JHARKHAND STAFF SELECTION COMMISSION

JHARKHAND INDUSTRIAL TRAINING OFFICER COMPETITIVE EXAMINATION-

2023
(JITOCE-2023)

APPLICATION FORM

Registration No. : 30316829

Registration Completed Date. : 10-08-2023 15:02:19:433

Are you an Indian Citizen? : Yes

Vacancy Type : Both for Regular and Backlog Vacancy

Trade for Post Applied : Training Officer (Electrical)

Passed three years Diploma in Electrical / Electrical &

Electronics Engineeringfrom AICTE/ Recognized Board of
Technical Education or passed Advanced Diploma
Educational Qualification : (Vocational) in relevant trade under DGT and two years
experience in the relevant field or subject from an Institution/
Undertaking/ Establishment recognized/ affiliated by Central/
State Government.

Relevant Regular/RPL variants of National Craft Instructor

Mandatory Qualification :
Certificate (NCIC) in any of the Variants under DGT.

Applicant Name : AJAY CHAUHAN

Date of Birth (DD-MM-YYYY) : 12-06-1994

Father's Name : BRIJESH CHAUHAN

Mother's Name : USHA DEVI

Gender : Male

Marital Status : MARRIED

Are you a local resident of Jharkhand? : No

Candidates will be considered in Unreserved Category.

Reservation Category : UR

Aadhaar Card No. : 851849070642

Visible Identification Mark 1 : CUT MARK IN CINE

Option for Language paper-II : HINDI

Communication Details

 Correspondence Address
      Address Line 1 : VILLAGE SAIDPUR
      Address Line 2 : POST SURHURPUR
      Address Line 3 : MUHAMMADABAD GOHNA
      Address Line 4 : --
      City/Village : MAU
      District : MAU
      State : UTTAR PRADESH
      Pincode : 276403

Permanent Address
      Address Line 1 : VILLAGE SAIDPUR
      Address Line 2 : POST SURHURPUR
      Address Line 3 : MUHAMMADABAD GOHNA
      Address Line 4 : --
      City/Village : MAU
      District : MAU
      State : UTTAR PRADESH
      Pincode : 276403

Mobile No : 9839712733

E-Mail ID : chauhanajay2898@gmail.com

Educational Details

% of
Name of Name of the Year of Certificate Certificate
Board/University Marks Subject
Examination School/College/Institution Passing No. Issue Date
Obtained

TOWN I C MUHAMMADAB 01-06-201

Matriculation/10th UP BOARD 2010 63 H014377 --
AD GOHNA MAU 0

Technical Details

% of
Name of Name of the Year of Certificate Certificate
Board/University Marks Subject
Examination School/College/Institution Passing No. Issue Date
Obtained

Passed three ye
ars Diploma in
Electrical / Elec
trical & Electron
ics Engineeringf
rom AICTE/ Rec
ognized Board
of Technical Ed
ucation or pass
ed Advanced Di
ELECTRI
ploma (Vocatio
S K C Y HAZIPUR BAMHAUR 15728317 CAL EN
nal) in relevant t UP B T E 2015 75 01-11-2015
SADAR AZAMGARH 1208 GINEERI
rade under DGT
NG
and two years e
xperience in the
relevant field or
subject from an
Institution/ Und
ertaking/ Establ
ishment recogni
zed/ affiliated b
y Central/ State
Government.

Relevant National Craft Instructor Certificate (NCIC)

Name of the
% of
Name of National Skill Year of Certificate Certificate
Board/University Marks Subject
Examination Training Passing No. Issue Date
Obtained
Institue(NSTI)

Relevant Regular/
RPL variants of Na
S B S INSTITUTE OF
tional Craft Instruc 200690681 ELECTRI
TRAINES SIRSA HA D G T NEW DELHI 2020 78 12-01-2022
tor Certificate (NCI 5 CIAN
RYANA
C) in any of the Va
riants under DGT.
 Experience Details

Duration
S.No Name of the Organisation Name of the Post Period From Period To
(No of Years)

1. SAINIK ITI TAJOPUR MAU INSTRUCTOR FOR ELECTRICIAN 08/2020 01/2023 2 Year(s),5 Month(s)

Payment Details

Transaction ID Transaction Date Transaction Amount

DUL4445154 09-08-2023 100

152.58.135.246

   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.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank receipt
in support of payment of his/her examination fee for future communication in this regard.

Place:MAU

Application Print Date:10-08-2023