11/26/2016 RecruitmentforthePost(s)ofResearchAssistant/StatisticalAssistant/Investigator/clerktypist/researchassistant/StatisticalAssistant/Inve

OFECONOMICSANDtheSTATISTICSDIRECTORATE
RecruitmentfortheinthePost(sselectionof)ofResearchAssistant/StatisticalAssistant/
Investigator/clerktypist/researchassistant/StatisticalAssistant/Investigator/clerktypist
postsrecruitmentprocess

RegistrationNumber : 126055119

FullName:Fullname : NIKITASUBHASHGADGE

Post/position: : Clerktypist,ClassIII

SocialCategory/Socialcategory : SCaja.

IfPhysciallyaretheChallenged/disability : NO

TypeofDisability/disabilitytypes :

Percentageofdisability/Disabilitypercentage :

Areyousufferingfromcerebralpalsyandyourwritingspeedis :
affected:

IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :

Whetheryourdominant(Writing)handisaffected :

IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :

Doyouintendtousetheservicesofascribe/handicapwhatthe :
candidateisrequiredtotestblameless?

AreyouExServiceman?A/Theapplicantisaformersoldier? : NO

AreyoudisableExServiceman?Of/arehandicappedformer : NO
soldiers?

ActualPeriodofservicerenderedindefenceservicesasanEx :
Serviceman(inmonths)/Exactualperiodofserviceat(month)

AreyouapplyingunderWomenreservation/applicantisapplying : YES
whatwomenaraksanantargata?

YoucomeunderDowiththeNoncreamyLayerGroup:/what'sbeen :
nominatedinthebreakingofnonkrimileara?

AreyouwhatisaSportsman/playerapplicant? : NO

Ifyeslevelofplayer(kheladucalevel)International/National/State :
International/national/statelevel?

TypeofGame(gametype)andMedal? :

Medal/category/medal? :

AreyouaProjectWhatistheaffectedperson/projectapplicant? : NO

AreyouEarthquakeaffectedcandidate/personwhatyouareafterthe : NO
earthquake?

AreyouNomineeofFreedomfighter/Whatfreedomarenominatedby : NO
theirchild?

AreyouEmployeesforCensusworkfortheyear1991/1991,theyear : NO
ofthecensusstaffarewhat?

AreyouEmployeesforElectiondutyappointedafter1994/1994,the : NO
yearaftertheelection,whatarethestaff?

WhyAreyouGovernmentemployee/governmentemployeeyou? : NO

AreyouBachelororDiplomaholderwhohasworkedasAnshakaleen : NO
employeeinGovtofficeforminimum3years?Thereis
padavikadharakawhattheapplicantortheapplicantdidgraduate
workatleast3yearsofparttimeemployeesingovernmentoffices?

http://ibps.sifyitest.com/desrsicoct16/registration_print.php?q=Njk5MGM3OWI3NWMwMDNmNWViMzkyY2ZjNDQyZTQ1MmN8MTI2MDU1MTE5 1/4
11/26/2016 RecruitmentforthePost(s)ofResearchAssistant/StatisticalAssistant/Investigator/clerktypist/researchassistant/StatisticalAssistant/Inve
(Promotionsmentionedprovisionsnirnayatilamentionednirnayatila
rule)?

Periodofservice(periodofInMonths)/service(inthemonth)? :

EmploymentExchangeRegistrationNumber/employmentguidance :
centerregistrationnumber?

DomicileoftheMaharashtraState/applicantisdomiciledin : YES
Maharashtra?

Nationality/nationality : Indian

DoyouholdAadhaarCard?/Doyousupportthecardholder? : YES

AadhaarCardNo./Supportcardnumber. : 318064966252

CentreofExamination/Testcenter : Mumbai/Thane/Navi
Mumbai

ApplicationFeeDetails/examinationchargesDetails
Amount/Amount : 200.00

PaymentStatus : PAID

ReferenceID : HINB4924801563

TransactionDate : 26112016

PersonalDetails
DateofBirth/dateofbirth : 03031997

PlaceofBirth/birthplace : Taluka/Block

ListSpecifytheName/placeofbirth : umarkhed

Agecompletedason01.10.2016/Onthatdate01102016Age : 19

Gender/Sex : FEMALE

MaritalStatus/maritalstatus : Unmarried

NumberofChildren/numberoftriplets :

Father'sName/Father'sName : SUBHASH

Spouse'sName :

Mother'sName/Mother'sname : SUNITA

Addressforcorrespondence/communicationcard : ROOOMNO.06OMKAR
DARSHAN

Address2 : COOPHSGCHAITANYA
SANKUL

Address3 : BADLAPUREAST

District/District : THANE

State/State : MAHARASHTRA

Pincode/zipcode : 421503

PermanentAddress/permanentaddress : ROOOMNO.06OMKAR
DARSHAN

Address2 : COOPHSGCHAITANYA
SANKUL

Address3 : BADLAPUREAST

District/District : THANE

State/State : MAHARASHTRA

Pincode/zipcode : 421503

ContactDetails
MobileNo/mobilenumber : +917276834289

NumberAlternative : +919422562491
(MobileintheNo/NoLandline)

EmailID/emailID : nikita.gadge03@gmail.com
http://ibps.sifyitest.com/desrsicoct16/registration_print.php?q=Njk5MGM3OWI3NWMwMDNmNWViMzkyY2ZjNDQyZTQ1MmN8MTI2MDU1MTE5 2/4
11/26/2016 RecruitmentforthePost(s)ofResearchAssistant/StatisticalAssistant/Investigator/clerktypist/researchassistant/StatisticalAssistant/Inve

EducationalQualificationDetails(ason01.10.2016)

ExamPassed/ OftheINSTITUTION Degree/Subject/ Dateof %OfMarks/ Class/Grade:

examination NAME/University Streamtitle/subject Passing percentagepoints Class/Category
/NameofthetheBoard /branch passingthat
and/University/ thedate
organizationname/the
nameofthe

SSC/secondary MUMBAIDIVISIONAL ENGMARHINMATH 07062013 80.91 FirstClass

matriculation: BOARD SCISOCIAL
SCIENCE

HSC/highschool MUMBAIDIVISIONAL SCIENCE 27052015 60.00 FirstClass

matriculation: BOARD

DoyouhaveComputerqualificationas : YES
prescribedbyGovt.OfMaharashtrafor
governmentservice.The/computer
candidatemustqualifyforgovernment
service?

DoyoupossessGovernmentCommercial : YES
CertificateExaminationforspeedofnotless
than30wordsperminuteinMarathi
Typewriting?Atleast30sapramiWhatisthe
governmentofCommerceMarathityping
certificate?

DoyoupossessGovernmentCommercial : YES
CertificateExaminationforspeedofnotless
than40wordsperminuteinEnglish
typewriting?Atleast40sapramiWhatisthe
officialEnglishtypingCommercecertificate?

Haveyoupassedgraduationfromaopen : NO
university?

Whetheranydisciplinaryactionhasbeen : NO
initiatedbyBarCouncil/Proffesional
institution/Govt./QuasiGovt.OfficesorAny
caseispendinginthecourtorAnycriminal
caseiswhatispendinginthecourt/quote
applicationisacontinuation
umedavaravirudhdaBarCouncilorother
professionalinstitutionorgovernmentaction
orsemiofficedisciplineviolations?Orwhat
anycourtcaseispending?Nocriminalcase
ispending,orwhat?

Ifyouansweredyespendingcase/details/If :
youansweryestothependingcase/give
detailsabouttheaction

PostQualificationworkexperiencedetails/academicqualificationandexperienceofthe
details(Ason01102016)(StartFROMtopresentEmployer)

EmployeroftheNAME Designation: OfServiceona OfService DutiesofNature ForREASON

/employername /office Period onaYears performed/ Leaving/
/Durationof (YY/MM/ thenatureofthework reasonforleaving
service DD)
From/ To/
from from

Presentlyworking? : NO

RelevantExperienceTotal(inmonthswith)
/Totaldurationoftheexperience:

OtherDetails:

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11/26/2016 RecruitmentforthePost(s)ofResearchAssistant/StatisticalAssistant/Investigator/clerktypist/researchassistant/StatisticalAssistant/Inve
LanguagesKnown/awareofthelanguage Read/read Write/Enter Speak/talk

Marathi YES YES YES

ENGLISH YES YES YES

HINDI YES YES YES

affidavit:

I[NIKITASUBHASHGADGE]thatcertifiedthat/iftheestablishmentofyourapplication[Clerktypist,ClasstheIII].Iagreetotheterms
andconditionsofthepromotionsarecandidatesforthisadvertisementThereIreadcarefully.TheonlineapplicationformistrueandIhave
givenfullinformation,alltheinformationisaccurateandcorrectsuchobviousthatI/you.Alloftheoriginalcertificatesthattheapplication
documentsshouldbesubmittedchananicyaveli,Iamawareof.TheinformationgiveninthisapplicationiscarefullycheckedbeforeIfiled
onlineandthatitisthelastthatIamawareof,willbebindingonme.Iwilltestifythat/dothat,ifyouhaveanyofthesefalseorinaccurate
informationinthefutureandIamunfittoruleiniquitybecomeliableforlegalservices

DATE:24112016 SignatureofApplicant

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