Adv: HRD/RECTT./ADVT.

/2013-14/04 Regno: M010045232

1 of 3

http://recruitment.eil.co.in/mtrec/printout.aspx

APPLICATION FORM: MANAGEMENT TRAINEE

:
Registration No: M010045232

Name

CHANDRIKA ROY

Gender

Female

Father's Name

JYOTI BIKASH ROY

Mother's Name

KALPANA ROY

Mailing Address

6 SHYAMBAZAR LANE 2 POST OFFICE:RAJBATI BURDWAN 713104

Pin Code

713104

Permanent Address

6 SHYAMBAZAR LANE 2 POST OFFICE:RAJBATI BURDWAN 713104

Pin Code

713104

Email Id

royribel@gmail.com

Mobile No

9434171821

Phone No(with STD Code)

( )
Date of Birth

25/08/1990

Religion

Hindu

Category

General

Date of issue of category certificate (dd/mm

/yyyy)

Category Certificate Serial No

Category Certificate Issuing Authority

Type of Disability

Disability Percentage

9/10/2013 1:34 PM

Adv: HRD/RECTT./ADVT./2013-14/04 Regno: M010045232

2 of 3

http://recruitment.eil.co.in/mtrec/printout.aspx

Date of issue of disability certificate (dd/mm

/yyyy)

Disability Certificate Serial No

Disability Issuing Authority

Test Center for written examination

KOLKATA
Educational Qualifications

Name of relevant
Qualifying Exam.
Passed / Appearing

(B.TECH.) CIVIL

Month & Year of

passing/
Appearing
(MM/YY)

(/)

University /
Institution

Aggregate %age or CGPA/CPI

with scale till last result declared
**

Course Duration

( )

(in yrs.)

/ (
)

6/2012

Meghnad Saha
Institute of

7.9CGPA
On a scale of 10

Technology
Other Academic Qualifications(High School Onwards)

( )

Qualification

Year

Board/University/Institute

Aggregate %

Duration (years)

()

Secondary

2005

WBBSE

82

Sr. Secondary

2007

WBBHSE

63

B.Tech

2012

WBUT

79

Project work pursued at college as a part of Degree Requirement

4 STOREY BUILDING DESIGN

Practical Training/Experience

/
Period

Organization

From

To

Training/Experience

TECHNIQUE POLYTECHNIC INSTITUTE

25/08/2012 28/02/2013 Worked as lecturer in the mentioned college.

All papers cleared till last result declared -

Yes

Requisite qualification is a full time course from Indian University / Institute

recognized by AICTE / UGC/ appropriate statutory authority

/ /

Yes

/ ?

9/10/2013 1:34 PM

Adv: HRD/RECTT./ADVT./2013-14/04 Regno: M010045232

3 of 3

http://recruitment.eil.co.in/mtrec/printout.aspx

Passed the qualifying course in minimum period required -

Yes

Family member killed in 1984 riots -

1984 ?

No

Payment Details

Journal No (as mentioned in the Bank Challan
Form)

( )

13777732

SBI Branch Name

BURDWAN UNIVERSITY

SBI Branch Code

2033

Date of Payment

07/09/2013

I declare that the information given above is true to the best of my knowledge. I am
aware that any false or incorrect information by me may result in disqualification
from the selection process or termination of services, in case selected.

:

Signature

Date: 10/09/2013

CHANDRIKA ROY
M010045232
HRD/RECTT./ADVT./2013-14/04

Candidates are not required to send the print out of the application to EIL. Candidates should retain a print out of
their on-line application for future reference.

9/10/2013 1:34 PM