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Registered Details

Gurgaon, Haryana, India
November 29, 2020

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Application of Job: PC [**PLUS * BTECH] - **/****

Application No: PCT197M006753 Application Date: 21/11/2018 PRIORITY

1. PC [10PLUS 2 BTECH] 07/2019



Father's/Mother's Name: SUNDER YADAV

Guardian's Name:

Nationality: INDIAN

Identification Mark 1: NA

Identification Mark 2: NA


Date of Birth: 31/01/2001


Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 83

Physics 100 93

Chemistry 100 89

Maths 100 91

Physical Education 100 95

Total Marks: 500 Marksheet Serial Number: 1095301

Obtained Marks: 451 State Conduct: HARYANA

Percentage: 90.20 Board Conduct: Central Board of Secondary Education


JEE Rank Detail

Year: 2018 All India Rank: 485366 Roll Number: 15705108 Details of 10th

Total Marks: 500 Marksheet Serial Number: 0366731

Obtained Marks: 447 State Conduct: HARYANA

Percentage: 89.40 Board Conduct: Central Board of Secondary Education



Have you ever been enrolled in Armed

Forces before?: NO

Have you attended any

Services Selection Board

(SSB) before?:

YES Service type: Type of entry: Have you been discharged

from Armed forces before?: NO


Details of Permanent Address

Address 1: 393 2 22 ST NO 16 SHIVJI PARK Address 2: GURGAON HARYANA 122001 State: HARYANA District: GURGAON Pincode: 122001

Phone No.: 989******* Mobile No.: 989*******

Email id: Alternate Email id: sunderyadav788@g

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 701*******

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a criminal court or involved in any other case registered by the Police. B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my knowledge and belief.

C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken against me.

D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also accept that no TA/ DA will be admissible to me in such cases.

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