TCS EMPLOYMENT APPLICATION FORM

BASIC DETAILS
Reference # DT20223711668

PERSONAL DETAILS
College/Institute Rashtrasant Tukadoji Maharaj, Nagpur University
Name Mr. Khomesh Rajeshwar Patle
Father's Name Mr.Rajeshwar Hiralal Patle
Date Of Birth 05/02/2000
Nationality India
Gender Male
SSC Roll Number

CONTACT DETAILS
PERMANENT ADDRESS
House No./Apartment Name/Block No Trikut Chouk Mohadi, 67
Road/Street/Lane
Area/Landmark Mohadi
City Gondia
State Maharashtra
PIN Code 441807
Country India

PRESENT ADDRESS
House No./Apartment Name/Block No Trikut Chouk Mohadi, 67
Road/Street/Lane
Area/Landmark Mohadi
City Gondia
State Maharashtra
PIN Code 441807
Country India
ACADEMIC DETAILS:
Degree Course Duration Duration Course University/Institute Board Of Specialization CGPA/Marks Total Percentage
Name From To Type Education Obtained Marks/CGPA
Post Graduate Master Of 17/09/2021 22/06/2023 Full Time Rashtrasant Tukadoji Mathematics 7.66 10.0 70.72
Science Maharaj, Nagpur
University
Graduate Bachelor 19/08/2018 17/08/2021 Full Time Rashtrasant Tukadoji Physics, 2069.0 2700.0 76.63
Of Science Maharaj, Nagpur Chemistry &
( B.Sc University Mathematics
Degree )
XII 26/06/2017 30/05/2018 Full Time Ravindra Vidyalaya, State Board Maths, Phy, 539.0 650.0 82.92
Chopa Chem And Bio.
X 26/06/2015 06/06/2016 Full Time Ravindra Vidyalaya, State Board 393.0 500.0 78.6
Chopa
Others Mscit 05/04/2016 25/06/2016 Full Time Isect Computer Others 94.0 100.0 94.0
Classes
Are there any break in studies ? No
Rewards Or Scholarships : Government Of Scholarship
Academic Projects Undertaken: No
Have you done any other course ? Yes, Mscit
Do you have any pending backlogs No
currently ?
Declaration
1. You have taken all subject marks into consideration for calculating the obtained/Total Marks/CGPA in each
of the above mentioned academic qualifications :
Yes
2. The "Marks/CGPA Obtained" entered by you for each of the above mentioned academic qualifications has
been secured in the first attempt :
Yes
3. You have considered only the Marks/CGPA obtained during the normal duration of the course for calculating
Obtained/Total Marks/CGPA :
Yes
4. You have completed each of the above mentioned academic courses in the stipulated time as specified by
your University/Institute and as per TCSL selection guidelines and do not have any extended education:
Yes
5. You have declared break in studies/work experience and pending backlogs,if any, during your academics:
No
6. You have not attended the TCSL Selection Process in the last 6 months:
Yes
7. You have read the TCSL eligibility criteria and understand that your candidature/application/offer/ on
boarding is subject to fulfillment of the specified criteria :
Yes
I Mr. Khomesh Rajeshwar Patle solemnly declare that the information in this form is truly stated and correct and I am
competent to furnish as well as verify it with adequate details whenever requested for by TCSL.
CONTACT DETAILS
E-mail ID khomeshpatle5@gmail.com
Mobile Number 91 - 9579500487
Alternate E-Mail ID
Alternate Contact Number

LANGUAGE DETAILS:

Language Mother Tongue Read Speak Write

Marathi Yes Yes Yes Yes

Hindi No Yes Yes Yes

English No Yes Yes Yes

Security Details

Are you involved in any pending and / or closed Civil / Criminal / case / proceedings / charges / enquiry prior to joining No

TCS.

Are you involved in any pending and / or closed Disciplinary / malpractices and / or any other charges / proceedings / No

enquiry / case pending against me in any University or any other educational authority / institution prior to joining TCS.

''If the answer to any of the above mentioned question is YES give full particulars of the case / arrest /detention / fine
/conviction / sentence / punishment etc. and / or the nature of the case pending in the Court / University / Educational
authority etc. at the time of filling this form.''