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Akshay CHSL

Akshay Haribhau Nimse has provisionally applied for the Combined Higher Secondary (10+2) Level Examination, 2022 conducted by the Staff Selection Commission. Some key details from his application include: - He is 23 years old and from the unreserved category. - His father's name is Haribhau Jayvantrao Nimse and mother's name is Mina Haribhau Nimse. - He has passed 12th standard in 2016 from the Maharashtra State Board of Secondary and Higher Secondary Education with 58.31% marks. - He has selected Aurangabad, Pune and Jalgaon as his examination center preferences.

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Aksh
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68 views3 pages

Akshay CHSL

Akshay Haribhau Nimse has provisionally applied for the Combined Higher Secondary (10+2) Level Examination, 2022 conducted by the Staff Selection Commission. Some key details from his application include: - He is 23 years old and from the unreserved category. - His father's name is Haribhau Jayvantrao Nimse and mother's name is Mina Haribhau Nimse. - He has passed 12th standard in 2016 from the Maharashtra State Board of Secondary and Higher Secondary Education with 58.31% marks. - He has selected Aurangabad, Pune and Jalgaon as his examination center preferences.

Uploaded by

Aksh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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STAFF SELECTION COMMISSION

BLOCK NO. 12, CGO-COMPLEX, LODHI ROAD, NEW DELHI


110003
COMBINED HIGHER SECONDARY (10+2) LEVEL
EXAMINATION, 2022

REGISTRATION NO: 50005559563

APPLICATION IS PROVISIONALLY ACCEPTED


1. NAME AS PER MATRICULATION 2. NEW/ CHANGED
3. FATHER'S NAME 4. MOTHER'S NAME
CERTIFICATE NAME
HARIBHAU JAYVANTRAO
AKSHAY HARIBHAU NIMSE - MINA HARIBHAU NIMSE
NIMSE
6. AGE AS ON
5. DATE OF BIRTH (DD/MM/YYYY) 7. GENDER 8. CATEGORY
01/01/2022
21/04/1998 23.8 MALE UNRESERVED
9. WHETHER PERSON WITH DISABILITY (PwBD) ? 9.1 IF YES, TYPE OF DISABILITY (OH, HH,VH, OTHERS)

NO -

10. NATIONALITY 11. MARK OF VISIBLE IDENTIFICATION


CITIZEN OF INDIA MOLE ON NOSE
13. MATRICULATION (10th 14. MATRICULATION (10th
12. MATRICULATION (10th CLASS) EXAMINATION BOARD
CLASS) ROLL NO CLASS) YEAR OF PASSING
MAHARASHTRA STATE BOARD OF SECONDARY AND
K039932 2014
HIGHER SECONDARY EDUCATION
15. PREFERENCE OF EXAMINATION CENTERS
EXAMINATION CENTRE EXAMINATION CENTRE EXAMINATION CENTRE
(FIRST PREFERENCE ) (SECOND PREFERENCE ) (THIRD PREFERENCE)
AURANGABAD ( 7202 ) PUNE ( 7208 ) JALGAON ( 7214 )
17. WHETHER 12TH STANDARD PASS IN SCIENCE STREAM WITH
16. MEDIUM FOR TYPING TEST: MATHEMATICS AS A SUBJECT FROM A RECOGNIZED BOARD OR
EQUIVALENT(FOR C&AG AS DATA ENTRY OPERATOR):
ENGLISH YES
18.1. WHETHER YOU ARE AN EX- 18.2. DATE OF JOINING THE ARMED 18.3.DATE OF DISCHARGE/ LIKELY
SERVICEMAN (ESM) OR SERVING IN FORCES (DD/MM/YYYY) DATE OF DISCHARGE FROM ARMED
THE ARMED FORCES? FORCES (DD/MM/ YYYY)

NO - -
18.4. LENGTH OF SERVICE IN THE 18.5. HAVE YOU ALREADY JOINED A 18.6. DATE OF JOINING TO CIVIL POST
ARMED FORCES CIVIL POST BY AVAILING BENEFIT OF (DD/MM/YYYY)
RESERVATION FOR EX-SERVICEMAN
(ESM) ?
- - -
19.1. WHETHER SUFFERING FROM CEREBRAL-PALSY ?
-
19.2. DO YOU HAVE A PHYSICAL LIMITATION TO WRITE AND SCRIBE IS REQUIRED TO WRITE ON YOUR BEHALF
(CERTIFICATE TO THIS EFFECT FROM THE CHIEF MEDICAL OFFICER/ CIVIL SURGEON & MEDICAL SUPERINTENDENT
OF A GOVERNMENT HEALTH CARE INSTITUTION AS PER NOTICE OF THE EXAMINATION WOULD BE REQUIRED AT
THE TIME OF EXAMINATION) ?
-
19.3. WHETHER SCRIBE IS REQUIRED ? 19.4. WILL YOU MAKE YOUR OWN 19.5. IF SCRIBE IS TO BE ARRANGED
ARRANGEMENT OF SCRIBE ? BY SSC, INDICATE MEDIUM
- - -

20.1. WHETHER SEEKING AGE RELAXATION ? 20.2. IF YES, AGE RELAXATION CODE

NO
-
21. LANGUAGE PREFERENCE
-
22. HIGHEST EDUCATIONAL QUALIFICATION
B. PHARM. (21)
23. DETAILS OF QUALIFYING EDUCATIONAL QUALIFICATION
12TH STANDARD
STATE/ UT OF NAME OF BOARD/
STATUS PASSING YEAR ROLL NO PERCENTAGE CGPA
BOARD/ UNIVERSITY UNIVERSITY
MAHARASHTRA
STATE BOARD OF
SECONDARY AND
PASSED 2016 MAHARASHTRA P050410 58.31 -
HIGHER
SECONDARY
EDUCATION
24. DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
TERMS OF DoP&T'S O.M NO.39020/1/2016-ESTT.(B) DATED 21.06.2016 ?
YES
ADDRESS DETAIL
25. CORRESPONDENCE ADDRESS 26. PERMANENT ADDRESS
N6 CIDCO AURANGABAD 3228 PANNALAL NAGAR NEAR PAPDIWAL PETROLPUMP
PAITHAN
DISTRICT: AURANGABAD DISTRICT:AURANGABAD
STATE: MAHARASHTRA STATE: MAHARASHTRA
PIN : 431103 PIN : 431107
MOBILE NO: 8329851908 EMAIL: [email protected]
28. WHETHER THE PHOTOGRAPH HAS BEEN TAKEN ON OR AFTER 01-SEPTEMBER-2022?
YES
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 CPACHEQZE5 12/12/2022
DECLARATION
1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF THE
NOTICE OF THE EXAMINATION.

2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF ANY
INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING DETECTED
BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE CANCELLED.I
AM WILLING TO SERVE ANYWHERE IN INDIA.

3. I DECLARE THAT THE PHOTOGRAPH UPLOADED IN THE APPLICATION FORM HAS BEEN TAKEN ON OR
AFTER THE STIPULATED DATED.

4. I AGREE TO AUTHORIZE SSC TO USE MY AADHAR DATA FOR VERIFICATION PURPOSE.


PRINT TAKEN ON: 10/01/2023 7:55:14 PM IP ADDRESS: 152.57.72.171
NUMBER OF ATTEMPT: 1

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