Application of Job: SAILOR [MR(CHEF)],SAILOR [MR (HYGIENIST)],SAILOR [MR(STEWARD)] -

10/2020

Application No: MRE2010240270313 Application Date: 27/11/2019

PRIORITY

1. SAILOR [MR(CHEF)] 10/2020

2. SAILOR [MR(STEWARD)] 10/2020
3. SAILOR [MR (HYGIENIST)] 10/2020

PERSONAL PARTICULARS

Name: VISHAL KUMAR DIXIT

Father's/Mother's Name: SUMAN KUMAR DIXIT
Guardian's Name: INDRESH SHARMA
Nationality: INDIAN
Identification Mark 1: A MOLE ON FACE
A CUT MARK ON LEFT HAND
Identification Mark 2:
FINGER
Pancard: ---------
Date of Birth: 25/03/2002

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 55

Hindi 100 65

Physics 100 49

Chemistry 100 55

Maths 100 36

Total Marks: 500 Marksheet Serial Number: 0270375

Obtained Marks: 260 State Conduct: UTTAR PRADESH
Percentage: 52.00 Board Conduct: State Board

Details of 10th

Total Marks: 600 Marksheet Serial Number: 0421207

Obtained Marks: 424 State Conduct: UTTAR PRADESH
Percentage: 70.67 Board Conduct: State Board

MILITARY RECORD

Have you ever been enrolled in

NO
Armed Forces before?:
Have you been
discharged from
NO
Armed forces
before?:

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: VILL CHHONDA POST CHHONDA Address 2: DISTT HATHRAS

State: UTTAR PRADESH District: HATHRAS Pincode: 204216
Domicile: UTTAR PRADESH Phone No.: 6397030047 Mobile No.: 6397030047
Email id: vishalchhonda@gmail.com Alternate Email id: ---------

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: ---------

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.