(A Miniratna Company of Government of India and ISO 9001:2008 CPSE)
Seminary Hills, NAGPUR - 440006 Application No. : MECL0006022 Application Date : 15/01/2014 Application for the post of : Mechanical Engineering Advertisement No. : Adv. No. 03/Rectt/2013 Advertisement Date : 11/12/2013 Last Date for Final Submission : 14/02/2014 Payment Mode : NA DD No. : DD Date : DD Issued by : DD Amount : Affix your self-attested latest passport size photograph GATE Registration No. ME504103180 1. Full Name PRIYANSHU MOHAN ANAND 2. Father Name MOOL CHANDRA 3. Mother Name SHEELA DEVI 4. Spouse Name 5. Date of Birth 23/03/1993 6. Age as on Date : 14/02/2014 21 7. Birth Place LUCKNOW 8. Nationality Indian 9. Gender Male 10. Category SC 11. Physically Handicapped No 12. Ex-Serviceman No 13. Whether you are working in MECL No 14. Present Address for Communication PLOT 205, MANAS CITY CHANDAN INDIRA NAGAR LUCKNOW Pincode 226016 State Uttar Pradesh District LUCKNOW 15. Permanent Address PLOT 205, MANAS CITY CHANDAN INDIRA NAGAR LUCKNOW Pincode 226016 State Uttar Pradesh http://www.mecl.gov.in/Recruitment/RecruitmentApplicationFormPrint.... 1 of 2 1/15/2014 1:24 AM District LUCKNOW 16. EMail priyanshumohan@gmail.com Phone No. with STD Code 9453138159 Mobile No. 7508679799 17. Are you working with Govt./Public Sector No 18. If yes, are you sending application through proper channel or enclosing NOC No 19. Qualification Sr. No. Examination Passed Month of Passing Year of Passing Name of Board/ University/ Institution Subject Studied Division % of Marks 1 B.Tech. (Mechanical Engg.) June 2014 UIET, PANJAB UNIVERSITY IC ENGINES MOM, TOM, ATD,MD Appeared 0 20. Experience Sr. No. Name and Address of Employer Period From Period To Post Held Scale of Pay Grade and Gross Emoluments Nature of Duties Performed Reason for Leaving 21. Any other details SUMMER TRAINEE IN HMT,PINJORE AND JINDAL STEELS ,HISSAR 22. Enclosures details NO ENCLOSURE 23. Place LUCKNOW Date 15/01/2014 Signature.................................... PRIYANSHU MOHAN ANAND http://www.mecl.gov.in/Recruitment/RecruitmentApplicationFormPrint.... 2 of 2 1/15/2014 1:24 AM