12/14/2020 NHSRCL 2020

Applicant Details

Personal Details
Application Sequence No
NHSRCL003550

Candidate's Full Name

SANDEEP PATIL

Father's Name Mother's Name

SHIVANAGOUDA LEELA

Marital Status Nationality

Married Indian

Aadhar Number
481298279978

Post Applied Details

Post Applied Post Code
Senior Executive(Civil) SEC

Category Gender
Unreserved Male

Date of Birth (DD-MM-YYYY) same as Matriculation/

Secondary Certificate

03/Feb/1992

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Age as on 31.12.2020
28 Years 10 Months 28 Days

Are you Physically Handicapped (PH) (degree of disability

40% or above)?
No

Are you Government employee?

No

Were you originally domiciled in the state of Jammu and

Kashmir between 01.01.1980 and 31.12.1989?

No

Contact Details
Mobile Number
9449874595 Email ID
prashantn408@gmail.com

Present Address

Address Line 1
30/1 KABIR MATT ROAD

Address Line 2
BASAVANGUDI

State
Karnataka

Country

India

City Pin Code

Bangalore Urban 560019

Permanent Address
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Address Line 1
30/1 KABIR MATT ROAD

Address Line 2
BASAVANGUDI

State
Karnataka

Country
India

City Pin Code

Bangalore Urban 560019

Matriculation (10th) Details

Name of the Board/Council

KARNATAKA STATE BOARD

Subject Combination
ENGLISH ,HINDI, KANNADA

Institute Name
UDAY SCHOOL

Year Of Passing Percentage of Marks

2007 86.08

Intermediate (12th) /Diploma details

Name of the Board/Council

KARNATAKA STATE BOARD

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Subject Combination
PHYSICS CHEMISTRY MATHS

Institute Name
RLS INSTITUTE

Year Of Passing Percentage of Marks

2009 83.83

Essential Qualification Details

Name of the Qualification Specialization

B.E Civil Engineering

Year Of Passing
Institute Name 2013
GOGTE INSTT OF TECHNOLOGY

Percentage of Marks
76.31

Do you have minimum two (02) year's post qualification

relevant work experience?

Yes

Previous Work Experience Details (Fill latest to earliest in descending order)

Sr. Designation/Post Organization/ Employer From To No. of years

No. of Service

1 ASSISTANT ENGINEER BANGALORE METRO 01/08/2015 14/12/2020 5 Year(s) 4

RAIL CORPN. Month(s) 13
Day(s)

2 TUNNEL AND STATION AECOM INDIA PVT LTD 22/07/2013 31/07/2015 2 Year(s) 0
ENGINEER Month(s) 9
Day(s)

Total Work Experience

7 Year(s), 4 Month(s), 22 Day(s)

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Candidate Documents/Images Upload Details

Photo

Signature

Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my knowledge
and belief. I understand that my candidature is subject to the conditions laid down in the advertisement
brochure. I further declare that I am not involved in any criminal case and/or no such case is pending
against me in any court of law.

Version 13.09.00

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