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4/5/24, 9:15 PM Profiling for Online Examination - RECEIPT - IForms MPOnline Limited

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Personal Details Photo Signature

Profile Id 1087241379886 Applicant's Name VIKAS TEWARI /

Father's Name ASHOK KUMAR TEWARI Mother's Name SUMAN LATA TEWARI

Date of Birth (dd/mm/yyyy)


16/12/1985 Gender Male (M)
(As per class 10th mark sheet or birth certificate)

Domicile State Uttar Pradesh Category अनारक्षित (UR)

Handicapped Details

Are you a handicapped (Minimum 40 percent) नहीं(No) If yes, type of disability

If the applicant is locomotor disabled, its type -

Marital Status

Are you married? हां(Yes) Spouse Name MAHIMA PANDEY

Date of marriage if the applicant is married (dd/mm/yyyy) 06/07/2021 जीवित बच्चो की संख्या 0

Date of Birth of Last Child (dd/mm/yyyy) -- क्या अंतिम बच्चे जुड़वा हैं? --

Contact Details

Present Address

Address 6/203 VINEET KHAND,GOMTINAGAR,NEAR BHARTI VIDYA BHAWAN SCHOOL

State UTTAR PRADESH District LUCKNOW Pin Code 226010

Permanent Address

Address 6/203 VINEET KHAND,GOMTINAGAR,NEAR BHARTI VIDYA BHAWAN SCHOOL

State UTTAR PRADESH District LUCKNOW Pin Code 226010

Mobile No XXXXXX1978 Email XXXXXXXXXXXXXXXXX@gmail.com

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4/5/24, 9:15 PM Profiling for Online Examination - RECEIPT - IForms MPOnline Limited

Qualification Details

Passed University
Course Pass Course Obtained Total Percent
Qualification Exam Subject / Board Roll No.
Type Year System Marks/Points Marks/Points %
Name Name

9th/10th
UTTAR
(High General - All Full
HSC 2000 PRADESH 0926430 MARKS 331 600 55.10
School Subjects Time
BOARD
Certificate)

11th / COLVIN
12th TALUQDARS
(Higher Full COLLEGE
HSSC Science-Maths 2003 0288528 MARKS 278 500 55.60
Secondary Time UTTAR
School PRADESH
Certificate) BOARD

BTech -
Electronics and PUNJAB
Bachelor Full
UG Communication 2009 TECHNICAL 508044205 MARKS 4831 6600 73.20
of Time
Engineering UNIVERCITY
Technology

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