Mazagon Dock Limited

Dockyard Road, Mazagon, Mumbai-400 010

REF.NO.MDL / Advertisement No MDL/HR-CR/REC/GATE/2014
APPLICATION FOR THE POST OF Executive Trainee (Mechanical)
To,
GM(HR),
Mazagon Dock Limited
Dockyard Road,
Mazagon, Mumbai-400010.
Job Registration Number. : MDL56XF70Q
Name in Full Mr. PRIYANSHU MOHAN ANAND
Father's Name Mr. MOOL CHANDRA
Date of Birth 23 Mar 1993 ( Age on 29/Nov/2013 is 20 Years 8 Months 6 Days )
Religion : Hindu Category: SC
Physical Disability: OH:No VH:No HH:No % Disability: N.A.
Age Relaxation
Sought:
NO
Nationality: Indian State of Domicile: Uttar Pradesh
Gender: Male Marital Status: Unmarried
Are you an Ex-
serviceman:
No Are you an employee of MDL: No
Correspondence
Address:
PLOT NO 205 MANAS CITY,CHANDAN INDIRA NAGAR LUCKNOW
City: LUCKNOW
Pin code: 226016 State: Uttar Pradesh
Contact Number: (Office): 9451387145 (Resi.) :9453138159 (Mobile): 7508679799
Nearest Railway
Station:
CHARBAGH RAILWAY STATION
Personal Email: priyanshumohan@gmail.com Alternate Email: priyanshumohan23041992@gmail.com
Employment
Exchange No.:
Gate Registration No.: ME504103180
Educational Qualification
Name of
exam/
course
University/
Institute/
Board
Degree Specialization Date of
Passing
Course
Duration
Type of Course Grade %
SSC CBSE SSC NA 01 Jun 2008 1 Full Time A 78.00
HSC CBSE HSC NA 01 Jun 2010 1 Full Time C 67.7
Diploma /
Degree
UIET,PANJAB
UNIVERSITY
B.E. / B.Tech. Mechanical
Engineering
01 Jun 2014 4 Full Time C 66.6
Post
Graduation
Full Time
Academic related
other information:
Work Experience
Company Name
&
Address
Type of
Company
Salary
Band /
Pay Scale
Designation Current
Employer
Duration Job Profile
From To
Work experience
related other
information:
Signature
Declaration
I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have not suppressed any
material fact or factual information. I also declare that if I do not satisfy the eligibility criteria according to the advertisement , my
candidature will be rejected / services terminated even after permanent employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied in terms of the required criteria in respect of age,
Educational Qualification, Experience, etc.
SIGNATURE OF THE CANDIDATE
Place : Date : 20/01/2014 01:14:07