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Applicant Details

Personal Details

Application Sequence No

MHA140825027

Candidate's Name

SUHAM RITVIJA JEETENDRA

Father's Name Mother's Name

JEETENDRA SHOBHA

Marital Status Nationality

Unmarried A Citizen of India


Religion ID Proof

Hinduism Aadhar Card


Aadhar Number Home State

265591037596 Maharashtra

Post Applied Details

Exam City Choice 1


Post Applied Nagpur
Assistant Central Intelligence Officer- Grade I
I/Executive
Exam City Choice 2

Raipur

Exam City Choice 3 Category

Jabalpur UR

Gender Date of Birth same as Matriculation/ Secondary


Certificate
Female
03/Jun/1997
Age as on 09.01.2021 Are you an Ex-Service man?

23 Years 7 Months 6 Days No

Are you a Departmental Candidate who have rendered 3


years of regular & continuous service in central
government ?

No

Were you originally domiciled in the state of Jammu and Are you a widow/ divorced woman/ woman judicially
Kashmir between 01.01.1980 and 31.12.1989 as well as separated and who is not re-married?
the children?
No
No

Are you a dependent of victim of communal riot of 2002


in Gujrat?

No

Are you a Sportsperson?


No

Contact Details

Mobile Number
8805668558 Email ID
suhamritvija1997@gmail.com

Present Address

Address Line 1
Flat no. 24, ABC Towers

Address Line 2

Itwari telephone exchange, CA Road

Country
India

State City

Maharashtra Nagpur
Pin Code

440008

Permanent Address

Address Line 1
Flat no. 24, ABC Towers

Address Line 2

Itwari telephone exchange, CA Road

Country
India

State City

Maharashtra Nagpur

Pin Code
440008

Matriculation (10th) Details

Name of the Board/Council


Maharashtra State Board

Year Of Passing
2013 Institute Name

JN Tata Parsi Girls High School

Percentage of Marks
Subject Combination 93.09
Eng Marathi Hindi Maths Sci SS

Certificate Number
046090

Course Type
R(Regular)

10+2 Details/Diploma Details

Select Option
10+2

Name of the Board/Council

Maharashtra State Board

Year Of Passing Institute Name

2015 Shri Shivaji Science College

Percentage of Marks
Subject Combination 81.08
Phy Chem Maths Electronics

Certificate Number
042648

Course Type

R(Regular)

Essential Qualification Details

Qualification Name
Graduation or Equivalent from recognized university

Specialization
Elec and Comm Engg Institute Name
Shri Ramdeobaba College of Engg and Mgt

Year Of Passing Percentage of Marks


2020 70.5

Certificate Number Course Type


087978 R(Regular)

Desirable Qualification

Do you have Knowledge of Computers ?


Yes

Payment Details

Amount Payment Status


500 Successful

Payment Transaction No.

CPAANELNJ8

Candidate Photo and Signature Upload Details

Photo

Signature

Declaration
I hereby, solemnly declare that the information given above is true and correct to the best of my
knowledge and I fulfil the eligibility conditions laid down in the detailed advertisement, for appearing
in the recruitment test conducted by Ministry of Home Affairs for the post of Assistant Central
Intelligence Officer Grade-II/Executive. I further declare that in case any of the above information is
found to be false/incorrect or any information is found to be suppressed or any ineligibility being
detected before, during or after the recruitment process, my candidature for this post is liable to be
forfeited. I further declare that I am not involved in any criminal case and/or no such case is pending
against me in the court of law.

Version 13.09.00

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