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OnlineApplicationforthePostofExaminerPatents&DesignsfortheofficeofCGPDTMExamination2015
APPLICATIONNO.:
DISCIPLINEAPPLIED:
QUALIFICATION:

DOYOUHAVEADEGREEINLAW

NPC014791
MECHANICALENGINEERING
OTHERSEQUIVALENTTOBACHELORSDEGREEINMECHANICAL
ENGINEERING/TECHNOLOGY

NO

FROMARECOGNISEDUNIVERSITY?
DOYOUHAVEACERTIFICATE(Minimum6months)/DIPLOMA

NO

FROMARECOGNISEDUNIVERSITYINFORIEGNLANGUAGE?
DOYOUHAVEMINIMUM3YEARSorMOREOFRESEARCHEXPERIENCE

NO

FROMARECOGNISEDUNIVERSITYorR&DINSTITUTE/ORGANISATION?
CANDIDATENAME:
CATEGORY:
GENDER:
PHYSICALLYHANDICAPPED(PH)CANDIDATE(Min.40%disability):

NITINRATHORE
OBC(NONCREAMYLAYER)
MALE
NO

TYPEOFPHYSICALDISABILITY:

NO

DEFENCESERVICEPERSONNEL
DISABLEDINOPERATIONS
DURINGHOSTILITIESWITH
ANYFOREIGNCOUNTRYorINA
DISTURBEDAREAANDHAVE
BEENRELEASEDTHEREOF?

NO

30YEARS,9MONTHS,12DAYS

DATEOFBIRTH:

20OCT1984

MOBILENUMBER:

9704757088

EMAILADDRESS:

NITINRATHORE.74@GMAIL.COM

MARITALSTATUS:

MARRIED

AreyoucurrentlyinGovt.Service?:

NO

NO

ADDITIONALTELEPHONE
NUMBER:

NA

RAMPRAKASHRATHORE

NATIONALITY:

INDIAN

CANDIDATEWHOHASORDINARILYBEENDOMICILEDINJ&KDURING
THEPERIOD01Jan1980to31Dec1989?

AGE:

ExSERVICEMEN/CommissionedOfficer/ECO/SSCOHAVINGRENDEREDmin.
5YEARSOFSERVICEASON01Jun2015ANDRELEASESTHEREOF?
Husband/FathersName:
CORRESPONDENCEADDRESS:
PERMANENTADDRESS:

SAINATHENCLAVE23211,,PERRAJUPETFLATNO202,KAKINADA,ANDHRAPRADESH,533003
124/673BBLOCK,GOVINDNAGAR,KANPUR,UTTARPRADESH,208006

ACADEMICDETAILS:
EducationalQualification:
ExaminationPassed

Subject

Board/College/Institute/University

YearofAcquiring
Qualification

CGPAScore

CGPA
Maximum

%of
marks
obtained

10THCLASS

MATHS,
HINDI,ENGLISH,BIOLOGY,SCIENCE,SOCIAL
SCIENCE

UTTARPRADESHBOARD

1998

492

600

82.00

12THCLASS

ENGLISH,HINDI,MATHS,PHYSICS,CHEMISTRY

UTTARPRADESHBOARD

2000

412

500

82.40

OTHERSEQUIVALENTTO
BACHELORSDEGREEIN
MECHANICAL
ENGINEERING/TECHNOLOGY

FLUIDMECHANICS,STRENGTHOF
MATERIALS,BASICTHERMODYNAMICS,I.C.
ENGINE,MATERIALSCIENCE

JADAVPURUNIVERSITY

2007

5008

7150

70.04

CenterSelection(PreliminaryExamination):
Preference1:

HYDERABAD

Preference2

BHUBANESWAR

CenterSelection(MainExamination):

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27/07/2015
Preference1:

KOLKATA

PAYMENTDETAILS:
ModeofPayment

PaymentType

AmountPaid

TransactionNumber

Online

CC/DC

1.00

0463551056

Iherebydeclarethatallinformationfurnishedinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.Intheeventofanyinformationbeingfoundfalseorincorrect,orineligibility
beingdetectedbeforeoraftertheexamination,orevenaftertheappointmentatalaterstage,IfullyowntheresponsibilityofmycandidatureforthePostAppliedFor,betreatedascancelledandImaybedebarred/any
actionasperRulesandRegulationsmaybeinitiatedagainstme.
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