915972) 17/11/2017, 8)58 AM

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 as per the
provision given in the notification.





2. I have read the provisions in the rules and the notice of the Commission carefully and hereby undertake to
abide by them. I further declare that I fulfil all the conditions of eligibility regarding age limits, educational
qualifications 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.
/
*
*
, /





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