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Registration Form
Transaction Id : 1300000000069700081419
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Profile Details UID Number : 584471260167 * Pe rsonal Details Salutation : * Shri Full Name(In English As per SSC/CBSE/ICSE Certificate) Patil Yogesh Prakash :* Date Of Birth : * 08/10/1988 Gender : *
Male
* Full Name (Devnagri) पाट ल योगेश काश :* Age : * 25 Mobile Number : * 9975175361 Mother's Name : * Asha Married Status : * No
Landline Number : * 2587261546 Email Id : * mr.yogeshppatil@gmail.com *
Address Details Correspondence Addres s House No. : * At/Post- Bharwas Street : * Landmark : * District : * Village/City : *
Jalgaon Bharvas
Building : * Locality : * State : * Taluka : *
MAHARASHTRA Amalner
Pin Code : * 425401
Is Permanent Address the same as Correspondence Address Ca ste/Category Details Category : * Othe r De tails Nationality Indian? : * Yes Mother Tongue : * Marathi Person with disability? : No Can you read, write and speak Marathi? : Are you a Meritorious Sports Person? Black List Whether disciplinary or any other similar action is initiated by Bar Council or No Medical Council or Association or other Professional/Vocational Institution? : * Was any Court Case filed against you? : * No Read :
Yes Yes OBC
Sub Caste : * Kunbi Patil
Maharashtra Domiciled? : *
Write :
Yes No
Speak :
Yes
Whether any prosecution is pending in No any Court of Law against you? : * Whether any disciplinary action has been initiated by Government/Semi- No Government Organisations against you? : * Whether debarred or Black Listed for Examination/Selection held by SSC Board/University/MPSC/Other No P.S.C/UPSC or any other Organisations? :*
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Qualification Details Course Qualification Name of Subject Board/University Result Date Attempts Percentage Duration(In Class Type Degree Months) North Maharashtra