You are on page 1of 3

STAFF SELECTION COMMISSION

REGISTRATION NUMBER : 95000074813


BASIC DETAILS
1a. AADHAAR NUMBER 878358544963
1b. TYPE OF ID -
1c. ID NUMBER -
2a. NAME DAMINI JAYRAM BHOYE
2c. HAVE YOU EVER CHANGED NAME? NO
2d. NEW NAME -
3a. FATHER'S NAME JAYRAM RAGHO BHOYE
4a. MOTHER'S NAME CHANDRABHAGA
5a. DATE OF BIRTH (DD/MM/YYYY) 13/05/1996
6. MATRICULATION (10TH CLASS) EXAMINATION DETAILS :
(i). EDUCATION BOARD MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION
(ii). ROLL NUMBER D063356
(iii). YEAR OF PASSING 2012
7a. GENDER FEMALE
8. LEVEL OF EDUCATIONAL QUALIFICATION GRADUATION
9. MOBILE NUMBER 7030118601
10. EMAIL ID daminibhoye1@gmail.com

ADDITIONAL DETAILS

11a. CATEGORY ST

12. NATIONALITY CITIZEN OF INDIA

13. IDENTIFICATION MARKS MOLE IN MIDDLE FINGER

14a. ARE YOU A PERSON WITH DISABILITY? (40% OR NO


MORE)?

14b. TYPE OF DISABILITY -

14c. DISABILITY CERTIFICATE NUMBER -

CONTACT DETAILS
15a. PERMANENT ADDRESS AT HATLONDI POST THANAPADA TAL
TRIMBAKESHWAR DIST NASHIK

DRAFT PRINT TAKEN ON 22/03/2019 12:09:35 PM


15b. STATE/ UT MAHARASHTRA
15c. DISTRICT NASHIK
15d. PIN CODE 422204
16. IS PERMANENT ADDRESS SAME AS PRESENT YES
ADDRESS?

17a. PRESENT ADDRESS AT HATLONDI POST THANAPADA TAL


TRIMBAKESHWAR DIST NASHIK
17b. STATE/ UT MAHARASHTRA

17c. DISTRICT NASHIK


17d. PIN CODE 422204
18. CONTACT DETAILS FOR OTHER NATIONALS -
PHOTO AND SIGNATURE

19. UPLOADED PHOTO

20. UPLOADED SIGNATURE

NOTE
THIS IS A DRAFT VIEW OF YOUR REGISTRATION.REGISTRATION PROCESS IS NOT YET COMPLETE.YOU
NEED TO DO 'FINAL SUBMIT' WITHIN 14 (FOURTEEN) DAYS OF GENERATION OF YOUR REGISTRATION
NUMBER, FAILING WHICH, YOUR REGISTRATION DATA WILL GET DELETED AUTOMATICALLY.

DRAFT PRINT TAKEN ON 22/03/2019 12:09:37 PM


DRAFT PRINT TAKEN ON 22/03/2019 12:09:37 PM

You might also like