1 SHRI SHANKEY CHUGH 19 SHRI PINKAL AGARWAL Ward No. 20, Vikas Nagar, Sri Vijay Nagar, Sri Ganga Nagar, Rajasthan

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2 Office of the Chief Commissioner, Central Excise, Jaipur Zone, Jaipur List of candidates called for submission and chekcing of documents Date (Monday) Time : 10 A.M. 1 SHRI SHANKEY CHUGH 19 SHRI PINKAL AGARWAL Ward No. 20, Vikas Nagar, Sri Vijay Nagar, Sri Ganga Nagar, Rajasthan House No. 139, Krishna Colony, Jeoni Mandi, Agra, Uttar Pradesh SHRI PRANAV SHARMA 20 SHRI ANUJ AGGARWAL 128 Mahadev Nagar, Near Akshardham Mandir, Vaishali Nagar, Jaipur, Rajasthan House No. 34, Sector 7 A Faridabad, Haryana MS. PRIYA SENGAR 21 SHRI ANANT KUMAR GARG C 4/1 EXTENSION 4 Kamruddin Nagar, 67/231, Sector-6, Pratap Nagar, Sanganer, Nangloi, Delhi Jaipur MS. NIDHI CHAHAR 22 SHRI AWADHESH UPADHYAY 13/123, Char Bagh, Shahganj, Agra, Uttar Pradesh SHRI AMIT YADAV 23 SHRI DEEPAK J-6- PHP, Dwarka Sector 16 B Dwarka, Delhi SHRI RAHUL CHOUDHARY 24 MS. PUSHPA 4/2631 OTC B-Block, Sajjan Nagar, Sajjan Garh Main Road, Udaipur, Rajasthan Vill Madhwapur, Post Bargadwa, Basti, Uttar Pradesh Village Kisoli, Post Kisoli, Bulandshahr, Uttar Pradesh Janta Flats, GTB Enclave Near GTB Enclave, Delhi SHRI ANCHAL AGRAWAL 25 SHRI NITESH KUMAR TIWARI Moh. Kila, Saroj Bhawan, Jalesar(ETAH) Salesar, Uttar Pradesh VPO-ANDHI, Teh-Jamwaramgarh, Jaipur, Rajasthan SHRI RAKESH KUMAR SHARMA 26 SHRI AJAY KUMAR 2/141 N.E.B. Housing Board, Near Manju H.No. 2/543, New Patel Park, Line Par, Near Hospital, Alwar, Rajasthan New Bal Vikas High School, Bahadurgarh, 9 SHRI DHEERENDRA KUMAR SHARMA Haryana SHRI SUMIT BISHNOI 2/28, Kala Kuan, Housing Board Alwar, Rajasthan SHRI KAPTAN SINGH 28 SHRI PARDEEP KUMAR Village Taragwan, Post Ghantry, Tehsil Weir, Bharatpur, Rajasthan SHRI KRIPA SHANKAR SINGHWAL 29 SHRI NEERAJ BHATT House No. 3, Sector No. 3 Behind Govt. Hospital Hanumangarh Town, Rajasthan H.No - 87 Ward No - 3 Sir Chotu Ram Colony, Uchana, Jind, Haryana VPO - Natoj, Via - Kherli, Teh- Kathumar, Alwar, Rajasthan C-2/239, Gali No-06, IIND Pusta, Sonia Vihar, Delhi SHRI SAHIL 30 SHRI ABHINAV SHARMA 802 Tilak Nagar, Rohtak, Haryana D-737 Type - III Mandir Marg, New Delhi, Delhi SHRI AKHIL SHEORAN 31 SHRI RAMIT MEHLA Quarter No. 57, G Floor, Police Station Colony, Civil Lines, New Delhi - Delhi H.No. 764, Sector 5 U.E., Kurukshetra, Haryana SHRI GAURAV GOYAL 32 SHRI PRINCE KUMAR 40 A Fashion Shoes, Gali No. 2, Adarsh Basti, Tonk Phatak Jaipur, Rajasthan , Gobind Nagar, Street No. 4, Sirsa, Haryana SHRI YOGESH SHARMA 33 SHRI AMANDEEP GAUR H.No. 219, Durga Colony, Ward No. 13, Hanumangarh Junction, Hanumangarh, Rajasthan House No. 68, Sector 3 Part 2 Huda, Rewari, Haryana

3 16 SHRI KULDEEP SINGH RAJPUROHIT 34 SHRI ASHISH KUMAR SHRIVASTAVA Rajpurohiton Ka Bass, Indira Colony Bikaner, Rajasthan H.No. 979/31, Phase 1, Street 1 C, Laxman Vihar, Gurgaon, Haryana SHRI MANAS UDENIA 35 SHRI MOHAN TIWARI Markandeshwar Mandir, Near Old Subji Mandi Palace Road, Kothi, Dholpur, Rajasthan SHRI ANURAG KUMAR TRIVEDI C/o Binod Kumar Pathak, D-310 Third Floor, Nawada Housing Complex, Kakrola Mode New Delhi - Delhi H.No. 204/24, Subhash Nagar, Near C.R.A. College Sonipat, Haryana

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5 Office of the Chief Commissioner, Central Excise, Jaipur Zone, Jaipur List of candidates called for submission and chekcing of documents Date (Tuesday) Time : 10 A.M. Shri / Ms. 36 MOHIT KHURANA 54 ROHITASHWA KUMAR YADAV H.No. 118, Bhai Parmanand Colony, Near Mukherji Nagar, Delhi Vill - Papra, Post - Kuhara, Teh - Viratnagar, Jaipur, Rajasthan NITIN GUPTA 55 PRADEEP BHURIA A-3/188, Sector - 17, Rohini Delhi A-1, Sunder Vihar, OPP. Power House, Kalwar Road, Jhotwara, Jaipur - Rajasthan MOHIT ARORA 56 ARMAN B-28, Sunder Appartmens, Plot No. -13, Sector - 14, Rohini, New Delhi, Delhi SWATI SHARMA 57 DEEPAK MAHALA S/o Abdul Hafiz, Nagar Panchayat-Jhanjharpur, Ward No. 12, Near Madarsa Chowk, Distt. Madhubani, Bihar H.No. 1485/20, Hargobind Nagar, Near Balaji Mandir, Kurukshetra, Haryana VPO-Jankipura VIA-Jajod, Teh - Srimadhopur, Sikar Rajasthan NEPAL 58 ARUN SINGH GURJAR VPO - Sanjarwas, Tehsil Charkhi Dadri, Dist. Bhiwani, Haryana Bard No. - 06, Gurjar Pada, Vill / Post - Rendayal Gurjar, Teh-Bajeerpur, Sawai Madhopur, Rajasthan HIFZAAN KHAN 59 PRADEEP KUMAR House No. 124,125, Block -E Madipur Colony, Near Madipur Metro Station, West Delhi, Delhi Siv Colony, Nr Punam Pub School, Road No. 3, Gudha Mode, Jhunjhunu, Rajasthan ARUN SINGH 60 RAJESH ARYA Vikram Singh Near R C Church, Parbatpura, Ajmer, Rajasthan S/o Prahalad Chand Arya, Ward No. 26, Colony Badabas, Bansur Road, Kotputli, Jaipur Rajasthan SURENDRA KUMAWAT 61 UTKARSH SRIVASTAVA 104/22, Vijay Path, Mansarovar, Jaipur - Rajasthan A21, Rangoli Colony (Opp. New Sabji Mandi), Sikandara, Agra, Uttar Pradesh ANIL KUMAR BALODIA 62 NARENDRA KUMAR 771, Sumer Nagar, Agarwal Farm, D 190, Kolihan Nagar, Tehsil Khetri, Jhunjhunu, Mansarowar, Jaipur, Rajasthan Rajasthan ANIL KUMAR SAHU 63 NIRMAL CHAWLA Indira Colony, Sawaimadhopur Road, Apurva Collection - Tonk - Rajasthan Mitra Vihar A Maharana Pratap Marg, Panchyawala, Jaipur, Rajasthan SUMIT KUMAR 64 DHANANAND TUKARAM CHANCHALKAR House No. 107, Sarvjanik Gram Chok, VPO- Nunia Gothara, Teh. Chirawa, Distt. Jhunjhunu, Rajasthan Siddharth Primary School, Nehrunagar, Gyangboudi, Bijapur, Karnataka RAJEEV RANJAN BHARTI 65 SUMIT KUMAR S/o Ranjeet Kumar, MO - Mogalkuan Pops - Sohshari Biharsharif, Nalanda - Bihar H.No. 21/621 Ist Floor, Village - Karkardooma, Delhi

6 48 JITENDRA KUMAR SAINI 66 GAGAN DEEP JEWARIYA 288, Main Village Bhandodi, V.P.O. Bhandodi, VIA - Digavara, Alwar, Rajasthan Patel Nagar, Niwaru Road, Jhotwara, Jaipur, Rajasthan SUNIL KHILERI 67 PHOOL SINGH MAHAWAR C/o Mohan Lal Khileri,Sadar Bazar, Ladnun, Nagaur, Rajasthan Vill-Meenapara, Post Manpur, Teh - Baswa, Dausa, Rajasthan AMIT KUMAR SONI 68 PANKAJ MEENA Mangal Colony, Station Road, Shrimadhopur, Distt. Sikar, Rajasthan /10 Ashok Vihar Colony, Narishala Road, Subhash Nagar, Ajmer, Rajasthan SANJAY KUMAR JANGID 69 LAXMI NARAYAN MEENA Vishwakarma Bhawan, Near College Mode Sethawali, Nathawala TH- Shahpura, Jaipur, Rajasthan Plot No. 1, Parwati Colony, Chetak Bhatte Ke Samne, Goner Road, Luniyawas, Jaipur, Rajasthan NARENDRA SINGH CHAUHAN 70 KUSHAL DUBEY A3, Shivram Colony, Near RLY Crossing, Opp. PNB, Bank, Jagatpura - Jaipur - Rajasthan AWAD DAN C/o Narayan Singh Roheria, 43, Roop Nagar, Patoa C Road, Jodhpur - Rajasthan Flat No. 18, Plot-42, Vandana Apt. Pratapganj, I.P. Extn. Delhi

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8 vuqizek.ku&i= inuke % dj lgk;d Lo;a dk glrk{kfjr QksVks ¼ikliksVZ lkbzt½ ;gkwa fpidk;saa ¼jktif=r vf/kdkjh ls izekf.kr gks½ vuqizek.ku QkeZ esa dksbz xyr lwpuk nsuk vfkok fdlh egroiw.kz rf; dks Nqikuk v;ksx;rk le>h tk;sxh rfkk ;g vh;fkhz dks ljdkjh lsok ds fy, v;ksx; djkj dj ldrh gsa ¼2½ D;k dhkh dkjkokl esa j[ks x,] U;k;ky; }kjk nks"kh fl) ik, x, vfkok foozftr?kksf"kr gq, gks rks mldk folr`r fooj.k] bl QkeZ dks iw.kz djus ds rfkk izlrqr djus ds i'pkr ml izkf/kdkjh ftlus ;g vuqizek.ku QkeZ Hkstk gs] mls 'kh?kz lwfpr dj nsuk pkfg,a lwpuk u nsus ij ;g le>k tk;sxk fd egroiw.kz rf; fnik;k x;k gsa ;fn fdlh O;fDr ds lsokdky ds nksjku fdlh Hkh le; bl ckr dk irk py tkrk gs fd mlus vuqizek.ku QkeZ esa xyr lwpuk nh gs vfkok fdlh egroiw.kz rf; dks fnik;k gs rks mldh lsok,as lekir dh tk ldsxha uksv % uhps fn, x, izr;sd dkwye esa okafnr lwpuk iw.kz :i ls fy[ksa] dksbz Hkh dkwye [kkyh vfkok ¼&½ yxkdj u NksM+saA ¼1½ iwjk uke ¼lkQ v{kjksa esa½ ¼;fn vkius dhkh fdlh le; vius uke vfkok dqyuke esa dksbz va k tksm+k gks vfkok mlesa ls gvk;k gks rks mldk myys[k djsa½ % ¼2½ orzeku iwjk irk ¼ftleas xkwao] Fkkuk] ftyk] edku u0] xyh] lm+d] 'kgj rfkk ftyk eq[;ky; dk uke fn;k tk;s½ % ¼3½¼v½ LFkkbZ?kj dk iwjk irk ¼ftleas xkwao] Fkkuk] ftyk] edku u0] xyh] lm+d] 'kgj rfkk ftyk eq[;ky; dk uke fn;k tk;s½ ¼3½¼c½ ;fn ewy :i ls ikfdlrku ds fuoklh gsa rks ml ns'k esa mudk irk rfkk Hkkjr esa izotu dh frffk % % ¼4½ jk"vªh;rk % ¼5½ ¼v½ tuefrffk % ¼c½ fnukad dks vk;q % o"kz ekg fnu

9 ¼6½ xr ikwap o"kksza esa tgkwa vkius,d o"kz ls vf/kd fuokl fd;k gs] ogkwa fuokl dh vof/k crkrs gq, LFkkuksa dk fooj.k nsaa ;fn fons k ¼ikfdLrku lfgr½ esa jgsa gksa] mu lc LFkkuksa dk fooj.k fn;k tkuk pkfg;s tgkwa vkius 21 o"kz dh mez ds i'pkr,d o"kz ls vf/kd dh vof/k ds fy;s fuokl fd;k gksa fnukad ls fnukad rd fuokl dk iwjk irk ¼vFkkZr xkwao] Fkkuk] ftyk] edku u0] xyh] lm+d] 'kgj vkfn½ finys dkwye esa fn, x, LFkku ds ftyk eq[;ky; dk uke ¼7½ ikfjokfjd fooj.k % ¼1½ firk dk uke ¼miuke lfgr½ ¼2½ ekrk ¼3½ iruh@ifr ¼4½ HkkbZ uke jk"vªh;rk tue ls@ vf/kokl }kjk dk;z djus dk LFkku O;olk; ¼;fn lsok esa gsa rks dk;kzy; dk irk o inuke nhft,½ orzeku Mkd dk irk ¼;fn e`r gs rks vkf[kjh irk½ ¼1½ ¼2½ ¼3½ ¼4½ ¼5½ ¼5½ cgusa ¼8½ ;fn iq= vksj iqf=;kwa fons k esa i<+ jgs gksa@jg jgsa gksa rks ml laca/k esa Hkh lwpuk izlrqr dh tk;sa % uke tue LFkku jk"vªh;rk ¼tUe ls@ vf/kokl ls½ iwjs irs lfgr ml ns'k dk uke tgkwa i<+ jgs gsa@jg jgsa gsaa frffk ftleas finys dkwye esa myysf[kr ns'k esa jg@i<+ jgs gsa ¼9½ ¼v½ tue LFkku % ftyk rfkk jkt; ftlesa flfkr gs % ¼c½ ftyk rfkk jkt; dk uke ftlds vki fuoklh gsa ¼l½ ml ftys rfkk jkt; dk uke % ftlesa vkids firk ewy :i ls lec) gs ¼10½ ¼v½ ¼c½ /kekz D;k vki vuqlwfpr tkfr@vuqlwfpr tutkfr@ vks-ch-lh- ds lnl; gsa \ mrrj gkwa ;k uk esa nsa ;fn mrrj gkwa esa gs rks mldk uke crk;sa % gkwa@ugha

10 ¼11½ 'ks{kf.kd ;ksx;rk % 15 o"kz dh mez ds i'pkr Ldwyksa@dkWystksa esa tgkwa f k{kk izkir dh gs muds uke rfkk f k{k.k o"kz % Ldwy dkwyst dk uke izos'k dh frffk NksM+us dh frffk mrrh.kz dh xbz ijh{kk vadksa dk izfr kr ¼12½ D;k vki fdlh dsunzh; vfkok jkt; ljdkj vfkok v)z ljdkjh vfkok ljdkjh o`r fudk; vfkok fdlh Lok;Rr fudk; vfkok ifcyd v.mjvsfdax ¼lkoZtfud laxbu½ vfkok futh QeZ ;k laxbu esa fdlh in ij gsa] vfkok iwoz esa,sls in ij fu;qdr gq, Fks ;fn gkw rks fu;kstu dk v ru frffk;ksa lfgr iwjk fooj.k nhft, A ls vof/k rd inuke] ifjyfc/k;kwa rfkk fu;kstu dh izd`fr fu;kstu dk iwjk uke o irk finyh uksdjh NksM+us ds dkj.k ¼13½ D;k finyk jkstxkj Hkkjr ljdkj@jkt; ljdkj@ljdkj }kjk fu;af=r vfkok futh v.mjvsfdax@lok;rr fudk;@fo ofo ky;@lfkkuh; fudk; ds v/khu Fkk \ ;fn lfozl NksM+h gs rks D;k vkius dsunzh; flfoy lfozl ¼vLFkkbZ lsok;sa½ fu;e 1965 ds fu;e 5 ds v/khu,d ekg dk uksfvl fn;k Fkk vfkok blh rjg ds fu;eksa ds v/khu vkids fo:) fdlh izdkj dh vuq kklukred dk;zokgh dh xbz Fkh] vfkok lsok ls R;kxi= dk uksfvl nsrs le; vfkok oklrfod :i ls vkidh lsok;sa lekir djus ds iwoz vuqorhz frffk ij D;k vkidks fdlh Hkh ekeys esa vius vkpj.k dks Li"V djus ds fy, cqyk;k x;k Fkk \ ¼14½ fueufyf[kr izr;sd iz u dk lqfuf pr mrrj gkwa vfkok ugha tslk Hkh ekeyk gks] dks iz u ds lkeus myys[k djsaa ¼d½ D;k vki dhkh fxj rkj fd, x, gsa \ ¼[k½ D;k vkids fo:) dhkh vfhk;kstu pyk gs \ ¼x½ D;k vki dhkh utjcan fd, x, gsa \ ¼?k½ D;k vki ij dhkh U;k;ky; }kjk n.m yxk;k x;k \ ¼M-½ D;k vki dhkh u ks esa /kqr ik, x, \ ¼p½ D;k vki dhkh fdlh U;k;ky; }kjk vijk/k ds fy, ¼fl)nks"kh½ Bgjk;s x;s \

11 ¼N½ D;k vkidks la?k yksd lsok vk;ksx }kjk dhkh mudh esa lfeefyr gksus ls vioftzr vfkok v;ksx;?kksf"kr fd;k x;k \ ¼t½ D;k vkidks fdlh ijh{kk esa csbus ls jksdk x;k vfkok fdlh fo ofo ky;@lalfkk }kjk fu"dkflr ¼jsLVhdsV½ fd;k x;k \ ¼>½ bl vuqizek.ku QkeZ ds Hkjrs le; D;k fdlh U;k;ky; esa vkids fo:) dksbz ekeyk cdk;k im+k gs \ ¼ ½ bl vuqizek.ku QkeZ ds Hkjrs le; D;k fdlh fo ofo ky; esa vfkok fdlh vu; 'ks{kf.kd izkf/kdkjh ds le{k vkids fo:) dksbz ekeyk cdk;k im+k gs \ ;fn mijksdr iz uksa dk mrrj gkwa esa gks rks ekeys ds fxj rkjh ds fo:) gksus ds@tqekzuk fd, tkus ds@dqdhz gksus ds@n.mkns k fd, tkus ds@nf.mr gksus vkfn ds iwjs fooj.k nsa vksj@vfkok U;k;ky; esa@fo ofo ky; esa@ ks{kf.kd izkf/kdkjh ds le{k cdk;k im+s ekeyksa dh izo`fr dk Hkh iw.kz myys[k djsaa uksv % d`i;k bl vuqizek.ku QkeZ ds Åij nh xbz psrkouh dks Hkh ns[ksaa ¼15½ vius bykds ds nks fteesnkj O;fDr;ksa ds uke tks vkidks tkurs gksa % irk % irk % esa izekf.kr djrk gwwa fd esjh tkudkjh vksj fo okl ds vuqlkj mi;qzdr lwpuk lgh vksj iwjh gsa eq>s,slh fdlh vksj ckr dk Kku ugh gs tks ljdkj ds vurxzr esjh fu;qfdr dh mi;qdrrk dks nwf"kr dj ldsaa vh;fkhz ds glrk{kj frffk % LFkku % ¼izek.k&i= fueufyf[kr esa ls fdlh,d ds }kjk glrk{kfjr fd;k tkos½ 1- dsunz vfkok jkt; ljdkj ds jktif=r vf/kdkjha 2- ml fo/kkulhkk {ks= ds izkfkhz vfkok mlds ekrk&firk@laj{kd lkeku;r% jg jgk@jgsa gksa ds fo/kkulhkk lnl; vfkok laln lnl;a 3- mi e.myh; eftlvªsv@vf/kdkjha 4- rglhynkj vfkok uk;c rglhynkj ftugsa eftlvªsv dh 'kfdr;ksa ds iz;ksx ds fy, izkf/kd`r fd;k x;k gksaa 5- tgkwa vh;fkhz igys Nk= jg pqdk gks,sls eku;rk izkir fo ky;@egkfo ky;@lalfkk ds fizalhiy@iz/kkuk/;kida 6- [k.m fodkl vf/kdkjha 7- ikslv eklvja 8- iapk;r fujh{kda izekf.kr fd;k tkrk gs fd esa Jh@Jhefr@dqekjh iq=@iq=h@iruh Jh dks finys o"kz ekg ls tkurk gwwa rfkk muds }kjk fn, x, fooj.k esjh tkudkjh vksj fo okl ds vuqlkj lgh gsa LFkku % glrk{kj % irk % uke o eqgj lfgr frffk %

12 CERTIFICATE OF CHARACTER Certified that I have known Shri S/o Shri for the last years months and that to the best of my knowledge and belief he bears reputable character and has not antecedents which render him unsuitable for Government Employment. 2. Shri is not related to me. Place : Date : *Signature Name & Designation (* By a Gazetted Officer) ATTESTED Place : **Signature : Date : Name & Designation : (Attesting Authority) **(To be attested by Stipendiary I Class Executive Magistrate/ District Magistrate or Sub Divisional Magistrate).

13 Phone No /025/007 Extn.232 FAX No. (0141) Government of India Ministry of Finance Department of Revenue OFFICE OF THE CHIEF COMMISSIONER CENTRAL EXCISE (JAIPUR ZONE), JAIPUR (NEW CENTRAL REVENUE BUILDING, STATUE CIRCLE, C-SCHEME, JAIPUR ) (CADRE CONTROL UNIT) CANDIDATE STATEMENT AND DECLARATION CANDIDATE STATEMENT AND DECLARATION The candidate must make the statement required below prior to his medical examination and must sign. the declaration appended thereto. His attention is specially directed to the warning contained in the note below:- 1 State Your Name in Full (In block letters) 2 State your age and place of birth 3 a) Have you ever had smallpox, intermittent or any other fever, enlargement or suppuration of glands, spitting of blood, asthma, heart disease, lung disease fainting attacks rheumatism, append cities. b) Any other disease or accident requiring confinement to bed and Medical or surgical treatment 4 When were you last vaccinated 5 Have you or any of your near relations have been affected with consumption scrofula, gout, asthma, fits, epilepsy or insanity 6 Have you suffered from any form of nervousness due to overwork or any other cause 7 Have you been examined and declared unfit for Govt. service by a Medical Officer/ Medical Board, within the last three years. Contd....2/- :: 2 ::

14 8 Furnish the following particulars concerning family:- Father's age if living and state of health Fathers age at death and cause of death No. of brothers living their ages and state of health No. of brothers dead their ages at death and cause of death Mother's age if living and state of health Mother's age at death and cause of death No. of Sisters living their ages and state of health No. of Sisters dead their ages at death and cause of death I declare all the above answers to be, to the best of my belief, true and correct. I also solemnly affirm that I have not received disability certificate/pension on account of any disease or other condition. Candidate's signature Signed in my presence Signature of Medical Officer NOTE:- The candidate shall be held responsible for the accuracy of the above statement. By willfully suppressing any information be will incur the risk of losing the appointment and if appointed, forfeiting all claim to superannuation allowance of gratuity.

15 Annexure - A Details of residential addresses for the last five years- S. No. Date from Date to Complete Address of residence District Hqrs. Signature of the candidate Name of the candidate Date Father s name Address for correspondence Contact Phone No

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