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FORM NO : Tech1-86966

Testing Center Location Nagpur Degree/DiplomaIn

Mechanical

Personal Details

First Name ASHWIN Middle Name SUBASH Last Name CHANDORE

Gender MaleDate of Birth 07-Nov-1984 Age as on

(31/08/2012)

27 Year 9Month

Category Open Person with disability NoPostal Details:

Address C/o DIPAK GATHOLE ,21 SAIPOINT COACHING CLASSES,GANESH COLONY,NEARKOKLATKAR COLONY,AMRAVATI.

District Amravati Pin Code 444605

Email -Id ashwinchandore7@gmail.com Mobile No 9552557807

Whether departmental of Mahagenco ? No

Whether registered with any Govt.employment Agency

No

Whether applied for Sports reservation ? No Whether applied for Ex. Servicemanreservation ?

No

Whether project affected Person of Mahagenco/Other PAP

No

Position Applied :- Junior Engineer (Tech1)

Qualification Details

Qualification Marks in % Year of Passing Board / University Specialization

SSC/CBSC/ICSE 57 % 2000 AMRAVATI BOARD -

B.E./B.Tech 67 % 2010 SANT GADGE BABAAMRAVATI UNIVERSITY.AMRAVATI

Mechanical

Other Qualification -

Experience Details

Sr.No OrganisationWorking PeriodFrom To

Designation Gross Salary (Rs.) Nature of Job Total Work Exp

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Check List

1 Secondary School Certificate (SSC/CBSC/ICSE) for Date of Birth Yes

2 Degree/Provisional Degree in support of Educational qualifications Yes

3 Attached Certificate of Professional qualification No

4 Post applied for is written on the envelope. Yes

5 Signed the undertaking. Yes

6 Pasted recent photograph at appropriate place. Yes

7 Certificate of Experience. No

8 Caste Certificate and caste validity certificate for Reserved Category Candidates. No

9 Certificate of Dist. Resettlement Officer attached for PAP No

10 Non Creamy Layer certificate for VJ(A)/NT(B)/NT(C)/NT(D)/SBC/OBC No

11 Domicile Certificate of Maharastra State Yes

12 Certificate Related to Horizontal Reservation No

13. Certificate Related to Sports is attached ? No

14. Certificate Related to Ex. Serviceman is attached ? No

Declaration :

I declare that all the above information and particulars are correct and that I will stand disqualified if any informationis found to be incorrect at any stage.

I declare that I have 6 Number of living children as on today, out of which no. of children born after 28.03.2005 is 0 . Iam aware that if any total number of living children are more than two due to the children born after 28.03.2006, I am liableto be disqualified for the post applied.

I declare that I am ready to serve any where in the Company.I undertake to abide by all the conditions & General conditions mentioned in the advertisement given by the Company.

Place :

Date : Signature

AGENCO RegisteredDetails http://103.1.115.16/mahagenco12-AD02/candidate/RegisteredDetails.aspx

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