HIMACHAL PRADESH PUBLIC SERVICE COMMISSION

Lecturer Electrical Engineering (Polytechnic) - 2014

346523

Application No :

1.
2.
3.
4.

Applicant's Name :
Father's Name :
Date of Birth :
Category:

Ankit Chauhan
Mahinder Singh
23/10/1991
General - (01)

5. Sex :

Male

6. State to which belongs:

Himachal Pradesh

7. Phone No. :

9805958106

8. Mobile No. :

9459041705

9. Correspondance Address :
s/o mahinder singh, village khalger P.O. ghasni, tehsil rohru distt
shimla, , Shimla, Himachal Pradesh, Pin:171203

10. Permanent Address :

s/o mahinder singh, village khalger po ghasni, tehsil rohru, , Shimla,
Himachal Pradesh, Pin:171203

11. H.P.Govt.Servant :

No

13. Exam/Test Station

Shimla

12. Age Relaxation :

No

14. Academic Qualification :

S.No

Qualifaction

Matric

Plus 2/Equivalent

B.E./B.Tech (Electrical)

Board/ University

% of Year
Marks

Subjects

HP Board

Mathematics, Hindi, Social Science,

English,Sanskrit

75.3 2007

HP Board

Mathematics, Physics,Chemistry

82.6 2009

Electrical and Electronics

74.8 2014

NIT Hamirpur

4
5
15. Examination/Test Fee Details :
i. Registration ID
11350314300404

ii. Transaction ID :

iii. Branch Code :

iv. Fee :

v. Date of Deposit :

DECLARATION
I hereby declare that I am an Indian National and the statements made in this application are true, complete and correct
to the best of my knowledge and belief. I undertake that in the event of any information being found false or
incorrect at any stage, my candidature is liable to be cancelled and if appointed, appointment itself shall be liable
to be cancelled. I also solemnly declare that I do not suffer from any of the disqualifications shown in the
advertisement for the post and I am eligible in all respects according to eligibility criteria prescribed.

Appl. Date :20/03/2015

Signature of the Applicant