Last Modified On: 23-12-2013 No Of Times Modified: 2

31029
Registration # : 51084085
Full Name : Chandan Kumar
Discipline : Mechanical Engineering
Category : OBC
If Person with Disability : NO
Type of Disability : -
Percentage of Disability : -
Do you wish to use the services of scribe : NA
Do you belong to a Religious Minority Community? : NO
Religion : Hindu
Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to
31-12-1989? :
NO
Are you seeking relaxation under widow / divorced women /
women judicially Separated from their husbands and who are not re-married?:
NO
Are you a Meritorious Sports person NO
Are you an Ex-Serviceman : NO
Are you Disabled Ex-Servicemen (DISXS)? : NA
Period of Service(in months) : -
Continuous service rendered in the Armed Forces by an Ex-servicemen is not less than
six months after attestation :
-
Are you a Departmental candidate in Bureau of Indian Standards [BIS] ? : NO
Employee No. : -
Nationality Indian
Centre of Examination : Jamshedpur
Application Fee / Postal Charges Details :
Payment Mode: ONLINE
Amount : 750.00
Reference ID : MSPD3203478184
Transaction Date : 23-12-2013
Personal Details :
Date of Birth : 11-07-1991
Age completed as on 01-12-2013 : 22
Gender : MALE
Marital Status : Unmarried
Husband's /Father's First Name : Ramakant Sah
Mother's Name : Vina Devi
Address for Correspondence : Dangalpara
Shiv Mandir Chowk
Hizla Road
District Dumka
State : JHARKHAND
Pin code : 814101
Permanent Address : Dangalpara
Shiv Mandir Chowk
Hizla Road
1/2
District Dumka
State : JHARKHAND
Pin code : 814101
Contact Details :
Phone No : -
Mobile No : +917763807038
Email ID : me.chandan.jsr@gmail.com
Educational Qualification Details (as on 01.12.2013):
Exam Passed Degree Subject /Stream Date of Passing % of Marks Class / Grade
Graduation : B.Tech
Mechanical
Engineering
20-05-2013 82.90 First Class
Working knowledge of computers : YES
Details of Computer knowledge : Microsoft office windows OS
Language Details : :
Languages Known Read Write Speak
English YES YES YES
Hindi YES YES YES

DECLARATION :
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being
found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements of the relative advertisement, my candidature/appointment is liable to be cancelled/terminated. I
am willing to serve anywhere in India.
Place:
Date: 23-12-2013 Signature of Applicant

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