OnlineRecruitmentPortal

RSMSSB

1.RecruitmentDetails
RecruitmentName

RecruitmentforJuniorInstructor(Adv.No.06/2016)dated16Sept,2016

PostApplied

ComputerOperatorandProgrammingAssistant

ApplicaonNo.

201600444888

ApplicaonSubmiedDate

24Oct201608:58:45AM

2.Applicant'sDetails
CandidateName

ANKITKUMARJAIN

Father'sName

NARESHKUMARJAIN

Mother'sName

VIMLADEVIJAIN

Gender

Male

DateofBirth

14Sep1988

Category

SpeciallyabledCategory

NotApplicable

Religion

JAIN

MaritalStatus

Married

SpouseName

VINITAJAIN

MarriageReg.No

NA

Mobile

9660242550

Email

ankitemails@gmail.com

AadharId

467391323620

No.OfLivingChild(Bornbefore01/06/2002)
0

Bhamashah

GENERAL/OBCCREAMY/SBC
CREAMY

NA

ApplyingFor
DoyoubelongtoScheduledareaof
Rajasthan?

No

CorrespondanceAddress
AddressLine1

VILLAGE:CHAINPURA

AddressLine2

POST:MOHANPURA

AddressLine3

TEHSIL:BASSI

State

Rajasthan

District

JAIPUR

City/Village

CHAINPURA

PinCode

303301

PhoneNo.

9660242550

AddressLine1

VILLAGE:CHAINPURA

AddressLine2

POST:MOHANPURA

AddressLine3

TEHSIL:BASSI

State

Rajasthan

District

JAIPUR

City/Village

CHAINPURA

PinCode

303301

PhoneNo.

9660242550

PermanentAddress

3.PersonalDetails
Naonality

Indian

HomeState

Rajasthan

HomeDistrict

JAIPUR

Tehsil/City

BASSI

Village

NA

SeledinIndiafromOtherCountry

No

FromWhichCountry

NA

SpecialCategory
AreYouExprisoner?

No

TimeofPrisonment(Inmonths)

NA

AreyouNCCCadetinstructor?

No

Duraon(Inmonths)

NA

AreYouExServiceman?

No

DepartmentName

NA

OutstandingSportsPersons?

No

SportPersonType

NA

ExisngGovtDept/PubicUndertaking
Employee?

No

DepartmentName

NA

ExisngStateGovernmentEmployee
(Substanve)?

No

DepartmentName

NA

4.EducaonQualicaonDetails
SNo.

Nameof
Board/University/School
BOARDOFSECONDARY
EDUCATIONRAJASTHAN
BOARDOFSECONDARY
EDUCATIONRAJASTHAN

NameofExam

Secondary/Equivalent

Sr.Secondary/Equivalent

MCAorBE/BTechin
(CS/Eng./Tech)with1Year
experience

RollNo.

JAIPURNATIONALUNIVERSITY
JAIPUR

Yearof
Passing

Result

Percentage/Grade

3623640

2003

Percentage

67.33

1133493

2005

Percentage

51.23

0150220120253

2013

Percentage

73.33

Debarrded
HasanyBoard/CommisionDebarredyouforuseofunfairmeansetcinit'sCompetve/RecruitmentExam?

No

NameofBoard/Commision

NA

OrderNumber

NA

OrderDate

NA

NameOfExam

NA

ExamDate

NA

Hastheperiodofdebarofexpired?

No

PeriodForWhichdebarred(In
Months)

NA

5.FeeStatus

FeeSubmied
PaymentMode

ONLINE

Amount

680

PaymentStatus

SUCCESS

ReceiptNo

1699099911617708

TransaconDate

24Oct201608:58:45AM

6.Declaraon

6.Declaraon

Iherebydeclarethatallinformaongiveninthisapplicaonformaretrueandcorrecttothebestofmyknowledgeandbelief.Informaonlike
Namefathernamemothernamehusbandnamedateofbirthcategoryphotosignaturemobilenumberetc.hasbeenveriedandIamcompletely
sasedbytheselleddetailsintheapplicaonform.Iwillberesponsibleincaseofanymistakefoundinmyapplicaonform.Intheeventofmy
informaonbeingfoundfalseorincorrectortheineligibilitybeingdetectbeforeoraerthewrientestaconcanbetakenagainstmebythe
competentauthority.IhavereadtheprovisionsoftheprovisionsoftherelevantrulesandtheadversementcarefullyandIherebyundertaketo
abidebythem.IfurtherdeclarethatIfulllallthecondionsofeligibilityregardingtheagelimitseducaonqualicaonetc.prescribedfor
admissiontothewrientest.

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ANKITKUMARJAIN