Beruflich Dokumente
Kultur Dokumente
REGISTRATION NO :75001076478
APPLICATION IS INCOMPLETE
1. CANDIDATE'S NAME 2. FATHER'S NAME 3. MOTHER'S NAME
BHOSALE SANKET PRAVIN PRAVIN BHOSALE NANDA BHOSALE
4. DATE OF BIRTH (DD/MM/YYYY) 5. AGE AS ON DATE (01/08/2018) 6. GENDER
17/03/1997 21.4 MALE
9. MARK OF VISIBLE
7. CATEGORY 8. NATIONALITY
IDENTIFICATION
BLACK MARK ON LEFT
UNRESERVED CITIZEN OF INDIA
CHIN
10. MATRICULATION (10th CLASS) 12. MATRICULATION (10th
11. MATRICULATION (10th CLASS) ROLL NO
EXAMINATION BOARD CLASS) YEAR OF PASSING
MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER K050792 2012
SECONDARY EDUCATION
13. PREFERENCE OF EXAMINATION CENTER
PREFERENCE OF EXAMINATION CENTER CODE PREFERENCE OF EXAMINATION CENTER
7204 MUMBAI
7207 NASHIK
7202 AURANGABAD
14.WHETHER EX- 14.1. IF EXS, WHETHER 14.2. LENGTH OF SERVICE ( 14.3. DATE OF DISCHARGE
SERVICEMAN (ExS)? ELIGIBLE FOR IN YEARS )
RESERVATION?
NO - - -
15. WHETHER SEEKING AGE 15.1. IF YES,INDICATE CODE 16. STATE / UT OF 17. DISTRICT OF
RELAXATION? DOMICILE DOMICILE
NO MAHARASHTRA AURANGABAD
18. HAVE YOU MIGRATED FROM THE 18.1 WHETEHR YOU WOULD LIKE TO 18.2 WHETHER YOU WANT TO BE
STATE/ UT OF YOUR ORIGIN TO THE AVAIL RESERVATION FROM THE CONSIDERED AS A UR CANDIDATE
STATE/ UT WHERE YOUR CASTE IS STATE/ UT OF ORIGIN FROM THE STATE/ UT OF DOMICILE
NOT RECOGNISED AS SC/ ST/ OBC?
NO - -
18.3. STATE OF ORIGIN 18.4. DISTRICT OF ORIGIN 19. CANDIDATE BELONGS 20. CANDIDATE BELONGS
TO MILITANCY/ NAXAL TO BORDER DISTRICT
AFFECTED DISTRICT
- - NO NO
ADDRESS DETAIL
24. POSTAL ADDRESS 25. PERMANENT ADDRESS
AT POST POKHARI, TEHSIL- VAIJAPUR, DIST- AT POST POKHARI, TEHSIL- VAIJAPUR, DIST-
AURANGABAD AURANGABAD