Application Date 10/Jan/2014

Application Id BH00046155
GATE 2014 Registration No. ME504103180
Discipline Mechanical
Post Applied For Management Trainee
Category SC
Are you a person with Disabilities (PWD) with 40% or
more disability?
No
Whether Ex-Serviceman No
Domiciled in J&K state(between 01.01.1980 and
31.12.1989)
No
Gender Male
Date of Birth 23/Mar/1993
Graduation Degree Additional Qualification
Graduation Degree B.E Name Of Course ---
Month and Year of passing
the above degree
Jun 2014 Specialization ---
Passed in first
attempt
--- Mode of study ---
Duration for completion
of graduation course
4 years
0 months
Percentage ---
Mode of study Full Time Name of Institute ---
Percentage in graduation,
aggregate percentage till
last Semester
66.60 Name of University ---
Name Of Institute Uiniversity Institute Of Engineering And Technology
Name of University Panjab University
No. of backlogs/carry
over papers (if applicable)
0
Percentage in diploma
in Engineering before
66.60
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Graduation(if applicable)
Personal Information
Full Name (as
mentionedin
GATE 2014
application)
PRIYANSHU MOHAN ANAND Email Id priyanshumohan@gmail.com
Alternate Email
Id
priyanshumohan23041992@gmail.com Nationality Indian
Religion Hindu
Mother
Tongue
Hindi
Home State Uttar Pradesh
Marital
Status
Single
Father's Name MOOL CHANDRA
Father's
Occupation
Government Service
Mother's Name SHEELA DEVI
Mother's
Occupation
Housewife
Address for
Correspondence
Plot no. 205, Manas City , chandan .
Indira Nagar , Lucknow
City LUCKNOW
State Uttar Pradesh Pin code 226016
Mobile No. 7508679799
LandLine
Telephone
No.
9453138159
Select Center
for the
selection
process, if
shortlisted
Delhi
Do you have
Post
Qualification
Work
Experience
No
Have You Applied Earlier in BPCL No
I hereby affirm that the information furnished by me in this application form is correct and accurate and I
accept full responsibility for the accuracy and authenticity. I am aware that my candidature may be
disqualified at any stage of the aforesaid selection process , if the information furnished by me is found to be
false, inaccurate or rmisleading in any manner.
Signature Of Candidate
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