SECURITY PRINTING AND MINTING CORPORATION OF INDIA LTD.

(Wholly Owned by Government of India)

16TH Floor, Jawahar Vyapar Bhawan, New Delhi-110 001.
www.spmcil.com
EMPLOYMENT APPLICATION FORM
Advt.No.06/2013-OP
: Officer (Tech.) Electronics

1.

Name of the Post

2.

Name of the candidate : DEEPAK KUMAR GOUR

3.

Fathers Name

4.

Date of Birth
: 30 - 06 - 91
(Age as on 31.08.2013 - DD
MM
YY)
: 22 years, 2 months, and 1 day

5.

Permanent Address: - 25/373, Harshit Nagar,

Rasuliya, Hoshangabad (M.P.)
Pin Code - 461001

6.

Address for correspondence: - A - 77, Kasturba

Nagar, Bhopal (M.P.)
Pin Code- 462023

7.

Phone numbers (office)

(Residence)
Mobil
Fax
E-mail

: RAJENDRA PRASAD GOUR

Recent
Passport
size photo

: 0755-4225572
: 9770204202
:
: deepak.gour30@gmail.com

: HINDU

8.

Religion

9.

Nationality : INDIAN

10.

Whether belonging to SC/ST/OBC/Minority/

Ex-serviceman/physically handicapped

11.

Details of Educational Qualifications starting from requisite

professional qualification to matriculation:

S.No. Details of
Year &
Subject
Exams Passed Month of
Passing

: OBC

Div. /
Class
and% of
marks
Obtained

Name of the
University/
Institution

1.

B.E.

Jun-2013

Electronics &
Communication

1st Div. &

71.83%

RGPV BHOPAL

2.

HSSC [10+2]

March-2013

Math-Sceince

1st Div. &

73%

MPBSE, BHOPAL

3.

HSC[10]

March-2013

1st Div. &

73%

MPBSE, BHOPAL

12. Details of Experience starting from latest employment:

Name of
Designation Period PayPresent
Brief
Organization
(With
scale Basic Pay description
date,
(Grade
of present
month & Pay in Total
duties
year)
case
Emoluments
From To of CDA Last
scale) Drawn/CTC
in case of
Pvt.
Sector

13.

Whether any relative already working with SPMCIL.

If yes, specify the relationship. : NARENDRA GOUR
Relationship- Uncle

14.Details of Computer knowledge & Experience : MS Office, Microsoft Windows,

Software Installation &
Programming Language- C, C++.

15.

Details of Training to your profession attended.

Name of Course
Industrialn Training
16.
17.

Institute
A. I. AUTOMATION Pvt. Ltd.,
Govindpura, Bhopal

Contents
Programmable Logic Controller &
SCADA Software

Details of Bank draft for Rs.100/- :

Name of Bank State Bank of India DD No.- 661823

Date- 21 - 10 - 2013

Copies of Certificates/testimonials enclosed.

1. Provisional Degree Certificate

3. Graduation Mark sheet

2. High School (10th) Mark sheet (For Age)

4. Higher Secondary School (12th) mark sheet

5. OBC Certificate (Non-creamy layer)

DECLARATION:
I
hereby affirm and declare that the statements made in the
application are true and unexaggerated. I undertake that any
misrepresentation or material omission made in this application
form will render the undersigned liable to immediate dismissal.
Date: 23-10-2013
Place: BHOPAL
(Signature of the Candidate)