BHABHA ATOMIC RESEARCH CENTRE

Recruitment Section - III

Application No.     : 130223090823

Date of Application     : 16/02/2019

Advertisement No.     : 01/2019-R-III

Last date for Apply     : 25/02/2019

Application For the Post of   DR01-Upper Division Clerk

       
UI.   आधर मांक Aadhar No [If available]   :   253787251974
01.   पूरा नाम Name In Full [as per SSC certificate]   :   Shri Abdulbasit Ashfaque Shaikh
02.   रा ीयता Nationality   :   Indian
03.   धम Religion   :   Muslim
04.   ज म त थ Date Of Birth   :   11/02/1996
05.   लग Gender   :   Male
06.   वैवा हक थ त Marital Status   :   Single
07.   या आप अजा/अजजा/अ य पछड़े वग के ह ? Whether SC/ST/OBC ?   :   NO 
08.   या आप ज मू क मीर के अ धवासी ह ? Are you domiciled in Jammu &
:   NO
Kashmir during the period from 01/01/1980 to 31/12/1989 ?
09.   या आप 1984 के दं ग म मरने वाल के प रवार के सद य ह ? Are you a family
:   NO
member of those who died in 1984 riots ?
10.   या आप अ पसं यक समुदाय के ह ? Whether belonging to minority
:   YES   , MUSLIM
community ?
11.   या आप शारी रक प से वकलांग ह ? Whether physically handicapped ? :   NO
12.   i) या आप भूतपूव सै नक ह ? Are you an Ex-service man ? :   NO
ii) या आप के य/रा य सरकार के एक कमचारी ह ? Are you an employee of :   NO
Central/State Government ?
(If Yes, Please ensure that you have applied through proper channel and have to produce 'No Objection Certificate' at the time of Written Exam/Interview)

 
13.   प ाचार के लए पता Address for Correspondence थायी पता Permanent Address
   
202, KGN APARTMENT, GARIBNAWAZ COMPLEX, BUILDING 202, KGN APARTMENT, GARIBNAWAZ COMPLEX, BUILDING
NO.5, A WING, NEW COLONY, AMBERNATH WEST NO.5, A WING, NEW COLONY, AMBERNATH WEST
शहर City : AMBERNATH शहर City : AMBERNATH
जला District : THANE जला District : THANE
रा य State : Maharashtra रा य State : Maharashtra
पनकोड Pin Code : 421505 पनकोड Pin Code : 421505
मोबाइल नं. Mobile : 8691967840 मोबाइल नं. Mobile : 8691967840
ई-मेल Email : abdul11144@yahoo.com टे लीफोन Telephone : Not Available

 
14.   यो यता Qualification    
   
Year of Stream/ Course
Name of University/ Board/ Maximum Marks % of
passing/ Discipline/ Duration Remarks
Examination Institution Marks obtained marks
appearing Subject in Years
MAHARASHTRA STATE
With Maths &
SSC BOARD OF HIGHER AND 2011 550 439 79 1 PASS
Science
SECONDARY EDUCATION
MAHARASHTRA STATE
HSC BOARD OF HIGHER AND 2013 Science 600 362 60 1 PASS
SECONDARY EDUCATION
Diploma MAHARASHTRA STATE 2015 Mechanical 1700 1160 68 2 PASS
 BOARD OF TECHNICAL
EDUCATION
B.E/B.Tech MUMBAI UNIVERSITY 2018 Mechanical 100 58 58 3 PASS

 
15.   य द आवेदक वतमान म कोई पढाई कर रहे ह तो उसका ववरण द Indicate the course of study, if any, the applicant is continuing presently. 
   
No. of
Full Time/ Part Duration of the
Course Name University/ Board/ Institution Semesters/Years % of marks
Time course
Completed
Not Applicable

 
16.   अनुभव Experience (Particulars of all previous and present employment are to be furnished)
   
Period of Service Permanent Reasons
Employer Details
Post Held Nature of Duties in dd/MM/yyyy format or for
Type Name & Address From To Temporary Leaving
Not Applicable

 
17.   उन संबधीय के ववरण द जो परमाणू उजा वभाग या इसक संघटक इकाईय मे पहले से ही कायरत ह Details of relatives already employed in Department of
Atomic Energy or its Constituent Units. 
   
Name of relative Relationship Unit in which employed Post Held
Not Applicable

 
18.   कोई अ य सूचना Any Other additional information : Not Applicable
        
 
           म एतद ारा घोषणा करता / करती ं क ऊपर द गई सूचना मेरी जानकारी के अनुसार तथा मक प से सही है । मुझे ये भी ात है क ऊपर द गई कसी भी सूचना के गलत
होने पर म अयो य माना जाऊंगा / जाऊंगी । I hereby declare that the above information is factually correct to the best of my knowledge. I also
understand that I will be disqualified if any of the information furnished by me is found to be incorrect
 

  Place : AMBERNATH
  
  Date : 16/02/2019 Abdulbasit Ashfaque Shaikh