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6/21/23, 10:23 PM SGPGIMS Recruitment Exam 2023

Candidate Personal Details

Candidate Photo
Application Status Application Status
PaymentSuccess MR232003155
Post Applied for:
O T Assistant
CANDIDATE First N CANDIDATE Last Na Father Name
ame me SHAUQUEEN ALI
MUHAMMAD AZEEM
Mother Name
HAZRA BEGUM
Date of Birth Age as on 31-Jan-20 Mobile Number:
25/Oct/2001 23 9368162185
2 Year  2Mont  7Day
1 s hs s

Email Address:
mohdazeem2510200
1@gmail.com
Gender: Marital Status Domicile State
Male Unmarried UTTAR PRADESH
Applied Category Sub Category Nationality
OBC(Non Creamy lay None Indian
er)
Are you Regular U.
P. Govt Employee ?
No

Correspondence Address

Address Line 1 Address Line 2 Address Line 3


MOHALLA LAKKAD P MOHALLA LAKKAD P KUTESRA MUZAFFAR
ATTI VILL POST KUTE ATTI VILL POST KUTE NAGAR
SRA BLOCK CHARTH SRA MUZAFFARNAG
Country
AWAL AR
India

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6/21/23, 10:23 PM SGPGIMS Recruitment Exam 2023

State City/District Pincode/Postal Cod


Uttar Pradesh Muzaffarnagar e
251001
Is Permanent Addr
ess Same as Corres
pondence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Address Line 3


MOHALLA LAKKAD P MOHALLA LAKKAD P KUTESRA MUZAFFAR
ATTI VILL POST KUTE ATTI VILL POST KUTE NAGAR
SRA BLOCK CHARTH SRA MUZAFFARNAG Country
AWAL AR
India
State City/District Pincode/Postal Cod
Uttar Pradesh Muzaffarnagar e
251001

10th or Equivalent Examination

Name of the Board/ Year of Passing Result Type


School 2016 Percentage
UP BOARD Marks Obtained Total Marks
437 600
Percentage of Mark
s
72.83

12th or Equivalent Details

Name of the Board/ Major Subjects Year of Passing


School PHYSICS CHEMISTER 2018
UP BOARD Y BIOLOGY Result Type
Percentage
Marks Obtained Total Marks Percentage of Mark
330 500 s
66.00

Graduation Or Equivalent Examination

Name of Institute Name of Course Year of Passing


MAHARISHI MARKAN OPERATION THEATR 2021
DESHWAR DEEMED T E AND ANAESTHESIA Result Type
O BE UNIVERSITY TECHNOLOGY
Percentage
Marks Obtained Total Marks Percentage of Mark
339 600 s
56.50

Experience Details

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6/21/23, 10:23 PM SGPGIMS Recruitment Exam 2023

Name of the Orga Length of servi


Start d End da
nization/Employe ce rendered as
Post held ate of te of s
r’s Name & Addre work experien
service ervice
ss ce

MUHAMMAD AZE OPERATION THE


0 Year(s) 6 Mo
EM MULLANA AM ATRE AND ANAES 10/09/ 22/03/
nth(s) 13 Day
BALA HARYANA I THESI TECHNALO 2021 2022
(s)
NDIA GY

MUHAMMAD AZE
EM MULLANA AM 22/03/ 1 Year(s) 3 Mo
OT ASSISTANT
BALA HARYANA I 2022 nth(s) 0 Day(s)
NDIA

Total Work Experi 0 Year(s),6 Month


ence: (s),13 Day(s)

Test City Choice

Preffered Exam Cit Preffered Exam Cit Preffered Exam Cit


y1 y2 y3
New Delhi Dehradun Lucknow

Payment Details

Amount Payment Mode Payment Status


1180 online Payment Success
Payment Transacti
on No.
CPACVSWGA3

Documents Upload

Signature

View / Downloa
Document
d

To view your copy of scanned High School Certificate: Click here.

To view your copy of scanned Intermediate Certificat


Click here.
e:

To view your copy of scanned Domicile Certificate: Click here.

To view your copy of scanned Experience Certificate: Click here.

Declaration

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6/21/23, 10:23 PM SGPGIMS Recruitment Exam 2023

I solemnly affirm that the information furnished above is true and correc
t. I have not concealed any information. I realize that if any information fu
rnished herein is found to be incorrect or untrue, I shall be liable to civil /
criminal prosecution and also forgo my claim to the candidature in the In
stitute. Further, that my candidature for Examination / selection and adm
ission to the course is liable to be cancelled. I agree to abide by the Rules
and Regulations governing this Examination and as contained in the Pros
pectus.

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