Application of Job: SSC [SSC(PILOT)(OTHER THAN MR)],SSC [SSC(ATC)],SSC [SSC(OBS)],SSC

[SSC(PILOT)(MR)] - 07/2018

Application No: SPN187M004277 Application Date: 07/09/2017

PRIORITY

1. SSC [SSC(PILOT)(OTHER THAN MR)] 07/2018

2. SSC [SSC(ATC)] 07/2018
3. SSC [SSC(OBS)] 07/2018
4. SSC [SSC(PILOT)(MR)] 07/2018

PERSONAL PARTICULARS

Name: ATUL PANDEY

Father's/Mother's Name: RAMAKANT PANDEY
Guardian's Name: RAMAKANT PANDEY
BIRTH MARK ON RIGHT
Identification Mark 1:
SHOULDER
Identification Mark 2: ---------
Nationality: INDIAN
Aadhaar/Enrolment No.: 664556666623
Central/State Govt. Issued ---------
Photo ID:
Date of Birth: 06/04/1996

EDUCATION PARTICULARS

Details of B.Tech Qualification

Details of
B.TECH Stream: ELECTRICAL Qualification Type: REGULAR
Qualification:

Semesters Total Marks Obtained Marks

Semester 1 1000 701

Semester 2 1000 691

Semester 3 1000 652

Semester 4 1000 755

Semester 5 1000 704

Grand Total 5000 3503

Percentage 70.06
Year of Passing: 2018
JSS ACADEMY OF
AKTU
University Name: College Name: TECHNICAL EDUCATION,
LUCKNOW
NOIDA
UTTAR
College State: College District: NOIDA
PRADESH

Details of 12th Qualification

Percentage based 85.67%

Subjects Total Marks Obtained Marks
on PCM marks:
Physics 100 82

Chemistry 100 87

Maths 100 88

12th English Marks 100 91

10th English Marks 100 85

Serial no. of
1029835
Marksheet:
State Conducted UTTAR Board Conducted
CBSE
Exam: PRADESH Exam:

Details of 10th Qualification

State Conducted UTTAR Board Conducted Serial no. of

CBSE 0875318
Exam: PRADESH Exam: Marksheet:

MILITARY RECORD

Have you ever been enrolled in Armed Forces before?: NO

Have you attended any Services Selection Board (SSB)
NO
before?:
Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: S/O RAMAKANT PANDEY Address 2: GAURI VIHAR SAROJINI NAGAR

State: UTTAR PRADESH District: LUCKNOW Pincode: 226008
Phone No.: 8574744698 Mobile No.: 9560240673
Email id: pandeyatul6666@gmail.com Alternate Email id: atul0053@gmail.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 9560240673

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.