BHEL Copy

Acknowledgement Slip for the Post of Engineer

Trainee GATE-2016 in BHEL ( through GATE-2016)

Ackn. No.

37010612

2016-01-31 20:50:19.0

Discipline

Electronics

GATE 2016 Registration NO. EC16S42086018

Acknowledged Date.

2016-01-31 20:46:44.0

SC

Personal Particulars
Name

PATIL SWAPNIL BHUSHAN

Date of Birth

24/08/1987

Gender

Marital Status

Unmarried

Father's Name

BHUSHAN JAGANNATH PATIL

Nationality

Indian

Minorty Status

Not Applicable

Category

SC

Please Paste Your Photo

Here & Sign across

37010612

Ex-Serviceman

Years of Service

Physically Challenged

None

% (or) Decibels

Whether domicile in J&K between 01/01/1980 and 31/12/1989

Address for Correspondence

Address Line 1

21 new urvella colony

State

Maharashtra

Address Line 2

kotwal nagar atrey layout

Country

INDIA

Pincode

440015

Address Line 3
Address Line 4

Permanent Address
Address Line 1

21 new urvella colony

State

Maharashtra

Address Line 2

kotwal nagar atrey layout

Country

INDIA

Pincode

440015

Address Line 3
Address Line 4
Email id

swap_pat19@yahoo.co.in

Mobile No.

9960060594

Alternate Phone No

Educational Qualifications
Graduation
Degree

B Tech 4 Yrs

Month / Year of Passing

MAY 2009

Name of Institute
Name of University
Total Marks

Branch

Electronics & Communication

Others

Type of Course

Full

VNIT NAGPUR

Type of University

Indian

10

Total Scored

7.36

Percentage

73.6

Post Graduation
Degree

Branch

Marks Obtained

Month / Year of Passing

Type of Course

Name of Institute
Name of University

Type of University

Other Details
Whether BHEL
Employee

Staff No.

Present
Employee
Details

Public Sector

Preference of
Posting

1) PW

Caste Name

MAHAR

2) RM

Unit

3) EL

null

4) CT

Designation

null

5) HY
Caste State

Maharashtra

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

SIGNATURE
( PATIL SWAPNIL BHUSHAN )

Note: All candidates are required to use preferably copies of the same photgraph used in GATE-2016 application form, for the entire process of recruitment and selection.
Hence, it is advised to keep sufficient number of copies of photograph

Applicant Copy
Acknowledgement Slip for the Post of Engineer

Trainee GATE-2016 in BHEL ( through GATE-2016)

Ackn. No.

37010612

2016-01-31 20:50:19.0

Discipline

Electronics

GATE 2016 Registration NO. EC16S42086018

Acknowledged Date.

2016-01-31 20:46:44.0

SC

Personal Particulars
Name

PATIL SWAPNIL BHUSHAN

Date of Birth

24/08/1987

Gender

Marital Status

Unmarried

Father's Name

BHUSHAN JAGANNATH PATIL

Nationality

Indian

Minorty Status

Not Applicable

Category

SC

Please Paste Your Photo

Here & Sign across

37010612

Ex-Serviceman

Years of Service

Physically Challenged

None

% (or) Decibels

Whether domicile in J&K between 01/01/1980 and 31/12/1989

Address for Correspondence

Address Line 1

21 new urvella colony

State

Maharashtra

Address Line 2

kotwal nagar atrey layout

Country

INDIA

Pincode

440015

Address Line 3
Address Line 4

Permanent Address
Address Line 1

21 new urvella colony

State

Maharashtra

Address Line 2

kotwal nagar atrey layout

Country

INDIA

Pincode

440015

Address Line 3
Address Line 4
Email id

swap_pat19@yahoo.co.in

Mobile No.

9960060594

Alternate Phone No

Educational Qualifications
Graduation
Degree

B Tech 4 Yrs

Month / Year of Passing

MAY 2009

Name of Institute
Name of University
Total Marks

Branch

Electronics & Communication

Others

Type of Course

Full

VNIT NAGPUR

Type of University

Indian

10

Total Scored

7.36

Percentage

73.6

Post Graduation
Degree

Branch

Marks Obtained

Month / Year of Passing

Type of Course

Name of Institute
Name of University

Type of University

Other Details
Whether BHEL
Employee

Staff No.

Present
Employee
Details

Public Sector

Preference of
Posting

1) PW

Caste Name

MAHAR

2) RM

Unit

3) EL

null

4) CT

Designation

null

5) HY
Caste State

Maharashtra

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

SIGNATURE
( PATIL SWAPNIL BHUSHAN )

Note: All candidates are required to use preferably copies of the same photgraph used in GATE-2016 application form, for the entire process of recruitment and selection.
Hence, it is advised to keep sufficient number of copies of photograph

Page 3

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ACKNOWLEDGEMENT SLIP- ENGINEER TRAINEE (GATE-2016)

Acknowledgement No. - 37010612

TO

Discipline
- Electronics
______________________________
From - PATIL SWAPNIL BHUSHAN

Sr.DGM (HRM),
Bharat Heavy Electricals Ltd.
Boiler Auxiliaries Plant,
Indira Gandhi Industrial Complex,
Ranipet - 632 401,
Tamil Nadu

21 new urvella colony

kotwal nagar atrey layout

Cut Here ---------------------------------------------------------------------------------------- X ------------------------------------------------------------------------------------------

Important:
1.Cut the above address slip and paste it on the envelope containing your signed
Acknowledgement Slip and send along with a copy of the following documents:
a. Tenth Class (High School) Certificate as DOB proof
b. PH certificate (If Applicable)
c. Category Certificate (If Applicable)
d. J&K Domicile Certificate/ Ex-Servicemen Certificate (If claiming age relaxation)
e. Challan Copy (If Applicable)