12537 Name DABADE MILIND BABASO Father’s Name DABADE BABASO NAMDEV Address AP VATHAR TARF VADGAON TAL HATKANANGALE DIST KOLHAPUR City VATHAR TARF VADGAON State MAHARASHTRA Pin Code 416112 Gender male Religion HINDU Signature of Candidate with in box CerO? cate No. Caste (mark v) Issue Date MAG/SR/NO/H-1451/08 SC Non Creamy Layer 2008-Aug-20 (for OBC Candidate Only) attach the copy of permanent caste/NCL Certificate issued by Competent Authority on or after 1/1/13 Date of Birth

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1992-09-16 Physically Handicapped no For Departmental Candidate (mark v) Age as on 28/02/2014 no Only for Security Guard/ASSI Height Chest 33-35 70 Please MenOon 21 year 5 month 20 days NCC B & C CerO? cate Ex Army/ Ex-BSF Other NCC B CERTIFICATE Note : Mondatory for Astt Security Sub Inspector, Gr. D/Security Guard, Gr. G Attach supporting certificates[Must for the post of Security Guard/ASS-Ex Army/ Ex-BSF Personnel or NCC B & C Certificate holder EducaOon Quali? caOon KOLHAPUR

Year of Passing 2008 Stream (specify from the adverOsement) NA KOLHAPUR 2011 ARTS Quali? caOon Board /University SSC HSC Details of Project A? ected Person-PAP, if any [a? ach documents] Experience Name & Employment Exchange registraOon Number. if any DuraOon of Course % age of Marks 1 YEAR 48% 1 YEAR 41% No no 20130425C100484 Fee Details [non refundable] [Exempted for SC/ST PWD /Department Candidates] DD NO. DD Date Amount 0 Date of Applying 2014-03-07 SBI Bank Branch Name

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