Candidate Personal Details

Candidate Photo
Application Status Application Number Candidate's Name
PaymentSuccess NCL1001050 ROHIT VISHWAKARM
A
Date of Birth Gender Marital Status
14/Jan/1996 Male Married
Father's Name Mother's Name Email ID
RAMKUMAR VISHWAK GANGABAI VISHWAKA rohitvishwakarma868
ARMA RMA @gmail.com
Mobile Number Alternate Mobile Nu
7000437599 mber
7566918529

Post Details

Post Name Post Code

Mining Sirdar in Tech 01
nical and Supervisory
Grade C

Candidate Domicile and Category Details

Nationality Reservation Categor

Indian y
Other Backward Class
(Non Creamy Layer)

Additional Details

Are you an Ex Servic Are you a departme Are you employed in

emen? ntal candidate (Emp Government/Semi-G
No loyee of CIL and its S overnment/Autono
ubsidiaries)? mous Body or PSU(E
No xcept employee of C
IL and its Subsidiari
es?
Yes
Post Held: Name of Organisati From
SELECT GRADE MINE on: 10/12/2019
FOREMAN MOIL LIMITED To
01/11/2022
Total Service
Period: Duty Perform: Nature of Employm
2 Year(s) 10 Month(s) WORKING IN MUNSA ent:
22 Day(s) R UNDER GROUND M REGULAR
INE
Do you have valid M
ining Sirdar/Overma
n certificate
of com
petency issued by D
GMS under Coal Min
es Regulation 2017 o
r any other
certifica
te in Mining which e
ntitle the applicant
to work as Mining Si
rdar as per
Coal Min
es Regulation 2017?
Yes
Do you have valid G Do you have valid Fi
as Testing
Certificat rst Aid
Certificate?
e? Yes
Yes

Correspondence Address

Address Line 1 Address Line 2 Country

BLOCK NO 26 QTR N POST-KHAIRI BIJEWAD India
O 105 NEW CHARGAO A TEHSIL-RAMTEK
State
N COLONY
Maharashtra
City/District Pincode/Postal Code Is Permanent Addre
Nagpur 441106 ss Same as Correspo
ndence
address?
No

Permanent Address

Address Line 1 Address Line 2 Country

MAKAN NO 458 WAR POST- LALPUR TEHSIL India
D NO12 VILLAGE LALP -SOHAGPUR
State
UR
Madhya Pradesh
City/District Pincode/Postal Code
Shahdol 484110

Matriculation (10th) Details

Name of the Board School/ lnstitute Na Percentage of Mark

BOARD OF SECONDA me s/CGPA/Grade
RY EDUCATION MP B SARASWATI H S SCHO Percentage
HOPAL OL BUDHAR SHAHDO
Marks Obtained
L
530
Maximum Marks Percentage of Marks Year of Completion
600 (%) 2011
88.33
lntermediate (12th) Details

Name of the Board School/ lnstitute Na Subjects

BOARD OF SECONDA me Others
RY EDUCATION MP B SARASWATI H S SCHO Other Subjects
HOPAL OL BUDHAR SHAHDO SCIENCE (MATHEMATI
L CS, PHYSICS, CHEMIS
TRY)
Percentage of Mark Marks Obtained Maximum Marks
s/CGPA/Grade 429 500
Percentage Percentage of Marks Year of Passing
85.80 2013

Technical Qualifications Details

Qualification Degree Institute passed fro Subjects

Diploma m Mining Engineering
GOVT. POLYTECHNIC Month and Year of P
COLLEGE SHAHDOL assing
MP
05/2017
Percentage of Mark CGPA obtained CGPA Multiplying Fa
s/CGPA/Grade 7.12 ctor
CGPA 10
Calculated Percenta
ge from CGPA
71.20

Test City Preferences

Preferred Test State Preferred Test City 1 Preferred Test State

1 Nagpur 2
MAHARASHTRA MADHYA PRADESH
Preferred Test City 2 Preferred Test State Preferred Test City 3
Jabalpur 3 Bilaspur
CHHATTISGARH

Payment Details

Amount Payment Mode Payment Status

1180 online Payment Success
Payment Transactio
n No.
CPACGXKFF5

Documents Upload

Signature
Declaration

I hereby certify that the information given by me in this Application Form is t

rue to the best my knowledge. I certify that I fulfill the eligibility criteria and
undertake to produce original documents whenever necessary and I will not
demand any reschedule of exam. I agree to abide by the declaration of the a
uthorities regarding the eligibility of my application and understand that any
misrepresentation or omission of facts in my application may justify cancell
ation of my Application Form. I understand that all disputes will be subject t
o the territorial jurisdiction of Honble High Court of Madhya Pradesh, Jabalp
ur.