Recruitment of Officers in Grade 'A' - General Stream

29033
Registration # : 80004881

Full Name :
CHAVAN
SUYOG
MADHU
KAR
Category : GENERAL
If Person with Disability ? YES
Type of Disability : OC
Percentage of Disability : more than 40%
Do you wish to use the services of a scribe ?(only for LV & OC candidates whose writing speed is affected by cerebral palsy): NO
Do you have Non-creamy Layer Certificate issued by competent authority (only for OBC Category)? -
Whether you belong to Religious Minority Community ?: NO
Religion to which you belong : Hindu
Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : NO
Are you a Child/Family Members of those who died in 1984 Riots? : NO
Are you an Ex-Serviceman? : NO
Total period of service(In Months) : : -
Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: -
Whether the candidate is an employee of SIDBI ?: NO
If Yes, Employee Number : -
Nationality : Indian
Centre of Examination : Chennai
Centre of Interview : Chennai
Application Fee / Intimation charges Details:
Payment In: NOFEE
Amount : 0.00
Personal Details :
First Name : CHAVAN
Middle Name : SUYOG
Last Name : MADHUKAR
Date of Birth : 28-03-1991
Age completed as on 01.07.2014 : 23
Gender : MALE
Father's Name : MADHUKAR
Husband's Name :
Mother's Name : REKHA
Contact Details :
Phone No : -
Mobile No : 8680929463
Email ID : suyogchavan@rocketmail.com
Address for Correspondence : MADHUSUMAN
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BEHIND PAVAN TILES
GODWADI ROAD
AT POST UMBRAJ
District SATARA
State : MAHARASHTRA
Pin code : 415109
Permanent Address : MADHUSUMAN
BEHIND PAVAN TILES
GODWADI ROAD
AT POST UMBRAJ
District SATARA
State : MAHARASHTRA
Pin code : 415109
Qualification Details(as on 20.07.2014) :
Exam Passed Subject /Stream Date of Passing % of Marks Class / Grade
Graduation : Others-Engineering 05-05-2012 68.90 First Class
Proficiency in computers? : NO
Details of Computer Knowledge : -
Other Details :
Whether desirous of taking Pre-Recruitment Training (Applicable Only for SC/ST/ OBC) : NA
Languages Known Read Write Speak
ENGLISH YES YES YES
HINDI YES YES YES
MARATHI YES YES YES

DECLARATION :
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in
the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements of the relative advertisement,
my candidature/appointment is liable to be cancelled/terminated. I am willing to serve anywhere in India.
Place:
Date: 02-07-2014 Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference
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