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APPLICATION FORM
NOTE: Please Note Down Your Registration Number For Future Reference.Xeroxcopies of *Caste Certificate, Original certificate of prescribed qualification or anyother certificate sent separately on a later date after submission of application willnot be accepted . *If any information,given below found to be false/incorrect you will forfeit to claimrefund of fee.
1.Application registration No. : 02 / 0034684 ( E )2. Notification No. 01 / 20153. Post applied for MANAGEMENT TRAINEE(E&M) 4. Name in full J PRADEEP KUMAR 5. Father's Name RANGA RAO 6. Sex: MALE 7. DOB: 28Feb1985 8. Caste: OTHERS9. Mailing Address H.No.: 96257,PRAGATHINAGAR Street.: KARIMNAGAR Vil&PO:/Mandal KARIMNAGAR District: KARIMNAGAR PINCODE:505001 State: TELANGANA
Tel:09985565962Cell: 9985565962DD NO: 233350DD DATE: 24Feb2015
Local/NonLocal :LOCALIdentification Proof: VOTERID CARDIdentification No:YOJ4452421Email ID:[email protected]
Native State: TELANGANA10 .Educational Qualifications:
Exam Passed Qualification Subject University andinstitution
%marks
PassYear
Duration
Degree BE/BTECH/AMIE(OR)EQUIVALENT MECHANICAL VTU,BELGAUM 58 2006 4
11. Experience in years 0 12. Emp.Exc.Name&Reg.No. : 13. Working in and as14. Hobbies : BADMINTON,CHESS15. Any Other Information : GATE RANK1849
16.I am enclosing herewith copies of relevant certificates i) SSC (OR) equivalent certificate in proof of date of birth. ii)Permanent /Provisional certificate in proof of qualifications iii) Marks memo all year wise/ consolidated marks. iv)Caste certificate issued by competent authority v) Self addressed stamped envelope vi) Local candidature certificate. vii)One passport size photograph pinned to the lefttop corner of the application.
17. (For Claiming Local Candidature one should invariably submit 4th to 10th study certificate before SSC. For furtherdetails visit SCCL website)
18.I declare that all the information given above is true to the best of my knowledge. I understand that if anyinformation submitted by me is proved to be false at any stage, the decision of the management will be final and bindingon me. If appointed, I agree to abide by the rules and regulations of the organization.
Place:KARIMNAGARDate: Signature of Applicant