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7/18/2019 RECRUITMENT OF UPKENDRA SAHAYYAK (ADVT. NO. 05/2019) AND VIDYUT SAHAYYAK (ADVT. NO.

04/2019)

Maharashtra State Electricity Distribution Co. Ltd. (MAHAVITARAN)


300127
RECRUITMENT OF UPKENDRA SAHAYYAK (ADVT. NO. 05/2019) AND VIDYUT SAHAYYAK (ADVT. NO. 04/2019)

Registration Number : 6070509

Full Name : YOGESH SAMBHAJI KAWARE


Post: : VIDYUT SAHAYYAK

Category / अजदाराची जात व पोटजात : NT-B/भ.ज. - (ब)

Sub Caste / उप जात : Lohar

Whether possessing Caste certificate issued by the Competent Authority of Govt. of : YES
Maharashtra / महारा शासना ा स म अिधका-यां नी िदलेला जातीचा दाखला धारण करत आहात
काय
Caste Certificate Number : 802010

Issued Date : 13-05-2010


Whether possessing Caste Validity certificate issued by the Competent Authority of : YES
Govt. of Maharashtra / महारा शासना ा स म अिधका-यां नी िदलेले जाती वैधता माणप
धारण करत आहात काय ?
Whether Possessing EWS Certificate issued by the appropriate authority as : -
prescribed in the GR of GoM dated 12/02/2019 ?
EWS Certificate Number : -
Issued Date : -

Are you a person with benchmark disability of 40% and above : NO


Type of Disability : -
Are you suffering from cerebral palsy and your writing speed is affected : -
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7/18/2019 RECRUITMENT OF UPKENDRA SAHAYYAK (ADVT. NO. 05/2019) AND VIDYUT SAHAYYAK (ADVT. NO. 04/2019)

If Yes, Do you need compensatory time at the time of examination? : -


Whether your dominant (Writing) hand is affected : -
If Yes, Do you need compensatory time at the time of examination? : -
Do you intend to use the services of a scribe ? : -

Are you an Ex-Serviceman / अजदार माजी सैिनक आहे काय : ? : NO

Discharge Certificate No : -

Are you registered with District Sainik Welfare Office / आपण िज ा सैिनक क ाण : -
अिधकारी कायालय यां ाकडे नोंदणी केली आहे काय

Are you an employee of MAHAVITARAN / अजदार महािवतरण चा कमचारी आहे काय : NO

CPF Number (भ.िन.फ. सं ा) : -

Date of Joining the Company : -

Designation : -
Place of Working (Zone) : : -
Have you rendered minimum 2 years experience in the company as Line Staff ? : -
Are you a candidate who has successfully completed Apprenticeship Training : NO

If Yes : : -

If Others, specify "Organisation/ Company in which Apprentice Training done" / या : -


ित र िशकाऊ उमेदवारी करत असले ा सं थेचे िकंवा कंपनीचे नाव.

Period of Training / िश ण कालावधी (IN Months /मिह ात ) : : -

Are you applying under Women reservation / अजदार मिहला आर णां तगत अज करीत आहे : NO
काय ?
Whether Possessing recent valid Non-creamy layer certificate issued by the : YES
Competent Authority of Govt. of Maharashtra / आप ा जवळ नॉन ि िमलेयर माणप
आहे काय ?

Are you a Meritories Sports person / आपण अितउ गुणव ा धारक खेळाडू आहात काय ? : : NO

Sports Name [ Details 1 ] : -


Reg No(of District Sport Officials) : -
Date of Certificate : -
Sports Name [ Details 2 ] : -

Reg No(of District Sport Officials) : -


Date of Certificate : -
Sports Name [ Details 3 ] : -
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7/18/2019 RECRUITMENT OF UPKENDRA SAHAYYAK (ADVT. NO. 05/2019) AND VIDYUT SAHAYYAK (ADVT. NO. 04/2019)

Reg No(of District Sport Officials) : -


Date of Certificate : -

Are you a Project Affected Person / आपण क आहात काय ? : NO

Are you a Earthquake Affected Person / आपण भूकंप आहात काय ? : NO

Are you an Orphan Child / अनाथ उमेदवार ? : -

Are you registered with an Employment Exchange : / सेवायोजन कायालय म े तु ी नाव : NO


नोंदवले आहे काय ?
If, Yes Emplyment Exchange Registration No. : -

Name of as Employment Exchange / सेवायोजन कायालय चे नां व : -

Are you a Domicile of Maharashtra / अजदार महारा ाचा अिधवासी आहे काय ? : : YES

Nationality : Indian
Centre of Examination : -

Personal Details

Date of Birth / ज िदनां क (As per SSC / School Certificate / ज तारीख एस्.एस्.सी/ : 01-04-1996
शाळे ा माणप ानुसार):
Age completed as on 26.07.2019 : 23

Gender / िलंग : MALE

Marital Status / वैवािहक थित : Unmarried

Father's Name / विडलां चे नाव : : SAMBHAJI

Mother's Name / आईचे नाव : SUNITA

Spouse's Name : -

Address for Correspondence / प वहाराचा प ा : AP. VIHAPUR

Address 2 : TAL. KADEGAON

District / िज ा : SANGLI

State / रा : MAHARASHTRA

Pin code / िपन कोड : 415304

Permanent Address / कायम प ा : AP. VIHAPUR

Address 2 : TAL. KADEGAON

District / िज ा : SANGLI
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7/18/2019 RECRUITMENT OF UPKENDRA SAHAYYAK (ADVT. NO. 05/2019) AND VIDYUT SAHAYYAK (ADVT. NO. 04/2019)

State / रा : MAHARASHTRA

Pin code / िपन कोड : 415304

Contact Details

Mobile Number / मण नी मां क : +91 8975075995

Alternative Number : -
(Mobile No/Landline No)

Email ID / ईमेल आयडी : yogeshkaware316@gmail.com

Educational Qualification / शै िणक अहता Details (as on 26.07.2019)

Exam Passed / उ ीण परी ा Name of the School/ Institute Date of Passing Aggregate Marks Total % of Class/Grade / ेणी/ ेड
and Name of the Board / शाळा/ / उ ीण के ाची Marks / obtained Marks Marks /
सं था आिण मंडळाचे नाव तारीख Score by ( ा (एकूण गुणांची
झालेले गुण) ट े वारी
गुण)

SSC/Equivalent / महारा रा SHREE SHIVCHATRAPATI 05-06-2011 Aggregate 556.00 650.00 85.54 First Class
मा िमक िश ण मंडळ िकंवा त म VIDYALAY SHIVAJINAGAR Marks
VIHAPUR
परी ा
ITI (Electrician/Wireman) or GOVT POLYTECHNIC KARAD 08-06-2017 Aggregate 1041.00 1650.00 63.09 First Class
Centre of Excellence (Electrical Marks
Sector) / 2 years Diploma
(Electrical/Wireman) awarded by
Maharashtra State Board of
Vocational Examination/ आयटीआय
(वीजतं ी / तारतं ी) िकंवा सटर ऑफ
ए ल (इले कल से र)

Do you have National Apprenticeship Certificate in : NO


(Electrician /Wireman )Trade or Center of Excellence
(Electrical Sector)awarded by the National Council for
training in Vocational Trade (NCTVT), New Delhi given
on completition of National Apprenticeship under
Apprenticeship Act, 1961 ?

Date of Passing the NCTVT Examination / NCTVT : -


परी ा उ ीण के ाची तारीख

https://ibpsonline.ibps.in/msedcusjul19/registration_print.php?q=ODFmNmUyYWJmOThlN2I1MTYyMTAwYjE0ZmI0ZGM4Njh8NjA3MDUwOQ==# 4/5
7/18/2019 RECRUITMENT OF UPKENDRA SAHAYYAK (ADVT. NO. 05/2019) AND VIDYUT SAHAYYAK (ADVT. NO. 04/2019)
Do you have Marathi language Certificate ? : YES

Other Details :

Languages Known Read Write Speak

Marathi YES YES YES

ENGLISH YES YES YES

HINDI YES YES YES

Declaration:
i) I declare that all the above information and particulars are correct and that I will stand disqualified if any information is found to be incorrect at any stage.
ii) I undertake to abide by all the conditions & methodology of selection mentioned in the advertisement.
I hereby declare that all the statements made in this application are True, /complete and Correct to the best of my knowledge and belief. I understand that in the
event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria stipulated, and also in case of creating
influence/undue pressure regarding shall tantamount to cancellation of my candidature.
iii) I understand that mere registration of application does not confer the right for appointment/engagement in the Company.

Date: 18-07-2019 Signature of Applicant

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