Application Form

Application Registration No. 2324002718

Post Category STIPENDIARY TRAINEE (CAT-I)

Post code/Post Applied For TR-07 / STIPENDIARY TRAINEE

Discipline CHEMICAL

Applicant Name KARTHIK SAJEEV

First Name KARTHIK

Middle Name --

Surname SAJEEV

Father's Name SAJEEV KUMAR M

Mother's Name SREELATHA T K

Marital Status SINGLE

Date of Birth (DD-MM-YYYY) 28-12-1999

Age as on 22-05-2023 23 years, 4 months and 25 days

Gender MALE

Category UR

Do you belong to EWS? NO

Religion HINDU

Nationality INDIAN

State of Domicile KERALA

Are you from PwBD (Persons with Benchmark Disabilities) category? NO

Are you presently employed? NO

Communication Details

Correspondence Address NANDIYIL HOUSE

AMMA NAGAR ROAD
KEDAMANGALAM
      City / Village NORTH PARAVUR
      District ERNAKULAM
      State KERALA
      Pincode 683513

Permanent Address NANDIYIL HOUSE

KIZHAKKEPRAM
NORTH PARAVUR
      City/Village NORTH PARAVUR
      District ERNAKULAM
      State KERALA
      Pincode 683513

Mobile No. 7994460064

E-Mail ID karthiksajeev2812@gmail.com

Aadhaar No. XXXXXXXX0371

Educational Details
Candidates who have their marks in CGPA should convert them into percentage.

Qualification Discipline/Degree Name of School/College/Board Maximum Obtained Percentage Duration of Month & Year
Marks Marks Course of Passing

SSC -- BOARD OF PUBLIC EXAMINATIONS 100 100 100.00 -- 03-2016

KERALA

HSC -- BOARD OF HIGHER SECONDARY 1200 1070 89.17 -- 03-2018

EXAMINATION

Diploma DIPLOMA (CHEMICAL) STATE BOARD OF TECHNICAL 1750 1615 92.29 3 04-2021
EDUCATION

Centre For Examination (City Preferences)

Preference 1 : ERNAKULAM Preference 2 : THIRUVANANTHAPURAM Preference 3 : COIMBATORE

Payment Details:

Payment Mode Transaction Id Amount Transaction Date

ONLINE PAYMENT 1721058609222 150 20-05-2023

1.39.117.199

20-05-2023 1:40PM

   Declaration :
       I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being
found false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my candidature/ appointment is liable to be cancelled/terminated.

(Signature of the candidate)

Name of the candidate: KARTHIK SAJEEV

Application Registration No.: 2324002718