Professional Documents
Culture Documents
, Allahabad 0 0,
I Declare that I have Read the detailed User Manul & Notification.
1. Advertisement Number : 2. Applied For : 3. Type of Recruitment : 4. Application ID : 5. Candidate Registration No. : 6. Candidate Name : 7. Father's/Husband's Name : 8. Gender - Date of Birth : 9. Domicile of UP / Catgory : 10. Are you Married? 11. Contact No./ Email-ID : 12. Bank Name - Payment Mode : 13. Fees, Transaction ID - Date:
A-8/E-1/2013 Assistant Engineer (General/Special Recruitment) Examination- 2013, GENERAL RECTT. Candidate Personnel Details 200014901000200 90120388234 ASHISH RAJ KUMAR Male - 13/03/1991 Yes / General No 9634446420 / ashishsrijan@gmail.com Bank Transaction Details State Bank Of India - IC Rs. 215.00 , 3289132 - 23/01/2014 Other Details of Candidate
14. Are you Dependent of UP Freedom Fighter? 15.a. Are you UP Ex. Army?
No No
- 0 - 0
15.b.2 Have your services been extended for rehabilitation and no disciplinary action is pending No against you ?
No 16.1 Are you Blind Or Have Vision problem? : No 16.2 Are you Deaf or Have hearing problem? : No 16.3 Have you any physical Problem? : No
17. Are You Skilled Player Of UP? : 17.1 Are You Govt./Ex-Govt. State Employee of Uttar Pradesh ?
No No
18. High School & Intermediate Board,Year of passing & Roll Number Details
Sr.No Exam ination Passed 1. High School 2. Interm ediate Board Nam e Year of Passing Roll Num ber
2006 2008
5190339 5619299
Details :
Sr Qualification No.
1 2 Till last date for submitting the applications, the candidates must possess Degree in any one of the follow ing Branch aw arded by an Institution or University established by law in India.- (1) Civil Engineering. OR (2) Mechanical Engineering. OR (3) Agriculture Engineering. OR (4) Electrical Engineering. The upper age limit in the case of a candidate, w ho is trainee, shall be greater by one year in Irrigation and P.W.D. Deptt..
Acquired
Yes No
19.1 Have you a Diploma/Degree in Engineering : 19.2 Your Opted Engineering Branch Name :
Sr Qualification No.
1
Yes
A candidate w ho has (1) served in the Territorial Army for a minimum period of tw o years, or (2) obtained a "B" certificate of N.C.C. shall other things being equal, be given preference in the matter of direct recruitment.
20. Address : 20.1. House no./Village : 20.2. Street No./PO : 20.3. City Name : 20.4. State / District Name : 20.5. PIN :
C O CHANDRA SHEKHAR ADVOCATE GANAPAT SAHAI MARG NEAR SADAR BLOCK BASTI Uttar Pradesh / BASTI 272001
21. Photo&Signature