Exam Details: Application Form

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27/05/2015

LMRCLFormMay2015

Note: Yourapplicationformhasbeensubmittedsuccessfully.PrintedFormisonlyforyourownrecordandneednottobesendanywhere.

ApplicationForm

ExamDetails
ApplicationNumber:

1005653

PostAppliedFor:

ASSISTANTENGINEER

Branch:

Civil

NameofTheCandidate:

PUNEETSHARMA

Father'sName:

DEVENDRASHARMA

Mother'sName:

ANJUSHARMA

AppliedinCategory:

UNRESERVED

Gender:

Male

Nationality:

Indian

DateofBirth(dd/mm/yyyy):

29/09/1988

Age:

26Years7Months3Days

CorrespondenceAddress
AddressLine1:

MIG66,SWARNAJAYANTINAGAR,RAMGHATROAD,ADACOLONY

AddressLine2:

RAMGHATROAD

District:

ALIGARH

State:

UttarPradesh

PresentAddressOtherState:

UttarPradesh

Pincode:

202001

MobileNo:

8439706506

EmailID:

puneet2177@gmail.com

AlternateMobileNo:

9761483747

PermanentAddress
Address1:

MIG66,SWARNAJAYANTINAGAR,RAMGHATROAD,ADACOLONY

Address2:

RAMGHATROAD

District:

ALIGARH

State:

UttarPradesh

Pincode:

202001

Mobileno:

8439706506

Email:

puneet2177@gmail.com

QualifyingExaminationDetails
Yearof

https://www.digialm.com/EForms/loginAction.do?subAction=DisplayProfile&orgId=1139&eicuListing=&formId=2399&sessChk=1432720712554&encValue

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27/05/2015

LMRCLFormMay2015
Examination

Passing

Board/School

Percentage/Grade

10thorEquivalentExamination

2004

CBSE

77

BachelorDegreeinCivilEngineering

2014

ALIGARHMUSLIM
UNIVERSITY

74.13

TestCenterPreferences
Testcity1:

Ghaziabad

Testcity2:

Lucknow

Testcity3:

Meerut

FeeDetail
FeeApplicable:

400

AmountPaid:

400

TransactionId:

DU20383139

Dateoffeesubmission:

24May15

Declaration
ISOLEMNLYUNDERTAKEtoacceptandabidebytherulesoftheLucknowMetroRailCorporationLimited.IherebysolemnlyaffirmthatIhavegonethroughthe
Advertisementandsolemnlydeclareonoaththattheentriesmadebymeintheabovecolumnsaretruetothebestofmyknowledgeandbeliefandifatanytime,
theentriesarefoundincorrect,theselectionmayoutrightlybecancelledanddisciplinaryactionmaybeinitiatedagainstme.

Date:2015052715:38:21

CandidateSignature
Version10.00.01

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