Registration No.

: 412646                 
     I.    POSITION DETAILS

Name of Post : EXECUTIVE TRAINEE(MECHANICAL)-GATE 2022

Pay scale : Rs. 60000-180000

Grade : E2

     II.    PERSONAL DETAILS

1. GATE-2022 Registration Number

(Enter GATE-2022 Registration No. which is mentioned on : 0000MEK529W48
your GATE-2022 admit card )

2. Name (Name should be filled up as appearing in your GATE 2022 admit card)

     First Name : DHEEMANTH

     Middle Name :

     Last Name : B RAJ 

3. Date of Birth : 20/02/2001

4. Father's Name : B H BALARAJU

5. Category : SCHEDULED CASTE

6. Name of Caste / Tribe (In case of SC/ST/OBC) : ADIKARNATAKA

7. Other Category, If Applicable  

  (i) Persons with disabilities : NO

  (ii) Ex-Serviceman : NO
Domiciled in J&K between 01.01.1980 and
  (iii) : NO
31.12.1989

8. Details (In case of PWD)

  (i) PWD Category : NA

  (ii) Percentage (%) of Disability : 0

9. Details (In case of Ex-Serviceman)    

  (i) Rank : NA
  (ii) Corps / Regiment Number : NA

  (iii) Date of Commission : NA

  (iv) Date of Discharge : NA
   (v) Date of start of pre-commission training, if any : NA

  (vi) Education of Military : NA

  (vii) Length of service : 0 YEAR(S) 0 MONTH(S) 0 DAY(S)
10. Nationality : INDIAN

11.  Religion : HINDUISM

12.  Sex : MALE

13. Marital Status : SINGLE

14.  Present Postal Address    

  (i) 1st Address Line : 2ND CROSS, 1ST RIGHT

  (ii) 2nd Address Line : VINAYAKA LAYOUT
  (iii) 3nd Address Line : KARASAVADI ROAD

  (iv) City : MANDYA

  (v) District : MANDYA

  (vi) State : KARNATAKA

  (vii) PIN Code : 571401

  (viii) Telephone (Landline) : STD Code: 0 Number: 0

  (ix) Telephone (Mobile) : 9449881717
  (x) Home Town : Mandya

15. Present e-mail Address : DHEEMANTHBRAJ.01@GMAIL.COM

     III.    Education & Experience Details

1. Essential Qualification Details :

Examination / Year of Year of Percentage of

Branch/Discipline/Specialization College / Institution Board / University Type
Degree Passed Joining Passing Marks *

SCIENCE,MATHS, ENGLISH, SANTHOME PUBLIC

SSC (10th) 2015 2016 ICSE 80 Full Time
KANNADA, HISTORY SCHOOL
MANDAVYA
HSC (10+2) SCIENCE(PCMB) EXCELLENCE PU 2016 2018 STATE BOARD 87 Full Time
COLLEGE
BE / B TECH / BMS COLLEGE OF
MECHANICAL 2018 2022 VTU 4 Full Time
BSc(ENGG) ENGINEERING

* Percentage of marks in the essential qualification (s), as specified shall be considered as per Institute/University rules/norms. Wherever CGPA/OGPA or
letter grade in a Degree is awarded, equivalent percentage of marks should be indicated in the application as per norms adopted by University/Institutes.
Candidates currently in final year (2021-22) of their Engineering Degree Course should indicate percentage of marks received in aggregate upto the last
semester examination at the time of applying.

2.  Post Qualification Work Experience Details :

 I. Do You have any post qualification work experience : NO

II. Current / Last Company Name NA

III. From Date (DD/MM/YYYY) NA

IV. To Date (DD/MM/YYYY) NA

     IV.    DECLARATION
I certify that –

a) I  am not employed in Govt. /Statutory Organization /Public Sector Undertaking.

b) In case of my employment in Government / Statutory Organization / Public Sector Undertaking, I will produce No Objection Certificate (NOC) from my
organization at the time of Interview, if called for.

I declare that all information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect or
  distorted at any stage, I shall have no objection to cancellation of my candidature.

DHEEMANTH  B RAJ    

(Name & Signature)   
Date: 15/03/2022