Application of Job: SAILOR [MR (CHEF)],SAILOR [MR (STEWARD)],SAILOR [MR (HYGIENIST)] -

10/2019

Application No: MRE1910040027115 Application Date: 19/12/2018

PRIORITY

1. SAILOR [MR (CHEF)] 10/2019

2. SAILOR [MR (STEWARD)] 10/2019
3. SAILOR [MR (HYGIENIST)] 10/2019

PERSONAL PARTICULARS

Name: BRAJESH KUMAR GUPTA

Father's/Mother's Name: KALAWATI DEVI
Guardian's Name:
Nationality: INDIAN
A MOLE MARK ON LEFT
Identification Mark 1:
HAND
Identification Mark 2: ---------
Pancard: ---------
Date of Birth: 10/04/2001

EDUCATION PARTICULARS

Details of 10th

Total Marks: 500 Marksheet Serial Number: 920017583

Obtained Marks: 229 State Conduct: BIHAR
Percentage: 45.80 Board Conduct: Bihar School Examination Board

MILITARY RECORD

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

Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

SISWA KHAP,ANUGRAH
Address 1: Address 2: SISWA KHAP,ANUGRAH NAGAR,MAIRWA
NAGAR,MAIRWA
State: BIHAR District: SIWAN Pincode: 841239
Domicile: BIHAR Phone No.: 7739657747 Mobile No.: 7739657747
kumarbrijeshguptamw@gmail.
Email id: Alternate Email id: ---------
com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: ---------

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.