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Hindustan Petroleum Corporation Limited

Application Number: 201004075076

Centre Name: NAGPUR

Name: SURAJ KUMAR PARGANIHA

Affix Self
QTR. NO.-7/B STREET -31 SECTOR -5 Attested
Address: BHILAI NAGAR Passport size
DIST.-DURG 490006 CHATTISGARH photograph here

E-mail ID: suraj21.etc@gmail.com

Category: (Other Backward class(Creamy))

Gender: Male
Date of Birth: 21/08/1986 Religion: Hindu
Payment Status: Payment Received

Educational Qualification: (Graduation & above)

Duration
Name of % of Marks Month & year of
Branch of course Name of University/Institute
Degree Obtained passing
(years)
ELECTRONICS AND PANDIT RAVISHANKAR SHUKLA
BE/B.TECH 4 73.45 06/2008
TELECOMM. UNIVERSITY RAIPUR

I Hereby declare that the particulars furnished above are complete and correct to the best of my knowledge & belief. I
understand that if at any stage, it is found that the information given in the application is false or incorrect or I do not satisfy
the eligibility criteria, my candidature/appointment is liable to be cancelled.

Signature of the Applicant.

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