Acknowledgement Slip for the Post of Engineer

Ackn. No. Discipline 12418253 Electrical 2012-01-17 23:37:41.0 GATE 2012 Regn NO.

Trainee in BHEL ( through GATE-2012)

2012-01-17 23:37:35.0

Acknowledged Date. EE8088133

Gen

Personal Particulars
Name Date of Birth Gender Marital Status Father's Name Nationality Minorty Status Category Ex-Serviceman Physically Challenged Whether domicile in J&K between 01/01/1980 and 31/12/1989 ADITYA PRATAP SINGH TOMAR 01/03/1991 M Unmarried RAJENDRA SINGH TOMAR Indian Not Applicable Gen N None N Years of Service % (or) Decibels 0 0 Please Paste Your Photo Here

12418253

Address for Correspondence

Address Line 1 Address Line 2 Address Line 3 Address Line 4 HOUSE NO.-7 GALI NO.-6 OPPOSITE SHALIMAR PARK BHOLA NATH NAGAR SHAHADRA State Country Pincode Delhi INDIA 110032

Permanent Address
Address Line 1 Address Line 2 Address Line 3 Address Line 4 Email id Mobile No. HOUSE NO.-7 GALI NO.-6 OPPOSITE SHALIMAR PARK BHOLA NATH NAGAR SHAHADRA adityapratap@msn.com 9592315131 Alternate Phone No 01122307024 State Country Pincode Delhi INDIA 110032

Educational Qualifications
Graduation Degree Month / Year of Passing Name of Institute Name of University Total Marks Post Graduation Degree Marks Obtained Month / Year of Passing Name of Institute Name of University Type of University 0 Type of Course Branch 10 B Tech 4 Yrs JUN 2012 Others Type of Course Full Indian Percentage 66 LOVELY PROFESSIONAL UNIVERSITY Type of University Total Scored 6.6 Branch Electrical & Electronics

Processing Fee Payment Details

Challan Journal No. Bank Branch Name Whether BHEL Employee Present Employee Details Preference of Posting Caste Name RAMA MANDI N Staff No. Not Employed 0 Unit null 021386329 Date Designation 17/01/2012 null

1) AP

2) FF

3) RJ

4) IO

5) RK Caste State

I hereby Declare that all the information given above are true to the best of my knowledge.
Date: Place: SIGNATURE ( ADITYA PRATAP SINGH TOMAR )

Encl: BHEL Challan Copy [ ] Please tick

Note: All candidates are required to use copies of the same photgraph used in GATE-2012 application form, for the entire process of recruitment and selection. Hence, it is advised to keep sufficient number of copies of photograph

BHEL Copy

Acknowledgement Slip for the Post of Engineer

Ackn. No. Discipline 12418253 Electrical 2012-01-17 23:37:41.0 GATE 2012 Regn NO.

Trainee in BHEL ( through GATE-2012)

2012-01-17 23:37:35.0

Acknowledged Date. EE8088133

Gen

Personal Particulars
Name Date of Birth Gender Marital Status Father's Name Nationality Minorty Status Category Ex-Serviceman Physically Challenged Whether domicile in J&K between 01/01/1980 and 31/12/1989 ADITYA PRATAP SINGH TOMAR 01/03/1991 M Unmarried RAJENDRA SINGH TOMAR Indian Not Applicable Gen N None N Years of Service % (or) Decibels 0 0 Please Paste Your Photo Here

12418253

Address for Correspondence

Address Line 1 Address Line 2 Address Line 3 Address Line 4 HOUSE NO.-7 GALI NO.-6 OPPOSITE SHALIMAR PARK BHOLA NATH NAGAR SHAHADRA State Country Pincode Delhi INDIA 110032

Permanent Address
Address Line 1 Address Line 2 Address Line 3 Address Line 4 Email id Mobile No. HOUSE NO.-7 GALI NO.-6 OPPOSITE SHALIMAR PARK BHOLA NATH NAGAR SHAHADRA adityapratap@msn.com 9592315131 Alternate Phone No 01122307024 State Country Pincode Delhi INDIA 110032

Educational Qualifications
Graduation Degree Month / Year of Passing Name of Institute Name of University Total Marks Post Graduation Degree Marks Obtained Month / Year of Passing Name of Institute Name of University Type of University 0 Type of Course Branch 10 B Tech 4 Yrs JUN 2012 Others Type of Course Full Indian Percentage 66 LOVELY PROFESSIONAL UNIVERSITY Type of University Total Scored 6.6 Branch Electrical & Electronics

Processing Fee Payment Details

Challan Journal No. Bank Branch Name Whether BHEL Employee Present Employee Details Preference of Posting Caste Name RAMA MANDI N Staff No. Not Employed 0 Unit null 021386329 Date Designation 17/01/2012 null

1) AP

2) FF

3) RJ

4) IO

5) RK Caste State

I hereby Declare that all the information given above are true to the best of my knowledge.
Date: Place: SIGNATURE ( ADITYA PRATAP SINGH TOMAR )

Encl: BHEL Challan Copy [ ] Please tick

Note: All candidates are required to use copies of the same photgraph used in GATE-2012 application form, for the entire process of recruitment and selection. Hence, it is advised to keep sufficient number of copies of photograph

Applicant Copy

Page 3

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ACKNOWLEDGEMENT SLIP- ENGINEER TRAINEE 2012-13 Acknowledgement No. - 12418253 Discipline - Electrical ______________________________ From - ADITYA PRATAP SINGH TOMAR HOUSE NO.-7 GALI NO.-6 OPPOSITE SHALIMAR PARK BHOLA NATH NAGAR SHAHADRA TO THE SENIOR MANAGER ROOM NO.29, HR DEPARTMENT MAIN ADMIN BUILDING HEEP, BHEL, RANIPUR HARIDWAR - 249403 UTTRAKHAND.

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Important: 1.Cut the above address slip and paste it on the envelope containing your signed Acknowledgement Slip and send.