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-- __ Application Form For Employment __ --

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5 views

-- __ Application Form For Employment __ --

Uploaded by

dpmtr95
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
You are on page 1/ 3

Registration No.

: 410908
I. POSITION DETAILS

Name of Post : EXECUTIVE TRAINEE(ELECTRICAL)-GATE 2022

Pay scale : Rs. 60000-180000


Grade : E2

II. PERSONAL DETAILS

1. GATE-2022 Registration Number


(Enter GATE-2022 Registration No. which is mentioned on : EE22S28010050
your GATE-2022 admit card )

2. Name (Name should be filled up as appearing in your GATE 2022 admit card)

First Name : DHRUV

Middle Name :

Last Name : PARASHAR

3. Date of Birth : 30/08/2001

4. Father's Name : VINOD SHARMA

5. Category : GENERAL

6. Name of Caste / Tribe (In case of SC/ST/OBC) : NA

7. Other Category, If Applicable


(i) Persons with disabilities : NO

(ii) Ex-Serviceman : NO
Domiciled in J&K between 01.01.1980 and
(iii) : NO
31.12.1989

8. Details (In case of PWD)


(i) PWD Category : NA

(ii) Percentage (%) of Disability : 0


9. Details (In case of Ex-Serviceman)

(i) Rank : NA
(ii) Corps / Regiment Number : NA

(iii) Date of Commission : NA


(iv) Date of Discharge : NA
(v) Date of start of pre-commission training, if any : NA

(vi) Education of Military : NA


(vii) Length of service : 0 YEAR(S) 0 MONTH(S) 0 DAY(S)
10. Nationality : INDIAN

11. Religion : HINDUISM


12. Sex : MALE

13. Marital Status : SINGLE


14. Present Postal Address

(i) 1st Address Line : 313, SADAR BARA BAZAAR


(ii) 2nd Address Line : BADA KASAI PADA
(iii) 3nd Address Line :

(iv) City : MATHURA


(v) District : MATHURA

(vi) State : UTTAR PRADESH


(vii) PIN Code : 281001

(viii) Telephone (Landline) : STD Code: 0 Number: 0


(ix) Telephone (Mobile) : 9027409476
(x) Home Town :

15. Present e-mail Address : [email protected]

III. Education & Experience Details

1. Essential Qualification Details :

Examination / Year of Year of Percentage of


Branch/Discipline/Specialization College / Institution Board / University Type
Degree Passed Joining Passing Marks *

SSC (10th) SCIENCE PMS 2015 2016 CBSE 95 Full Time


ST. DOMINICS SR
HSC (10+2) SCIENCE 2017 2018 CBSE 86.8 Full Time
SEC SCHOOL
RAJ KUMAR GOEL DR. APJ ABDUL KALAM
BE / B TECH /
ELECTRICAL AND ELECTRONICS INSTITUTE OF 2018 2022 TECHNICAL 83.6 Full Time
BSc(ENGG)
TECHNOLOGY UNIVERSITY

* Percentage of marks in the essential qualification (s), as specified shall be considered as per Institute/University rules/norms. Wherever CGPA/OGPA or
letter grade in a Degree is awarded, equivalent percentage of marks should be indicated in the application as per norms adopted by University/Institutes.
Candidates currently in final year (2021-22) of their Engineering Degree Course should indicate percentage of marks received in aggregate upto the last
semester examination at the time of applying.

2. Post Qualification Work Experience Details :


I. Do You have any post qualification work experience : NO

II. Current / Last Company Name NA

III. From Date (DD/MM/YYYY) NA

IV. To Date (DD/MM/YYYY) NA

IV. DECLARATION

I certify that –
a) I am not employed in Govt. /Statutory Organization /Public Sector Undertaking.
b) In case of my employment in Government / Statutory Organization / Public Sector Undertaking, I will produce No Objection Certificate (NOC) from my
organization at the time of Interview, if called for.

I declare that all information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect or
distorted at any stage, I shall have no objection to cancellation of my candidature.

DHRUV PARASHAR
(Name & Signature)
Date: 28/02/2022

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