,

PostName:FirstDivisionAssistants/
NotificationNo:(2)7951/201617/
ApplicationNo:

60052203

DATED06122016

RegistrationNo:

20132924

PersonalDetails
FullNameofApplicant:

RAVICHANDRANG

FatherName:

GOPALASHETTYR

MotherName:

RATHNAMMA

SpouseName:

YASHASWINIP

DateofBirth:

23071980

Gender:

MALE

FullAddress:

NO.2,IMAIN,ICROSS,NEARESKAYFARM,DUBASIPALYA,R.V.COLLEGEPOST

StateName:

Karnataka

DistrictName:

BengaluruUrban

Pincode:

560059

Emailid:

ravichandrang1981@gmail.com

ContactDetails

DegreeQualificationDetails
PrescribedQualification:

B.E

DateOfPassingThePrescribedQualification:

30062004

NameoftheBoard/Institute/University:

VisvesvarayaTe
chnologicalUni
versity

Isyourqualificationmarkscardissuedingradepoints?:

No

Maximummarksinallyears/semesters

Totalmarkssecuredinallyears/Semesters

AggregatePercentage(%)secured

7250

4815

66.41

CategoryDetails
CategoryClaimed

CAT1

Subcaste:

TWENTYFOURMANETELUGUSHETTY

Castereservationcertificatemustbeobtainedonorbeforethelastdateprescribedforfilingthe
Yes
applicationsi.e.,04012017.inaprescribedformat.

KannadaMediumCandidateDetails
AreYouKannadaMediumCandidate?

No

RuralCandidateDetails
AreyouaRuralCandidate?

No

PhysicallyHandicapped/DisabledCandidateDetails
PhysicallyHandicappedPerson?

No

ProjectDisplacedPerson(PDP)Details
ProjectDisplacedPerson(PDP)?

No

HyderabadKarnatakaregionreservationDetails
AreyouclaimingHyderabadKarnatakaregionreservation(Article371(j))?

No

ExMilitaryPerson(EXMP)Details
ExMilitaryPerson?

No

GovernmentEmployeeDetails
AreYouGovernmentEmployee?

No

AgeRelaxationClaimed
AgeRelaxation:

No

DebarredDetails
HaveyoueverbeendebarredinanyexaminationConductedbyKPSC/UPSC/otherStatesPSC's
No
oranySelectionAuthorities/Organizations?

KannadaExamDetails
HaveyoupassedKannadaLanguageas1stor2ndlanguageoroptionalsubjectinSSLCorHigherExamination(butnotoneofthesubjectin
Yes
aCompositePaper)orAreyouKannadaMediumstudentifsoyouneednottaketheCompulsoryKannadaexam?
InWhichLevelyouhavepassedKannadaExam

S.S.L.C

ExaminationcentreDetails

ExaminationCentre

BANGALORE

Declaration
Iherebydeclarethatallcontentsenteredinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.Ihavereadthe
rulesandunderstandthatintheeventofanyinformationbeingfoundfalseorineligibilitybeingdetectedbeforeoraftertheselection,myapplication
isliabletoberejected.ActioncanbetakenagainstmebytheCommission/Governmentunderrule20ofthekarnatakaCivilServices(General
Recruitment)Rules1977asamendedfromtimetotime.Ihavereadtherulesandinstructionscarefullyandherebyundertaketoabidebythem.I
furtherdeclarethatIfulfillalltheeligibilityconditionsregardingage,educationalqualification,reservationetc.,whereverapplicable,prescribedfor
thepost.
ApplicationDownloadedTime:2016122013:28:19