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Maharashtra Public Service Commission

The document is an online application form for the Maharashtra Public Service Commission containing personal, educational, and other details of the applicant. It includes information such as the applicant's name, date of birth, contact details, educational qualifications including SSC, HSC, and B.Com degrees, caste category, permanent and correspondence addresses, languages known, and other details like extracurricular activities and achievements. No work experience details are provided in the application form.

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Ishtiyaq Shaikh
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We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
153 views2 pages

Maharashtra Public Service Commission

The document is an online application form for the Maharashtra Public Service Commission containing personal, educational, and other details of the applicant. It includes information such as the applicant's name, date of birth, contact details, educational qualifications including SSC, HSC, and B.Com degrees, caste category, permanent and correspondence addresses, languages known, and other details like extracurricular activities and achievements. No work experience details are provided in the application form.

Uploaded by

Ishtiyaq Shaikh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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6/16/2021 https://mahampsc.mahaonline.gov.in/MPSC/Forms/ApplicationFormView.aspx?

ID=69&str=pF1BP77flkk=&strVal=frmPrint

Maharashtra Public Service Commission


Online Application System
  Registration Form  
Profile Details
Personal Details
Salutation : Shrimati
Full Name (In English
and in capital letters as
: DHOBLE AMRAPALI BALIRAM Full Name (Devnagri) : ढोबळे आम्रपाली बळीराम
per SSC/CBSE/ICSE
Certificate)
Surname :
DHOBLE
First Name :
AMRAPALI
Middle
Full Name :
Name :
PRASAD
Mother's Name : SHOBHA Gender : Female

Date Of Birth : 26 Apr 1986 Age : 35


Mobile Number : 9702057567 Landline Number : 9082553003
Email Id : amrapalidhoble4@gmail.com
Whether Married : Yes Name After Marriage : AMRAPALI NEERAJ PRASAD

Aadhaar Details
Are you holding an Aadhaar
: Yes
card?
Name In English : (Exactly as mentioned on AMRAPALI BALIRAM
Aadhaar No. : ********9432 :
Aadhaar Card) DHOBLE

Physical Details
Height(In Cms.) : 172 Weight(In Kgs.) : 60

Permanent Address
Flat / Room / Door / Block / Name of Premises /
: 901 : shree shankar heights
House No. Building
Road / Street / Lane / Post
: SECTOR-36, PLOT NO. 56 Area / Locality : MANSAROVAR ,
Office
Landmark : State / Union Territory : MAHARASHTRA
District : Raigarh Taluka : Panvel
Village/City : Kamothe PinCode : 410209

Correspondence Address
Flat / Room / Door / Block / Name of Premises /
: RH-1 : K-41
House No. Building
Road / Street / Lane / Post
: sector 7 Area / Locality : vashi
Office
Landmark : nr wackhard hospital State / Union Territory : MAHARASHTRA
District : Thane Taluka : Thane
Village/City : Thane (M Corp.) PinCode : 400703

Caste/Category Details
Category : SC
Do you belong to Non-creamy Layer? : No
Caste Certificate No : MAG/SR/2056 Issuing District : Beed
Do you have Caste Validity Certificate ? : No

Other Details
Nationality Indian? : Indian Maharashtra Domicile Certificate? : Yes
Domicile Certificate No : miss/cr/ws 2070/2005/2156 Issuing District : Beed
Domicile Issuing Date : 29 Jun 2005
Mother Tongue : MARATHI
Are you Divyangjan? : No
Does the candidate himself is an ex-
: No
serviceman of the regular Armed Forces?
Can you read, write and speak Marathi? : Yes Read : Yes Write : Yes Speak : Yes
Whether liable to be disqualified for the Government Services according to the provisions of Maharashtra Civil
: No
Services(Declaration of small family) Rules,2005?
Additional Information :
Extracurricular Activity [ Sports , :

https://mahampsc.mahaonline.gov.in/MPSC/Forms/ApplicationFormView.aspx?ID=69&str=pF1BP77flkk=&strVal=frmPrint 1/2
6/16/2021 https://mahampsc.mahaonline.gov.in/MPSC/Forms/ApplicationFormView.aspx?ID=69&str=pF1BP77flkk=&strVal=frmPrint
Cultural Activity, Hobbies, etc.]
Achievements [ Letter of appreciation,
Merit certificate, Prizes, Medals, etc if :
any]
Are you a Meritorious Sports Person? : No
Are you an employee of Government of
: No Are you employee of B.M.C.? : No
Maharashtra?
Are you employee of B.E.S.T.? : No

Black List
Whether any prosecution is pending in any Court of Law against : No   Was any Court Case filed against you? : No
you?
Whether any disciplinary action has been initiated by : No   Whether disciplinary or any other similar action is initiated by : No
Government/Semi-Government Organisations against you? Bar Council or Medical Council or Association or other
Professional/Vocational Institution?
Whether debarred or Black Listed for Examination / Selection : No  
held by SSC Board / University / MPSC / Other P.S.C/ UPSC or
any other Organisations?

Qualification Details
Name Course
Qualification Result Percentage Class / Compulsory Optional
of Subject Board/University Attempts Duration(In Mode Remark
Type Date / Grade Grade Subjects Subjects
Degree Months)
1 2 3 4 5 6 7 8 9 10 11 12 13
10-03- Second Traditional /
SSC SSC   State Board 1 54.66 12      
2004 Class Regular
10-02- Second Traditional /
HSC HSC Commerce State Board 1 45.50 12      
2009 Class Regular
Vinayaka
Missions
14-04- Second Distance /
Graduate B.Com Commerce Research 1 57.50 36      
2015 Class Correspondence
Foundation,
Salem

Publication

Experience Details

https://mahampsc.mahaonline.gov.in/MPSC/Forms/ApplicationFormView.aspx?ID=69&str=pF1BP77flkk=&strVal=frmPrint 2/2

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