9/6/22, 10:34 PM DVET Application Form

Candidate Personal Details

Application Status Application Number Candidate's Name

PaymentSuccess 0065451 KESHAV LAXMAN MAR
KAD
Date of Birth Age as on 17.08.2022 Gender
01/Aug/1990 32 YEARS 0 MONTHS 1 Male
6 DAYS Have you ever chang
ed your name?
No
Marital Status Father's Name Mother's Name
Married LAXMAN BHAURAO M SUSHILA LAXMAN MAR
ARKAD KAD
Email ID Mobile Number
keshavmarkad@gmail. 9850716337
com

Candidate Domicile and Category Details

Nationality Are you domicile of Caste Category

Indian Maharashtra State? OPEN
Yes

Domicile Certificate Details

Domicile Certificate I Domicile Certificate I Domicile Certificate S

ssuing Authority ssue Date erial No
STATE OF MAHARASHT 29/07/2009 3007098152
RA

Additional Details

Are you an Ex Service Are you an Eligible Sp Are you PwBD i.e. Per
men? orts Person (ESP)? son with Benchmark
No No Disabilities with at le
ast 40% disability?
No
Are you an employee Are you Project Affec Are you Earthquake
of State Govt./Centra ted? Affected?
l Govt/Other State Go No No
vt. ? Are you a Part Time Are you Orphan?
No Degree/Diploma Hold No
er?
No

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Whether any FIR or C

Have you ever been a
rrested /detained in
any criminal case(s)?
No
Have you ever been p
roceeded against by
any School/College/U
niversity in case of a
ny Unfair means (UM
C)or any charges?
No
Have you ever been t
ried & convicted or a
cquitted by a Court o
f Law in any criminal
case(s)?
No
Are you facing any cr
iminal proceedings in
any court of Law in I
ndia?
No
riminal case(s) has ev
er been registered ag
ainst you?
No
Have you ever had to
execute any bond for
keeping peace/good
behaviour under sec
urity proceedings of
CrPC?
No
Is there any departm
ental enquiry / court
enquiry pending agai
nst you?
No

Identification Details

Mark of Visible Identi Do you have Pan Car Pan Card Number :
fication d? AVRPM5430C
MOLE ON RIGHT HAN Yes Name on Pan Card:
D KESHAV LAXMAN MAR
KAD
Do you have Driving Driving License Num Name on Driving Lice
License? ber : nse Number:
Yes MH14 20180002362 KESHAV MARKAD
Issuing Authority : Date of Issue: Validity of Driving Lic
RTO PUNE 18/02/2018 ense:
17/02/2038
Type of Driving Licen Do you have Voter I Voter Id :
se: d? UXM8105769
LMV Yes Name on Voter ID Ca
rd:
KESHAV LAXMAN MAR
KAD
Do you have Passpor
t?
No

Correspondence Address

Address Line 1 Address Line 2 Country

FLAT 101,PLOT 34, India

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SAJJANGADH APARTME State

NT,VIDHYAVIHAR COL Maharashtra
ONY,TALEGAON DABH
ADE,PUNE District
Pune
City/Village Pincode/Postal Code Is Permanent Addres
TALEGAON DABHADE 410507 s Same as Correspon
dence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country

FLAT 101,PLOT 34, SAJJANGADH APARTME India
NT,VIDHYAVIHAR COL
State
ONY,TALEGAON DABH
ADE,PUNE Maharashtra
City/District
Pune
City/Village Pincode/Postal Code
TALEGAON DABHADE 410507

Matriculation (10th) Details

Name of the Board School/ lnstitute Na Percentage of Marks/

MARKAD KESHAV LAX me CGPA/Grade
MAN M M NIRHALI VIDHYAL Percentage
AYA PATHARDI
Marks Obtained
471
Maximum Marks Percentage of Marks Year of Completion
750 (%) 2005
62.80

lntermediate (12th) Details

Have you done 12th?

No

Graduation Details 1

Qualification Degree
Certification

Certificate Details

Have you completed Trade

SSC with Maths & Sci Certificate Details Detail
ence subject? s
Yes
National Apprentice Certificate + National T Electri
rade Certificate in appropriate trade cian

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Experience Details

Training/ Post h Start da End dat Length of service ren

Name of the
Experienc eld/Co te of ser e of ser dered as work experi
Organisation
e urse vice vice ence

ELECT 01/10/2 30/09/2 1 Year(s) 0 Month(s)

Training WIPRO
RICIAN 008 009 0 Day(s)

Experienc GENERAL MO ELECT 15/02/2 12/07/2 11 Year(s) 4 Month(s)

e TORS INDIA RICIAN 010 021 28 Day(s)

Total Wor 12 Year(s),4

k Experie Month(s),28
nce: Day(s)

Test Center City Details

Test Center City Pref Test Center City Pref Test Center City Pref
erence 1 erence 1 erence 3
Pune Aurangabad Mumbai

Payment Details

Amount Payment Mode Payment Status

825 online Payment Success
Payment Transaction
No.
YICI1395873897

Documents Upload

Candidate Photo Signature

Document View / Download

To view your Domicile Certificate: Click here.

To view your ID Proof Documents 1: Click here.

To view your 10th Class Marksheet/Certificate: Click here.

To view your Trade Certificate: Click here.

PaySlip

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