Acknowledgement Slip for the Post of Engineer

Ackn. No. Discipline 12111915 Mechanical 2012-01-12 19:54:59.0 GATE 2012 Regn NO.

Trainee in BHEL ( through GATE-2012)

2012-01-12 19:53:55.0

Acknowledged Date. ME4013302

Gen

Personal Particulars
Name Date of Birth Gender Marital Status Father's Name Nationality Minorty Status Category Ex-Serviceman Physically Challenged Whether domicile in J&K between 01/01/1980 and 31/12/1989 ANIMESH BAGHEL 31/05/1987 M Unmarried UMESH CHANDRA SINGH Indian Not Applicable Gen N None N Years of Service % (or) Decibels 0 0 Please Paste Your Photo Here

12111915

Address for Correspondence

Address Line 1 Address Line 2 Address Line 3 Address Line 4 plot no.148 balaji colony samney ghat lanka varanasi State Country Pincode Uttar Pradesh INDIA 221005

Permanent Address
Address Line 1 Address Line 2 Address Line 3 Address Line 4 Email id Mobile No. plot no.148 balaji colony samney ghat lanka varanasi animeshbaghelvns@gmail.com 07209323500 Alternate Phone No 09415270309 State Country Pincode Uttar Pradesh INDIA 221005

Educational Qualifications
Graduation Degree Month / Year of Passing Name of Institute Name of University Total Marks Post Graduation Degree Marks Obtained Month / Year of Passing Name of Institute Name of University Type of University 0 Type of Course Branch 5000 B Tech 4 Yrs JUN 2010 Others G.B.T.U Total Scored Type of Course Type of University 2856 Full Indian Percentage 57.12 Branch Mechanical Engineering

Processing Fee Payment Details

Challan Journal No. Bank Branch Name Whether BHEL Employee Present Employee Details Preference of Posting Caste Name ISM ,DHANBAD N Staff No. Not Employed 0 Unit null 013067514 Date Designation 12/01/2012 null

1) RV

2) HW

3) FF

4) RU

5) AA Caste State

I hereby Declare that all the information given above are true to the best of my knowledge.
Date: Place: SIGNATURE ( ANIMESH BAGHEL )

Encl: BHEL Challan Copy [ ] Please tick

Note: All candidates are required to use copies of the same photgraph used in GATE-2012 application form, for the entire process of recruitment and selection. Hence, it is advised to keep sufficient number of copies of photograph

BHEL Copy

Acknowledgement Slip for the Post of Engineer

Ackn. No. Discipline 12111915 Mechanical 2012-01-12 19:54:59.0 GATE 2012 Regn NO.

Trainee in BHEL ( through GATE-2012)

2012-01-12 19:53:55.0

Acknowledged Date. ME4013302

Gen

Personal Particulars
Name Date of Birth Gender Marital Status Father's Name Nationality Minorty Status Category Ex-Serviceman Physically Challenged Whether domicile in J&K between 01/01/1980 and 31/12/1989 ANIMESH BAGHEL 31/05/1987 M Unmarried UMESH CHANDRA SINGH Indian Not Applicable Gen N None N Years of Service % (or) Decibels 0 0 Please Paste Your Photo Here

12111915

Address for Correspondence

Address Line 1 Address Line 2 Address Line 3 Address Line 4 plot no.148 balaji colony samney ghat lanka varanasi State Country Pincode Uttar Pradesh INDIA 221005

Permanent Address
Address Line 1 Address Line 2 Address Line 3 Address Line 4 Email id Mobile No. plot no.148 balaji colony samney ghat lanka varanasi animeshbaghelvns@gmail.com 07209323500 Alternate Phone No 09415270309 State Country Pincode Uttar Pradesh INDIA 221005

Educational Qualifications
Graduation Degree Month / Year of Passing Name of Institute Name of University Total Marks Post Graduation Degree Marks Obtained Month / Year of Passing Name of Institute Name of University Type of University 0 Type of Course Branch 5000 B Tech 4 Yrs JUN 2010 Others G.B.T.U Total Scored Type of Course Type of University 2856 Full Indian Percentage 57.12 Branch Mechanical Engineering

Processing Fee Payment Details

Challan Journal No. Bank Branch Name Whether BHEL Employee Present Employee Details Preference of Posting Caste Name ISM ,DHANBAD N Staff No. Not Employed 0 Unit null 013067514 Date Designation 12/01/2012 null

1) RV

2) HW

3) FF

4) RU

5) AA Caste State

I hereby Declare that all the information given above are true to the best of my knowledge.
Date: Place: SIGNATURE ( ANIMESH BAGHEL )

Encl: BHEL Challan Copy [ ] Please tick

Note: All candidates are required to use copies of the same photgraph used in GATE-2012 application form, for the entire process of recruitment and selection. Hence, it is advised to keep sufficient number of copies of photograph

Applicant Copy

Page 3

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ACKNOWLEDGEMENT SLIP- ENGINEER TRAINEE 2012-13 Acknowledgement No. - 12111915 Discipline - Mechanical ______________________________ From - ANIMESH BAGHEL plot no.148 balaji colony samney ghat lanka varanasi TO THE SENIOR MANAGER ROOM NO.29, HR DEPARTMENT MAIN ADMIN BUILDING HEEP, BHEL, RANIPUR HARIDWAR - 249403 UTTRAKHAND.

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Important: 1.Cut the above address slip and paste it on the envelope containing your signed Acknowledgement Slip and send.