8/19/2019 Receipt

RECRUITMENT IN MAULANA AZAD NATIONAL INSTITUTE OF TECHNOLOGY

यि तगत ववरण (PERSONAL DETAILS)

आवेदन मांक MN001190005034 ा जे सन 19081821750253541070 भग

ु तान क ि त थ Payment Done
(Application No) आईडी(Transaction Id) (Payment
Status)

आवेदक/आवे दका का परू ा GAURAV SINGH पता/प त का नाम NIRMAL SINGH माता का नाम RENU SINGH
CHAUHAN
नाम (Applicant's (Father's / (Mother's Name)
Name) Husband's Name)

लंग (Gender) Male जा त वग/ ेणी UR/General वैवा हक ि थ त Single

(Category) (Marital Status )

नाग रकता Indian या आप इनमे म से एक None of these - 0 Months

(Nationality) ह?? (Are You ?)

ज म तथ 01/09/1994 Age as on 24Years, 10Months & ईमेल आईडी (Email ******@gmail.com

(DD/MM/YYYY) 16/07/2019 15Days. id)
(DOB)

वैकि पक ईमेल आईडी ******@hotmail.com या आप शा र रक No वकलांगता का कार --

(Alternative Email वकलांग है ? (Are you (Type Of
id) Physically Physically
handicapped?) Handicapped)

Are you an employee of central government with 3 year of continuous services? No

Is Economically Weaker Sections (EWS) No

Do you claim age relaxation? No

Are you meritorious sports person? No

आवे दत पद क जानकार (APPLIED POST DETAILS)

आवे दत पदवग का नाम,िजस हे तु आवेदन कर रहे है (Post Applied) (Group-B) Technical Assistant

Advertisement No. Estt/NFR/2019/TH/03

Department Mechanical Engg.

Specialization Mechanical Engg with Machines Training Certificate

शै णक यो यता ववरण(EDUCATIONAL QUALIFICATION DETAILS)

Essential Qualification First Class or Equivalent Grade in B.E. / B.Tech in relevant subject from a recognized Univerisity.

Exam Name Subject Studied Passing Year University/Board Institute/College Percentage Division/Grade
Name

10th -- 2010 CBSE OXFORD PUBLIC 58.90 2

SCHOOL

11th/Higher PCM 2012 MPBSE SHRI RAM H.S. 61.80 1

Secondary SCHOOL

Graduation- Mechanical 2019 RGPV I.P.S. COLLEGE OF 64.12 1

Bachelor of Engineering TECHNOLOGY AND
Engineering MANAGEMENT

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अनभ
ु व ववरण (EXPERIENCE DETAILS)

Experience Details Yes

ORGANIZATION POST FROM DATE TO DATE (IN DURATION(YEAR- PB & G- NATURE OF TEMP REASON
NAME NAME (IN DD/MM/YYYY) MONTH) PAY/PAY RESPONSIBILITIES /REGULAR OF
DD/MM/YYYY) LEVEL /PERMANENT QUITING

Gayatri Auto Engineer 17/04/2017 16/07/2019 2-2 18000 Engineer Regular To

Industries enhance
knowledge

Total Experience:- 2 YY 2 MM

(पते क जानकार )ADDRESS DETAILS

संचार पता (Communication Gayatri Bhawan, Ramkalanagar, Opposite Narcotics Office, Morar,Madhya
Address) Pradesh,Gwalior,474006,9630******,07514921024

थायी पता (Permanent Gayatri Bhawan, Ramkalanagar, Opposite Narcotics Office, Morar,Madhya
Address) Pradesh,Gwalior,474006,9630******,07514921024

करण क जानकार ,य द कोई हो (DETAILS OF CRIMINAL/DISCIPLINARY CASE,IF ANY)

या आपके व कोई आपरा धक करण कसी पु लस थाने/ यायालय म अनस

ु ंधान/ वचारण हे तु लं बत है अथवा कसी यायालय से नराकृत हो चक
ु ा No
ह | य द हाँ , तो संबं धत अ ध नयम एवं धारा स हत करण मांक एवं नणय आ द क जानकार प ट प से अ नवायतः उि ल खत कर।

करण/अपराध मांक (Crime धाराएं/अ ध. यायालय का नाम (Court नयत/ नणय दनांक र माक/द ड
Number) (Section/Act) Name) (Date)DD/MM/YYYY (Remark/Punishment)

-- -- -- -- --

CHARACTER AND ANTECEDENTS REPORTS

Have you ever been subject to any No No
disciplinary action, as a student and/or as an
employee, if so give full details.

Have you ever been dismissed/suspended No No

from service/employment, if so please give
full details .

OTHER RELEVANT INFORMATION

Whether Pay Protection sought? If yes please provide due justification for No
consideration by Selection Committee.

Prizes/Medal/Awards/Distinction --

Scholarship Received --

Sports and Extra-curricular activities(including NCC/NSS) --

Languages known English

Level of Computer Proficiency --

Details of published papers --

NAME AND ADDRESS OF MINIMUM TWO REFERENCES.

(REFEREES SHOULD BE FAMILIAR WITH YOUR ACADEMIC/PROFESSIONAL WORK AND SHOULD NOT BE
RELATIVES)
Reference Name 1 Premanand Singh Chauhan Reference Name 2 Manoj Narwariya

Reference Address 1 Gyatri Bhawan, Ramkalanagar, Reference Address 2 Patel Nagar, City Center, Gwalior,
Morar, Gwalior, M.P. M.P.

Designation and Organisation 1 Principal Designation and Organisation 2 Asst Professor

Phone 1 -- Phone 2 --

Mobile 1 9425****** Mobile 2 9826******

E-mail 1 ******@gmail.com E-mail 2 ******@gmail.com

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भग
ु तान क जानकार (PAYMENT DETAILS)

आवेदन शु क (Application Fee) Rs. 400

पोटल शु क (Portal Charge) Rs. 508.47

जी. एस. ट . (G.S.T(9% SGST and 9% CGST out of 18%)) Rs. 91.53

कुल शु क (Total Amount) Rs. 1000

जी. एस. ट . नंबर (GSTNO.) 23AAECM7539B1ZQ

फोटो एवं ह ता र (Photo and Signature)

DOCUMENT SECTION

SNo Document Name link

1 Qualification Proof(.pdf upto 600KB) Download

2 Experience Proof(.pdf upto 600KB) Download

important note- After fee payment Applicants are requested to kindly save a copy of filled application form/duplicate receipt

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