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Exam Profile - Personal Details

This document contains a form for a Jul - Dec 2023 exam. It requests personal information such as name, date of birth, email, city, state, country, mobile number, gender, photo, signature, and ID proof. It provides guidelines that the images must be in JPG format between 50-150KB and certain fields cannot be edited after saving. It also notes there will be a 200 rupee charge for changes to personal information after the last date for data changes.

Uploaded by

Nikhil
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101 views1 page

Exam Profile - Personal Details

This document contains a form for a Jul - Dec 2023 exam. It requests personal information such as name, date of birth, email, city, state, country, mobile number, gender, photo, signature, and ID proof. It provides guidelines that the images must be in JPG format between 50-150KB and certain fields cannot be edited after saving. It also notes there will be a 200 rupee charge for changes to personal information after the last date for data changes.

Uploaded by

Nikhil
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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Jul - Dec 2023 Exam Form

Personal Info
E-Mail *
[email protected]
Your email id must be unique and is your
identity. Your assignment submissions will be
identified with this Email id.

Name * Date of birth *


Nikhil Chauhan 04/02/2004
The name entered here will appear in your Date of birth will be verified against a Govt.
certificate. No further changes will be issued Id card at the venue of the exam. Ensure
entertained. that the data given is correct

City * Guidelines
All images must be between 50 - 150 KB and
in .JPG format.
Faridabad The following fields will not be editable once
saved:
State * Do you come under SC/ST category?
Are you a person with disabilities?
Haryana Are you a person with disabilities above
40%?
Are you writing the exam in Outside
Country * India?
What is your role ?
India Fields marked with * are mandatory.
After the last date for data changes, if you
Mobile Number * request any changes to your personal
information (name, DOB, photo, signature,
9319831896 SC/ST and PWD certificates), we will charge
you an extra 200 rupees for each change.
The mobile number entered here will be used for sending important SMS regarding the exam.

Re-enter Mobile Number *


9319831896
Please re-enter the mobile number.

Alternate Mobile Number *


9873015940
The mobile number entered here will be used as an alternate mobile number if required.

Gender *
Male Female Other

Passport size photo (.JPG, .JPEG Between Signature image (.JPG, .JPEG Between 50KB
50KB - 150KB) * - 150KB) *
File Uploaded File Uploaded
ID proof (.PDF, .JPG, .JPEG Between 50KB -
2MB) *
File Uploaded
Aadhar Card / Voter’s ID / Driver’s license

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