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::ApplicationFormForEmployment::

RegistrationNo.:302358

I.POSITIONDETAILS
NameofPost

EXECUTIVETRAINEE(ELECTRICAL)

Payscale

Rs.2490050500

Grade

E2

EE16S82063351

II.PERSONALDETAILS
1.GATE2016RegistrationNumber
(EnterGATE2016RegistrationNo.whichis
mentionedonyourGATE2016admitcard)

2.Name(NameshouldbefilledupasappearinginyourGATE2016admitcard)

FirstName

GAURAV

MiddleName

MARUTI

LastName

KADAM

3.DateofBirth

10/04/1991

4.Father'sName

MARUTIVISHRAMKADAM

5.Category

GENERAL

6.NameofCaste/Tribe(Incaseof
SC/ST/OBC)

NA

7.OtherCategory,IfApplicable

(i)

Personswithdisabilities

NO

(ii)

ExServiceman

NO

(iii)

DomiciledinJ&Kbetween01.01.1980and
:
31.12.1989

NO

8.Details(IncaseofPWD)

(i)

TypeofDisability

NA

(ii)

Percentage(%)ofDisability

9.Details(IncaseofExServiceman)

(i)

Rank

NA

(ii)

Corps/RegimentNumber

NA

(iii)

DateofCommission

NA

(iv)

DateofDischarge

NA

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::ApplicationFormForEmployment::

(v)

Dateofstartofprecommissiontraining,
ifany

NA

(vi)

EducationofMilitary

NA

(vii)

Lengthofservice

0YEAR(S)0MONTH(S)0DAY(S)

10.Nationality

INDIAN

11.Religion

HINDUISM

12.Sex

MALE

13.MaritalStatus

SINGLE

14.PresentPostalAddress

(i)

1stAddressLine

A/304,SHREESWAMISOCIETY

(ii)

2ndAddressLine

KOPARROAD,DOMBIVLIWEST

(iii)

3ndAddressLine

(iv)

City

DOMBIVLI

(v)

District

THANE

(vi)

State

MAHARASHTRA

(vii)

PINCode

421202

(viii) Telephone(Landline)

STDCode:0

(ix)

Telephone(Mobile)

9773519551

15.PresentemailAddress

GAURAVK1004@GMAIL.COM

Number:0

III.Education&ExperienceDetails
1.EssentialQualificationDetails:

Examination/
Branch/Discipline/Specialization
DegreePassed

College/
Institution

Yearof
Joining

Yearof
Passing

Board/University

Percentage
ofMarks*

Type

SSC(10th)

SSC

S.H.JONDHLE

2006

2007

MAHARASHTRA
STATEBOARD

81.38

FULLTIME

Diplomain
Engg.

LICENTIATEDIPLOMAIN
ELECTRICAL

VJTI

2007

2011

AUTONOMUS

84

FULLTIME

BE/BTECH/
BSc(ENGG)

ELECTRICAL

LTCOE

2011

2014

MUMBAI
IUNIVERSITY

67.23

FULLTIME

*Percentageofmarksintheessentialqualification(s),asspecifiedshallbeconsideredasperInstitute/Universityrules/norms.
WhereverCGPA/OGPAorlettergradeinaDegreeisawarded,equivalentpercentageofmarksshouldbeindicatedinthe
applicationaspernormsadoptedbyUniversity/Institutes.Candidatescurrentlyinfinalyear(201516)oftheirEngineeringDegree
Courseshouldindicatepercentageofmarksreceivedinaggregateuptothelastsemesterexaminationatthetimeofapplying.

2.PostQualificationWorkExperienceDetails:
I.DoYouhaveanypostqualificationworkexperience:YES

II.Current/LastCompanyName

SAVAIRENERGYLTD

III.FromDate(DD/MM/YYYY)

01/07/2014

IV.ToDate(DD/MM/YYYY)

30/06/2015

IV.DECLARATION
Icertifythat

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::ApplicationFormForEmployment::

a) Iamnot
employedinGovt./StatutoryOrganization/PublicSectorUndertaking.
b) IncaseofmyemploymentinGovernment/StatutoryOrganization/PublicSectorUndertaking,IwillproduceNoObjection
Certificate(NOC)frommyorganizationatthetimeofInterview,ifcalledfor.

Ideclarethatallinformationgiveninthisapplicationformaretruetothebestofmyknowledgeandbelief.Ifanyofthe
informationisfoundincorrectordistortedatanystage,Ishallhavenoobjectiontocancellationofmycandidature.

GAURAVMARUTIKADAM
(Name&Signature)
Date:25/01/2016

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