USER ID RINL20184677

POST
APPLYING FOR POST MANAGEMENT TRAINEE - MECHANICAL

PERSONAL AND CONTACT DETAILS

TITLE Mr. APPLICANT NAME NADIMPALLI VENU KUMAR

DATE OF BIRTH 17-JAN-1995 AGE AS ON 01/01/2020 24 YEARS 11 MONTHS 15 DAYS

NATIONALITY INDIAN GENDER MALE

FATHER'S NAME NADIMPALLI RAMA RAO CATEGORY EWS

CATEGORY 01-MAY-2019
CATEGORY IEWS011900017158 CERTIFICATE ISSUE
CERTIFICATE NO. DATE

ARE YOU PERSON

WITH AT LEAST 40% NO
DISABILITY?

DO YOU BELONG TO NO
MINORITY
CATEGORY?

DOMICILED IN J&K NO
STATE (BETWEEN
01/01/1980 TO
31/12/1989)

ADHAAR CARD NO. 573963328551 PAN CARD AXOPV2008E

ALTERNATE MOBILE 9701347512

NUMBER

ADDRESS DETAILS
PERMANENT ADDRESS CORRESPONDENCE ADDRESS
ADDRESS LINE 1 DOOR NO 1-121, VAYYAKALLU ADDRESS LINE 1 DOOR NO 1-121, VAYYAKALLU

ADDRESS LINE 2 SAVALYAPURAM MANDAL ADDRESS LINE 2 SAVALYAPURAM MANDAL

CITY GUNTUR CITY GUNTUR

DISTRICT GUNTUR DISTRICT GUNTUR

NEAREST RAILWAY GUNTUR NEAREST RAILWAY GUNTUR

STATION STATION

STATE ANDHRA PRADESH STATE ANDHRA PRADESH

PINCODE 522646 PINCODE 522646

EMAIL ID VENUKUMAR.NADIMPALLI@GMAIL.COM MOBILE NUMBER 7661026100

PREFERRED TEST CITY

PREFERRED TEST CITY HYDERABAD
EDUCATION DETAILS
NAME OF MONTH AND
COURSE TYPE OF RESULT REGISTER / OVERALL
COURSE NAME COURSE NAME DISCIPLINE UNIVERSITY / NAME OF INSTITUTE YEAR OF
DURATION COURSE STATUS ROLL NO. PERCENTAGE
BOARD COMPLETION

10TH/SSC 10TH/SSC 10TH/SSC STATE BOARD HINDU HIGH SCHOOL PASS APR 2012 1214111311 90

QUALIFYING
B.TECH MECHANICAL JNTUACEA JNTUACEA 4 YEARS FULL TIME PASS MAY 2018 14001A0338 78.34
DEGREE

WORK EXPERIENCE DETAILS

DO YOU HAVE RELEVANT WORK EXPERIENCE? NO

PAYMENT DETAILS
PAYMENT STATUS SUCCESS

PAYMENT MODE ONLINE

PAYMENT AMOUNT(Rs.) 590

TRANSACTION NUMBER 10005072020012501421

PAYMENT DATE & TIME 25-JAN-20 09:46:50 PM

DECLARATION
1. I DECLARE THAT I HAVE CAREFULLY READ AND FULLY UNDERSTOOD THE VARIOUS INSTRUCTIONS, ELIGIBILITY CRITERIA AND OTHER CONDITIONS AND I HEREBY
AGREE TO ABIDE BY THEM.
2. I DECLARE THAT ALL THE ENTRIES MADE BY ME IN THIS APPLICATION FORM ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
3 .I AM AWARE THAT IF ANY PARTICULAR INFORMATION FURNISHED BY ME IN THE APPLICATION ARE FOUND TO BE FALSE / INCORRECT / WRONG, AT ANY STAGE OF
RECRUITMENT OR LATER, I AM AWARE THAT I AM LIABLE TO BE DISQUALIFIED / CANCELLED / TERMINATED BY RASHTRIYAISPAT NIGAM LIMITED
WITHOUT ANY NOTICE.
4. I HAVE NOT CONCEALED ANY INFORMATION WITH RESPECT TO QUALIFICATION / WORK EXPERIENCE / DISCIPLINARY AND VIGILANCE ACTION (IF APPLICABLE).

SUBMITTED DATE: 25-JAN-2020

USER ID : RINL20184677
(SIGNATURE OF
APPLICANT)