Application Form

Urban Development and Housing Department, Govt. of Bihar

Application for Contractual Recruitment of Various Post
Application Details
Application ID :     JEM/0072204 Application Date : 06-Jan-2020 Post Applied For : Junior Engineer (Mechanica)
Personal Details
Type of Employment Contractual
Applicant Name MOHIT GUPTA
Father's /Husband's Name PREM KUMAR GUPTA
Date of Birth 26-Jan-1998
Age as on (01.01.2020) 21 Years 11 Months
Gender Male
Category BC
Nationality Indian
Physically Handicapped No
Grand Children of Freedom Fighter No
Email ID mohit12snd@gmail.com
Mobile No. 8709556604
Phone With STD Code
Aadhar No XXXXXXXX1203

Address for Correspondence

Address MANOHARTAND BASTI SINDRI NEAR WATER TANK
Pin Code 828122

Permanent Address
Address VILLAGE-NAGWA, P/O-PURNIA
Pin Code 804426
State of Domicile BIHAR
Home District ARWAL

Educational Qualification
  Board/University Name of Institute Specialization Passing Marks
Year Obtained
 (%)
I.Matric CBSE SARASWATI VIDYA MANDIR 2013 87.4
SINDRI
II.Intermediate 0 0
III.Diploma SBTE GOVERNMENT POLYTECNIC Diploma In Mechanical 2016 72.4
DHANBAD Engineering
IV.Post 0 0
Graduation  
Experience
No Experience Mentioned

I declare that all the above information is correct to the best of my knowledge and that I shall be liable for punishment if
information is found incorrect. I also declare that I have understood the guideline for engagement and will fully abide by the
same including any further guideline issued by UDHD, Government of Bihar in this regard. I categorically declare that there
is no pending Criminal case or serious complaint against myself.

Place:-

Date:-
Signature of Applicant