Recruitment of Combined Assistant Engineer (Regular), Advt. No.

05/2019
Application for the Recruitment of Combined Assistant Engineer (Regular), Advt. No. 05/2019

Registration No. :51944551

Basic Details :
Have you done Registration for Recruitment of
Yes
Assistant Engineer against earlier Advt. No. 06/2015? :

Old Registration No. : 76000515

Have you done payment for Recruitment of

Yes
Assistant Engineer against earlier Advt. No. 06/2015? :

Bank reference No./Transaction No.: NA

Apply for the Post : Assistant Civil Engineer

Department Preference I: Road Construction Department

Department Preference II: Department of Water Resources

Department PreferenceIII: Drinking Water and Sanitation Department

Candidate Name : ANIL KUMAR

Father Name : RAJVEER SINGH

Mother Name : SHEELA DEVI

Husband Name :

Aadhar No.: 289404637070

Gender : Male

Marital Status: No

Nationality : INDIAN

MotherTongue : HINDI

Identification Mark : WOUND SIGN ON LEFT FOOT MIDDLE FINGER

Domicile State : Other

Category : UNR

Do you claim reservation on the basis of being Handicapped : No

Are you minimum 40% permanently physically challenged person :

Type of Disability :

Do you Claim reservation on the basis of Sports: No

Are you Ex- Serviceman : No

Mobile No : 8445909236

Email ID : anilgrup8289@gmail.com

Date of Birth : 08-02-1989

Your Age (as on 01-08-2013) : 24 years, 5 months, and 24 days

Your Age (as on 01-08-2015) : 26 years, 5 months, and 24 days

Your Age (as on 01-08-2019) : 30 years, 6 months, and 24 days

Correspondence Address :
Address : VILL-KANVI POST-PILKHUWA

District : HAPUR

State : UTTAR PRADESH

Pin Code : 245304

Permanent Address :
Address : VILL-KANVI POST-PILKHUWA

District : HAPUR

State : UTTAR PRADESH

Pin Code 245304

Educational Qualification :

Education Board/University Total Marks Marks Obtained Percentage Class/Div. Passing Year Certificate No.
10th/Matric UP BOARD 600 400 66.67 1st 2006 0307111
 12th/Intermediate UP BOARD 500 286 57.20 2nd 2008 0137687

B.TECH/B.E. (Civil) MONAD UNIVERSITY 5050 3725 73.76 1st 2015 -

Others (if any) 0

Whether you are employed with Govt. of Jharkhand? :Yes

Name of Post Nature of Post (Permanent/Contractual) Date of Appointment Length of Service Name of Employer/Department
JE PERMANENT 29-11-2016 10-11-2019 WATER RESOURCES DEPARTMENT

No Objection Certificate Number Issue Date Issued By

3558 08-11-2019 UNDER SECRETARY
Have you been debarred by UPSC/Any State Public Service Commission? :No Payment Details :
Fee Amount(in Rs): 0
Mode of Payment: -
Transaction Date: -
Bank Reference No.: -
Transaction Status: Successful.
Declaration:
1. I hereby declare that above informations are true to the best of my knowledge and belief. I have read the advertisement and its clauses regarding age limit, educational qualification, reservation etc. and there is
no false or incorrect representation of the same. If any of the above informations are found to be false or incorrect my candidature will be cancelled.

I have already communicated in writing to my Controlling Officer/Head of Department in this regard (For Government Employees only) and I will submit No Objection certificate from my employer if i am selected.
Place : CHAIBASA

Date: 15-11-2019
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