3/30/2015 UPSCCandidate'sApplicationDetails(RegistrationId:11515658570)

http://upsconline.nic.in/printapp_part1.php?reg_id=u13po102h8ev6481694000xnb8a115vpqj515653xw73857y70we 1/1

ApplicationdetailsofRegistrationId:11515658570forEngineeringServicesExamination2015

PARTI

Name: ATASHBAJIWALASAMIRAHMEDIMTIYGender: MaleDateofBirth: 02041988Father'sName: IMTIYAZAHMEDMother'sName: MEHMUDABANUNationality: IndianMaritalStatus: MarriedPhysicallyChallenged: NoCommunity: GeneralDoyoubelongtoMinority: YesReligion MuslimFeeRemissionClaimed: No

Address:

1215050607,FlatNo.3,Yogiparkapartment,Shahpore,SuratGujarat395003MobileNo.:8511167087

email: samirahmed2488@hotmail.comAlternativeemail: samir.enviromech@gmail.comAgeRelaxationClaimed: No

EducationalQualification: AlreadypassedtherequisitequalifiyingExaminationSelectedBranch MechanicalEngineering

YouhavenotcompletedPARTIIRegistration.YouareadvisedtocompletePARTIIregistrationtocompletethesubmissionofyourapplicationform.

Note:ApplicationwillbeTREATEDASINCOMPLETE/REJECTEDUNLESSACCOMPANIEDBYTHEPARTIIREGISTRATIONwhich

againconsistoffourpartsfillingupPaymentdetails(exceptforfeeexemptedcandidates),centreselection,uploadingPhotograph&Signatureandfinally

declarationagreed.

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