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APPLICATION FORM

Refrence No.:
N/ACTREC-ADVT-A-2-2022/00193

Advt No.:
ACTREC/ADVT-A-2/2022

Name of the Post:


LOWER DIVISION CLERK

Personal Information

Title Ms. Surname ONKAR First Name MEENAL


Middle Date of
ASHOK 29/11/1995 Age(Year/Month/Days) 26/3/9
Name Birth

Gender Female Nationality Indian Marital Status MARRIED


Spouse Onkar niwas vadoli gaon ot sec near jaiswal clinic
ANIKET ANAND KEDARI Address Pincode 421003
Name Ulhasnagar 3
Ulhasnagar
Country INDIA State: Maharashtra City: Ulhasnagar

Is Permanent Address same as Present Address

Telephone
Belong to Scheduled Caste Mobile No. 7276726604
No.

Are you presently working in


Email Id meenal.onkar2911@gmail.com Skype ID No
TMC/DAE unit

Educational Qualification (Starting from latest Degree.)

Sr Degree Subject Institue University Result Passing Passing Percentage/GPA Course Course Certificate
No. Name Name Name Name Month Year Type Duration enclosed

1 Graduate VN Mumbai Pass 11 2020 60.00 /


6.00 Full 3 Yes
Bedekar Time Years,0 View
College Months Certificate
of File
Thane

Experience (Starting from current Experience.)

PAST AND PRESENT EXPERIENCE/Teaching work experience [for present experience (if any) TO DATE of experience should be current date.]
Experience certificate indicating the date of joining and relieving.
Current Employment: Appointment letter,Last Pay Slip, Identity Card.
Documentary evidence is necessary.

Sr Post Experience Organization Job Gross From Date To Date Years/Months/Days Application Nature of Certificate
No. Type Type Salary(Monthl is in Work Enclosed
In INR) service
1 Apprentice Non ONGC Full 140000.00 21/05/2019 19/05/2020 0/11/28 Govt. Web site Yes
Training Teaching Mumbai Time editing View
Letter Certificate
write sap File
entry
present
work ms
office
work

2 Training Non Kulgaon Full 96000.00 04/03/2015 03/03/2016 0/11/28 Govt. Letter Yes
Teaching Badlapur Time writing View
Municipal Bill's Certificate
Council entry File
Badlapur payment
voucher
entry
provident
fund
receipt
entry in
Excel
cheque
entry

Total Working Experience:

Total Year 1 Total Month 11 Total Day 26

Gap In Experience Information

It is Mandatory to submit Documents Related to Professional Whether Gap in Professional Experience:


No
Experience.If not, Experience will not be considered.
If there is a
gap (more than 1 month) between experience, then reason for the
same has to be mentioned below.

Medical Council Information


Medical Council Place:
Registration Number:

Referee Details : (First and Second referee should be Mandatory)

First referee* Second referee* Third referee

Name: Sonal Prakash Dufare Aniket Anand Kedari Ashok punaji onkar

Designation: Teaching Laboratory Businessman


Address: Onkar niwas vadoli gaon ot Jijamata apt flat no 101 Onkar niwas vadoli gaon
sec near jaiswal clinic Ulhasnagar 4 ot sec near jaiswal clinic
Ulhasnagar 3
Ulhasnagar Ulhasnagar 3
Ulhasnagar

Tel. No.: 8983478279 8484845828 8956592526

Fax No.:

Email: meenalonkar143@gmail.com Aniketkedari9@gmail.com Leelaonkar4@gmail.com

Other Information
Proof of Date of Birth
Whether SC/ST:
Yes

 Whether OBC/Non-Creamy Layer Certificate:


No

Whether Person with disability (PWD):


No

Percentage of Disability:
0

Whether Applicant is in service of Govt. / Semi.Govt. / PSU:


No Whether N.O.C is obtained:
No

Whether Application is routed through proper channel:


No

Whether applicant is Ex-serviceman:


No

Whether Proof for Current Employment Attached:


No Proof Type:

Current CV

Notice required for joining the post (MENTION NO. OF DAYS E.G. 10 Particular's about Pension / Provident Fund etc.:
DAYS, 1 MONTH ETC.): Pension is a plan benefits to workers
7 DAYS
Describe (in 150 words) your most notable contribution in Service,
Teaching or Research:
I'm student I also a tution teacher I love to teach a little
students I teach 1 to 7 std students I teach student and also
learn different subjects I get knowledge to teaching

Any other information you wish to add:


My self Meenal Ashok Onkar
I have completed my graduation
in Accounting and Finance
I have also done my ITI in
computer operator and programming assistant
I have 2 years
experienced in government sector.
I don't like to seat idle.

I hereby declare that all the information and particulars given


by me in this application are true and correct to the best of my
knowledge. I am aware that if any of the above statements are .jpg,.png,.jpeg (Image size
found to be incorrect or false or may material information or should be between 5kb and
200kb)
particulars of relevance have been misstated, suppressed or
11/02/2022
omitted, my application will be rejected and if such
discrepancies come to light after I am selected, my
appointment will be terminated.
Copyright © 2018 Tata Memorial Centre Advanced Centre for Treatment, Research & Education in Cancer

11/02/2022 12:59:33

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