APPLICATION FORM FOR DRDO IN CEPTAM 10

Name of post Applied (with subject).CEPTAM-10 [ELECTRICIAN-B]

01 Full Name in Block Letters

. RAJSHLAY YUVRAJ KALASAIT
Please affix a
YUVRAJ DHRMA KALSAIT - recent passport
(i) Father’s Name SHAILAJA YUVRAJ KALSAIT
02 size
(ii) Mother’s Name YUVRAJ DHRMA KALSAIT
. photograph
(ii) Spouse Name(if applicabble)
3( Gender : MALE 3(b) Category :
a)
OBC
3(
DATE OF BIRTH 1 ● M M Y Y Y Y 3(d) Age: 32 months (as on crucial/closing date)
c) D D
yrs

Correspondence Address:
A/P : LAKHEWADI INDAPUR PUNE
04
.
(in Block Letters) MAHARASHTRA - 413103
Pincode:

Permanent A/P : LAKHEWADI INDAPUR PUNE

05
.
Address: (in MAHARASHTRA- 413103
Block Letters)
Pincode:

Contact Details: Phone(with STD code) :NO Mobile: +91- 8208151003

06
Alternate No. if any: 9881341422
.

07 E-mail ID:rajshlay@gmail.com Alternate Email ID: rajshlaykalasait@gmail.com

.
08 Educational Qualifications (From Matric/10th/SSC onwards, Self-attested copies to be enclosed):
.
Examinati Month & Division/ Percentage(
Subject (s) Board or University Year Class/
on %)
Passed of Grade /CGPA
Passi
ng
MARCH- REGULAR MAHARASHTRA STATE MARCH-2008 A 71.07 %
2008 BOARD OF SECONDARY
&HIGHER SECONDARY
EDUCATION PUNE

JULY-2019 REGULAR GOVERNMENT INDUSTRIAL JULY-2019 A 85.80%

TRAINING INSTITUTE
INDAPUR DIST-PUNE
JUNE-2022 REGULAR MINISTRY OF SKILL JUNE-2022 A 85.00%
DEVELOPMENT AND
ENTREPRENEURSHIP
09. Experience (if any) Note: Attach sheets if required
Name of Post Name of the APPRENTICESHI NATIONAL TRADE
/Designation
Organization/De P CERTIFICATE NUMBER
START END
pt.
TECHNICIAN-B DRDO 13-12- 12-12-2021 102740000043023
2020
Whether Qualified NET/GATE Examination NO
10.

Have you ever been interviewed in DRDO, NO

11.
if so, give details: NO DETAILS AVAILABLE

Have you ever been debarred for recruitment examination by any Govt. AGENCY. : NO
12.
 DECLARATION: I hereby declare that, the above furnished particulars are correct to the best of my knowledge,
and no information is suppressed. If at any time, I am found to have concealed/distorted any information, my
13.
fellowship shall be liable to be summarly terminated without any prior notice. I am ready, to take up and discharge
the duties assigned to me anywhere in India, as and when required.
 For Office Use
PLACE- PUNE
DATE-: 04-07-2023 Only S.No-
AWMHB000100 Signature of the Candidate
00-098993