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Bangalore, India
Application Form
20407467
Advt No: 01/2019 Post Number: BE004
Post Applied for: Scientist/Engineer-SC[Civil]
Gender M
Address for
City : KOLKATA Pincode : 700029
Correspondence
State : West Bengal
Telephone No. : 7003877102
Alternate/Emergency Telephone No. : 9433417329
Qualifying Exam
Degree BTech
Branch Civil
CGPA
Obtained :
(as awarded
8.07 out of 10
by
University/In
stitution)
Other Exams
Board/University : CBSE
Intermediate/10+2/Pre-
Month and Year of Pass : May 2014
University/Diploma
Marks (in %) : 75.8
Board/University : CBSE
Matriculation/10th/Higher
Month and Year of Pass : Apr 2012
Secondary
Marks (in %) : 89.3
Opted in Registered
Kolkata
Application
I affirm that information given in this application form is true and correct. I also fully understand
that if at any stage, it is discovered that any attempt has been made by me to willfully conceal or
misrepresent the fact, my candidature may be summarily rejected or my employment may be
terminated.