Sub Engineer and Junior Engineer Recruitment Drive 2013/

2013

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11035
Registration # :

1010216

Full Name /

Chougule Prashant
Narendra

Post/ :

Junior Engineer (Civil)

Post Code/ :

04

Category / :

VJ-A

If Person with Disability /

:

NO

Type of Disability /
:
Percentage of disability /

:

Are you an employee of MCGM /

? : NO
Are you applying under Women reservation /

? :

NO

Are you a Sportsman / Sportswomen /

? :

NO

Level at which you played /

? :
Name of Sport/

:
Do you have Non-Creamy Layer Certificate (for Financial Year 2011-12) /

? :

YES

Domicile of Maharashtra /
? :

YES

Nationality /

Indian

Centre of Examination /

Centre code / :
Application Fee Details /
Payment through/

Mumbai
01

ONLINE

ONLINE/

MSPD2895032362

Amount / :

200.00

Personal Details /
:
Surname :

Chougule

First Name :

Prashant

Middle Name :

Narendra

Date of Birth /
:

05-03-1989

Age completed as on 1.1.2013 /

1.1.2013

23

Gender /
:

MALE

Marital Status /
:

Unmarried

Father's Name /

Narendra

Husband's Name /
:
Mother's Name /
:

Surekha

Address for Correspondence / :

4002 Crimson Tower Lokhandwala

Complex Kandivli-East

District / :

Mumbai

State / :

MAHARASHTRA

Pin code /
:

400101

Permanent Address / :

4002 Crimson Tower Lokhandwala

Complex Kandivli-East

District / :

Mumbai

State / :

MAHARASHTRA

Pin code / :

400101

Contact Details /
:
Email ID /
:

chouguleprashant89@ymail.com

Phone Number /
:

Mobile Number /

9766776558

Educational Qualification Details / (as on 01-01-2013) :

Exam Passed /

Name of the
Month & Year of
Course// Passing /

% of Marks /

Class/Grade /

SSC /. . . :

SSC Board

06-2004

54.80

Second Class

Diploma :

Civil Engineering

07-2010

79.04

First Class

Do you possess certificate in C.C.C. or O level or A level or B level or C level of

D.O.E.A.C.C. Society or M.S.C.I.T. or G.E.C.T. Certificate of Maharashtra State
Higher and Technical Education Board or have completed the syllabus approved by
Government from time to time from handing of computer / ......

...




YES



.... .

... .

? :
Have you passed 100 marks examination in Marathi language (upper & lower level
in S.S.C. or higher examination



YES

100


( )

? :
Have you Passed Civil Engineering Examination and are members of Engineering
Institution whose membership is recognised by Institution of Civil Engineers (India)
as equivalent to their Membership

(
)

?:
Have you Passed Mechanical/Electrical/Automobile/ Engineering Examination and
are members of Engineering Institution whose membership is recognised by
Institution of Mechanical Engineers (India) as equivalent to their Membership
/
/ / /




(

)

? :
Are you an Associated Member of Royal Institution of British Architects /

? :

Do you Possess qualification equivalent for registration in Register of Architects

with Council Of Architects under clause 35(2) [No.20 of 1862] as per Architects

with Council Of Architects under clause 35(2) [No.20 of 1862] as per Architects
Act 1972 / 1972 35 [2] [1862 . 20]

? :
Languages
Known/

Read

Write

Speak

Marathi

YES

YES

YES

English

YES

YES

YES

Hindi

YES

YES

YES

DECLARATION :

, / /
Chougule Prashant Narendra . Chougule Narendra Deoram
/
/
/
/ 23 23
Mumbai

1) Junior Engineer (Civil) (

.
:-

Place:

Date: 13-01-2013
Please retain your Registration No. and Password emailed to you carefully for further reference

Signature of Applicant