BPCL

APPLICATION FORM FOR RECRUITMENT THROUGH GATE 2018

NAME: ANURAG KUMAR

APPLICATION ID 2018022612

GATE 2018 ME18S24028209

REGISTRATION NO

Please affix recent

POST APPLIED FOR Management Trainee
color passport-size
photograph and affix
DISCIPLINE Mechanical
your signature
across it.
APPLICATION DATE 27 Jan 2018

Applicant Details :

NAME: ANURAG KUMAR

CATEGORY OBC (NCL)
ARE YOU A PERSON WITH DISABILITIES
No
(PWD) WITH 40% OR MORE DISABILITY?
WHETHER EX-SERVICEMAN No
Domiciled in J&K state (between 01.01.1980
No
and 31.12.1989)
Gender Male
Date of Birth 07 Apr 1993

Qualifying Degree Details :

1
PASSING YEAR September-2014
QUALIFYING B.Tech Mechanical
NAME OF INSTITUTE NIT PATNA
DEGREE Engineering
MODE OF STUDY fulltime
NAME OF
NO. OF NIT PATNA
UNIVERSITY
BACKLOG/CARRY- No
DURATION OF
OVER PAPERS 4 Years
DEGREE COURSE
Percentage in
83.04 Joined your
graduation
graduation course 12 th
Passed in first
Yes after.
attempt

Additional Qualification :

No Additional Qualification Present.

2
 Personal Information :

Name of the
Candidate (As appear anuragk109@GMAIL.C
Anurag kumar Primary Email id
in GATE 2018 OM
Application form)
abhinashk109@gmail.c
Alternate Email Id Nationality Indian
om
Mother
Religion Hindu Hindi
Tongue
Marital
Home State Bihar Single
Status
Father's Name Devendra Prasad Father's Occupation state govt service
Mother's Name Poonam Devi Mother's Occupation House maker
S/0-DEVENDRA
PRASAD PROJ GIRLS
HIGH SCHOOL
Address for
GULWARA City Motihari
correspondence
MADHUBAN EAST
CHAMPARAN Bihar -
845420
State Bihar Pin Code 845420
C/O-JAWAHAR LAL
SAH ,AT-KACHOR,PO-
Permanent Address
Permanent Address PHULKAHA,PS- Sitamarhi
City
KANHAULI,DIST-
SITAMARHI,BIHAR
Permanent Address Permanent Address
Bihar 843317
State Pin Code
Mobile Number 7870217533 Alternate Mobile no -
Contact Person in
Any other/Landline 9304784160 Devendra Prasad
case of emergency
Mobile number of
Relationship of
Father Person in case of 8434037457
person with candidate
emergency
Appeared for a BPCL
Choice of city Delhi selection process Yes
earlier?
Appeared for BPCL
selection process in 2017 Mode of application GATE
which year
3
 Work experience:
No Work Experience.

Declaration :

I hereby confirm and declare that I have read all the conditions/criteria mentioned in
the detailed advertisement. I hereby declare that the details furnished by me in this
application are true, correct and complete to the best of my knowledge. I understand
that my candidature/appointment may be disqualified/cancelled/terminated at any
stage of the aforesaid selection process/post-appointment as applicable, if the
information furnished by me is found to be false, inaccurate or misleading in any
manner.

Date: 27 Jan 2018

Signature Of Candidate

Applicants may please note that their candidature is provisional.