SSC - Candidate's Application Details (Registration-Id: 51152419860)

1 of 2

http://ssconline2.gov.in/printapp.php?reg_id=d06d1db25bb18d00d666ad...

Application details of Registration-Id: 51152419860 for Combined Recruitment for Engg. Assist. &
Technician in Prasar Bharti - 2013
PART - I
Examination Centre:

SR - Tiruchirapalli(8206)

Name:

GAUTAM KUNAL

Gender

Male

Date of Birth:

25-12-1988

Father's Name:

ASHOK KUMAR VARMA

Mother's Name:

SHISHMANI KUMARI

Nationality:

Indian

Physically Handicapped

No

Community

General

Fee Examption Claimed

No

Whether Ex-Serviceman

No

Whether belong to Minority Community

No

E-Mail:

gautinitt@gmail.com

Age Relaxation Claimed:

No

Address:

C/O SHISHMANI KUMARI,

R H S COMPLEX,DENDUA
PO SALANPUR
BURDWAN
West Bengal - 713357
Mobile: 9042342934

3/10/2013 8:34 PM

SSC - Candidate's Application Details (Registration-Id: 51152419860)

2 of 2

http://ssconline2.gov.in/printapp.php?reg_id=d06d1db25bb18d00d666ad...

Preference for zone:

E N W S NE

Preference for the Post

Order of Preference

Code

1. Engineering Assistant

Order of Preference

Code

2.

Are you applying for the Posts of

Engineering Assistant.

Yes

Do you possess qualification for

Engineering Assistant.

Degree in Telecommunication/Electronics/Electrical
/Information Technology/ Electronics and
Communication Engineering from a recognized
University/Institute.

Are you applying for the Posts of

Technician.

No

Educational
Qualification

Subject

% of
Marks

Medium

B.Tech

Electronics & Communication

Engineering

72.6

English

PART - II
[Fee Payment Details, Photograph & Signature of Registration-Id: 51152419860]

Fee Payment Details:

Registration-Id:

51152419860

Transaction-Id:

IK25019440

Transaction Date: 10-03-2013

Fee Paid (in Rs):

200

Agency Name:

State Bank of India

Photograph

Mode of Payment: Internet Banking

Specimen signature

3/10/2013 8:34 PM