Goa Shipyard Limited

VASCO -DA -GAMA ,GOA 403802

REF.NO.GSL / Advertisement No:

05/2015

APPLICATION FOR THE POST OF: Management Trainee (Mechanical)

To,
CGM (HR&A),
VASCO -DA -GAMA ,
GOA.
403802
Job Registration Number. :240715382

Full Name

Mr. Ishwar Shivaji Merva

Father's Full
Name

Mr. Shivaji Nagesh Merva

Mother's Full
Name

Mrs. Smita Shivaji Merva

Date of Birth

27 Oct 1991

Religion

Hindu

Category

General

Is GSL Employee:

No

Employee Id:

N/A

GSL Service (In Year):

Physical Disability

N/A

% Disability

N/A

Nationality

Indian

State of Domicile

Goa

Gender

Male

Marital Status

Un-Married

Personal Email

kiranmerva@gmail.com

Are you an Ex-serviceman No0 Year of experience

Employment Exchange
No.

10255/13

Address for communication

Correspondences Address
Address Line1:

H.No. 421/9,Near M.I.B.K School,

Address Line2:

Shaminagar,Kadsal,Khandepar,

Address Line3:

Ponda-Goa

City:

Ponda

State:

Goa

Zip:

403401

Permanent Address
Address Line1:

H.No. 421/9,Near M.I.B.K School,

Address Line2:

Shaminagar,Kadsal,Khandepar,

Address Line3:

Ponda-Goa

City:

Ponda

State:

Goa

Zip:

403401

Contact Information
Residential No.:

N/A

Office No.:

N/A

Mobile No.:

8007703067

Alternate No.:

N/A

Nearest Railway Station:

Margao Railway Station

Reference Information
Are you related to any of
No
the Director(s) of the GSL:

Name of the Director:

N/A

Reference 2
Reference 1
Name:

Mr. Mahesh Dhawalikar

Designation:

ASSOCIATE
PROFESSOR

Phone:+91

9049208377

Email:

md@gec.ac.in

Address:

Goa College Of
Engineering,Farmagudi
Ponda Goa

Expected Salary:

Name:

Mr. AKSHAY VITHAL

NIGALYE

Designation:

PROFESSOR

Phone:+91

N/A

Email:

avn@gec.ac.in

Address:

T2, DR. ROLDAO

HENRIQUES ENCLAVE,
NEAR THAKKER HOUSE,
VASCO-DA-GAMA, GOA,
403802

N/A INR

Notice Period:

N/A(Days)

Is applied through proper channel:

No

Any other information:

N/A

Educational Qualification
Sr. No.

Name of
Exam

SSC

Specializatio
University/In
Duration(In
n/Paper
Passing Date
stitute
Month)
Subjects

Type of
Course

Grade/
Percent

English Hindi
Marathi
Mathematics
25/05/2007
Science
Social
Science

RegularFulltime

75.47

15/05/2009

RegularFulltime

77.17

Engineering
Graphics
Machine
Drawing
Applied
10/10/2013
Thermodyan
amics Fluid
Mechanics
Theory Of
Machines

RegularFulltime

80.27

Goa
University

English
Marathi
2

HSC

Goa
University

, Mechanical Goa
Engineering University

Physics
Chemistry
Biology
Maths

Additional Qualification Experience

Work Experience
Sr. No.

Type of
Work
Compan
Designat Reportin Respons
Compan
Period
y Name
ion
g to
ibilities
y
From

Work
Period
To

Payscale
Basic
& Grade

Mainten
Apprenti
ance of
ce
Various
Engineer
Sanofi
Mr.
Pharma
in
India
Private
Sandip Machine 11/11/13 10/11/14 12000
Mainten
Limited
Bharne s,Docum
ance
entation
Departm
Of
ent
Machine

12000

Allowan Gross
ce
Salary

12000

Mainten
ance
Records

Total Post Qualification experience: 1 year(s) 0

month(s)

Total number of experience: 1 year(s) 0 month(s)

Member of any Professional body

Membership Details

N/A

N/A

Demand Draft
Bank Name:

State Bank Of India

Branch Name:

Ponda Branch

DD Number:

152102

DD Date:

Declaration
I hereby certify that the above information furnished is correct to the best ofmy 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 theadvertisement , my candidature will be rejected / services terminated even
afterpermanent employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post appliedin terms of the required criteria
in respect of age, Educational Qualification,Experience, etc.

Place:

Signature of Applicant
Date: