915922, 219 PM ‘Application for CEPTAN-10/DRTC Advt. (Employment News Dated 03rd 03th Sept 2022) ‘CENTRE FOR PERSONNEL TALENT MANAGEMENT (CEPTAM) DEFENCE RESEARCH & DEVELOPMENT ORGANISATION (ORDO) MINISTRY OF DEFENCE, GOVERNMENT OF INDIA STTHT Stet MHeraydey WT i / Your Application submitted successfully. STG Baer GSA / Your Application Number is 1001091620059. Application for CEPTAM-10/DRTC Advt. (Employment News Dated 03rd - 09th Sept 2022). ‘8 RAT Application Num + 1001081620059 ‘yp amb / userid + neerajpal3598@gmall.com -aruelf TATA | Candidate's Name: 1 NEERAJ WGI Post: + Senlor Technical Assistant (STAB) fie subject / Discipline: 2/0109 - Electrical Engineering ‘aT SMT UTE CEPTAM-IOIDRTC Acut sigan aa Rares met: YES (€aR) she si ug Ne / Do you Possess the essential qualifcation Fequirement (EQR) and other Criteria as per CEPTAM-10/DRTC Advt? Candidate of (B.£, B.Tech, MSc, M.Tech, Ph, te.) Choose Degree io Date of Completion(Likely) ts, ‘fy Category #080 Noy Creamy ayer Corifcate Number + 073723008384 Date of sue + 27-02-2022 Sub Caste 2 Wadava State: + UTTAR PRADESH ‘we on ara ete RR @? J Are you a Person with Disablly? ENO’ Ratner aT HET Type of Disability Ls Do you belongs ta Orthopedically Handicapped (Acted by Cerebral: = Palsy) or Orthopedically Handicapped (Both Arm affected) or Orhepecically Handicapped Candidates who has a locomator dsabilty ‘wherein the dominant wring extremity is affected tothe extent of slowing ‘down the performance? Do you have disabilty wherein the dominant wating extremity i affected: = to the extent of slowing down the perfermance (subject to production of Ccorticate Issued by medical authoiy) 7 Renter a wf Percentage of Disability a Certificate Number te Date oftssve : -gr om afer» wH274 8 YP | Do you belng to Mnorty community? + NO ‘aro gg ar BA you Ex Sorvicoman? 2 NO Date of Joining te Date of Discharge - Poriod of Service Renderes (In Years & Months & Days) pe hitpsfceptam10.comiceptamypapr20iregistraion_prit hp?q=ZGVeNzgON2VIOTYAMWVmZONKMTRKZWLiNMISZWOAZTIBMTYYMDAIOG==Horn.. 49115122, 219 PM Have you already secured employment in Civil Sie under Central Government on regular basis after avaling the benefits of Reservation given to Ex-Servicemen for re-employment? ‘Ave you Disabled Defence Services Personnel? sear Rha he we 010110808 31.12.1980 3 ahr arr wU Alia 2? / Are you @ Person who iad orsinarly been domiciled inthe Stat of Jammu ane Kasrmir during the poriag 07 01-1980 0 31.12 19897 ‘Fa OU WH BLOT Ba #7 / Are you a Government servant? Type of Government servant rare a arg Fah ea, aa Rover A Prete aa Peo eR ‘#H War Regular continuous Government service in Govt, Department as on crucial date of elgbily, MinistryDept/Ests [UREI WAI / IDENTITY PROOF "UAT Nationality Cerificate o iii issues by Gow. of raia Certiate no Date of esue Sat EA RE | Visite mark of donticaion “Tater HTT Physical Measurement Height(n ems) ‘era FT / Physical Measurement Weighlin Kgs) ‘ales 16% SET + / City of Examination Choice 1 ‘ater 8ETRETET2 iy of Examination Choe 2 ‘uadten ee alae 3 J City of Examination Choice’3 gga aera oat faa ayy ot a OR Tar Ye ‘werifers ee & fre arf weata Get ¥ /| hereby give my consent to publish my score and rank of Exam along with my pariculars, on the website SHTEGA Neh / Application Fees Payment in ‘af / Amount. ‘TEA # RRAR / Payment Status 27a ee on Payment Reference 1D ‘agra FAR / Transaction Date ‘cafeerra faaxor / Personal Details FARA Date of Bath 24 23.00.2022 & SE A | Age completed as on 22.09.2022 ft Gender {feet a1 ATH / Father's Name [HIeT @=TH / Mothers Name [WATER TWal / Correspondence Address TT / Address Line + hitpssceptamt0.comiceptamypapr2Oiregistration_print php? ‘Application for CEPTAN-10/0RTC Advt. (Employment News Dated 03rd 03th Sept 2022) No Inaian ‘mole of left hand 64 1? DELHINCR DEHRADUN 1 AGRA YES ONLINE 100.00 ¥ bap. 5864299167335 15-.08'2022 03-05-1998 24 years, 4 months, 20 days MALE Kaptan singh Shoola ‘Sant var sector 4 kankher GV zNzgON2VIOTY4MWVmZDNKMTRKZWleNISZWQAZTJBMTYYMDA100:915922, 219 PM ‘Application for CEPTAN-10/0RTC Advt. (Employment News Dated OSrd- 03th Sept 2022) sera {a2 / Address Line 2 1 Meerut cant aR Cty + meeeut ‘fren District 1 Meerut sr aa HE State / Urion Tertoies 1 UTTAR PRADESH fir are / Pin code: + 250001 ‘eurft WaT / Permanent Address. 1H / Adress Line 1 1 santvhar sector 4 kankher irora ‘m2 Address Line 2 + mgetut cant aR CIy mmeenit ‘FRET District + Meerut ‘Te He MPa WAM / State / Union Territories 1: UTTAR PRADESH rats Pin code + 250001 Ws fa / Contact Details Ranga 442 Mooile No + 491 9045526157 ‘tepfetre hare Aa / Altomative Mobile Number 3 +91 9917782424 $8 of 8 / Email 10 1 neerajpal3598@gmail.com Qaftre six coreenfaes aha wT fax / Educational and Professional Qualification Details (as on crucial date ) werent 10 af 0622311 ‘UPBOARD 06-06-~373 - 600 - 62.00 isse/totn aie Standard Pratt) ——Elecrcal = Y6H7299600017.BTEUP 3 ondb 1545 2200 = 0.2 Diploma Engineering LUCKNOW Dow There 2a 3 Halawari 4 Atededigar aad Bar ar attaal wH | Posting SBatsore Preference in order of Stations 8 Bengaluru: Hyderabad Pune 9 Ambernath {0 isaenapatnan audits fou ae GRATast HI fa / Uploaded Document Details : 4. rR TON (108 HTT aT HATHA TATA! Age Proof (10th Certificate or equiv nt) document hitpsfceptam10.comiceptamypapr2Airegistraion_prinlphip?qaZGVzNzgON2VIOTYAMWVmZONKMTRKZWLeNmISZWOAZTJBMTYYMOATOQ==Horn915922, 219 PM ‘Application for CEPTAN-10/0RTC Advt. (Employment News Dated OSrd- 03th Sept 2022) 2, feceitar waTOTUE | Diploma Certificate ‘WUT Declaration: Bere ae we EP 1 es ee Ry ry eee, gh Se A tte Pe Be tee wel By HY rej re Pf aw Pa eee eer eT arg a a et He Pe rae mT Aa ew ae we eT TAT, ee ae ee we ocd are we a TS Ho AT Satan or eed el 2. Bore Paar & ogee wet aT, she MSe MB Tech TBE MI Ph. ARH one ETE ‘hereby declare that 1. Althe statements made inthis application are True, Complete and Correct tothe best of my knowledge and belie. | understand that inthe event of any information being found untrue or incorrect at any‘stage or | am not sats'ying any ofthe elgiityertera stipulated, and also in case of creating influencelundue pressure regarding recruitment shal tantamount to caneallaton of my candidature 2.11do not possess higher qualification, viz, M.Sc or B.Tech or B-E or Ph.D dagree etc, as per advertisement Final Submission Date / fsa fA: 15-08-2022 14:19:28, ‘1a & FETA Signature of Applicant hitpsfceptam10.comiceptamypapr2Airegistration_print php?qaZGVzNzgON2VIOTYAMWVmZONKMTRKZWLeNmISZWOAZTJBMTYYMOATOO==Horn