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Personal Details: Application Form
Personal Details: Application Form
ThanksforsubmittingyourApplicationForm14388whichcanbeusedforallfuture
correspondence
TransactionNo: CP46530572
Amount: 1000.00
ApplicationForm
PersonalDetails
ApplicationNumber: 14388
PostAppliedFor: ASSISTANTENGINEER(T)ELECTRICAL
NameofTheCandidate: SHUBHAMSINGHAL
Father'sName: NATHIRAMSINGHAL
Mother'sName: SHARADLATASINGHAL
UPDomicile: UP
AppliedinCategory: General
Apprenticeunderapprenticeact1961: No
Gender: Male
Nationality: Indian
DateofBirth: 27/08/1993
Age: 22
AgeMonths: 4
AgeDays: 5
CorrespondenceAddress
AddressLine1: Nathiramsinghal
AddressLine2: Nearghaasmadni,Peethbazar
AddressLine3: RampurManiharan
District: SAHARANPUR
State: UttarPradesh
Pincode: 247451
MobileNo: 9259186400
EmailID: singhal.shubham77@gmail.com
AlternateMobileNo: 9780826346
PermanentAddress
PermanentAddress1: Nathiramsinghal
PermanentAddress2: Nearghaasmadni,Peethbazar
PermanentAddress3: RampurManiharan
https://cdn.digialm.com/EForms/SBIAfterPaymentAction.do?4019ZZ782ZZonline 1/2
4/1/2016 UPPCLAEForm2016
PermanentAddressDistrict: SAHARANPUR
PermanentAddressState: UttarPradesh
PermanentAddressPincode: 247451
QualifyingExaminationDetails
Yearof
Examination Board/School Percentage/Grade
Passing
CBSE/SRDAVPublic
10thorEquivalentExamination 2009 70.83
School
Dateof FullNameof
QualifyingDegree Percentage/Grade
Passing Institution
LovelyProfessional
B.Tech 31/05/2015 68.44
University
TestCenterPreferences
Testcity1: GreaterNoida
Testcity2: Meerut
Testcity3: Ghaziabad
FeeDetail
FeeApplicable: 1000
Declaration
IsolemnlyaffirmthatIhavegonethroughandunderstoodtheeligibilityconditiongivenwiththeAdvertisement2/VSA/2016/AEanddeclareanoaththattheentries
madebymeintheonlineapplicationaretruetothebestofmyknowledge&beliefandifatanystage,ifitfoundtobefalse/incorrect/misinterpretedmycandidature
maybecancelled&disciplinaryactionmaybeinitiatedasdeemedfitbyESC/UPPCL.
Date:2016040122:18:15 CandidateSignature
Version11.00.02
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