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Recruitment of Engineers

ON-LINE APPLICATION FOR RECRUITMENT OF TEAM LEADER,SYSTEM ANALYST,JR. ENGINEER,DY.EXECUTIVE ENGINEER,STENO TYPIST

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Please paste your recent passport size photograph and sign across it. Please retain atleast 5 copies of same photograph with you for subsequent use.

Registration No : Full Name (as it appears on the payment challan): Post : Post Code : Category : Whether availing social reservation benefit ? : Whether possessing Caste certificate issued by the Competent Authority of Govt. of Maharashtra? : Whether possessing Caste Validity certificate issued by the Competent Authority of Govt. of Maharashtra? : Whether possessing Domicile certificate issued by the Competent Authority of Govt. of Maharashtra? :

16790 JARWAL VIDYA GABRUSING Jr. Engineer (Civil) - Trainee 04 VJ-A YES YES NO YES

Whether Possessing recent Non-creamy layer certificate issued by YES the Competent Authority of Govt. of Maharashtra? : Whether availing reservation for persons with disability ? : Type of Disability : Percentage of Disability : Whether taking the help of scribe : Whether availing reservation for WOMEN ? : Whether availing reservation for Sports persons (SP)? : Are you an employee of MSETCL ? : Nationality : Centre of Examination : Centre code : Application Fee / Postal Charges Details : Payment In: Transaction ID / Journal No.: Branch Name : Branch Code No : Deposit Date : Amount : State Bank of India 016831677 state bank of India hadapsar branch 9062 23-11-2011 300 NO NA YES NO NO Indian Mumbai 11

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Personal Details : Date of Birth : Age completed as on 29.11.2011 : Gender : Marital Status : Father's Name / Husband's Name : Mother Tongue : Address for Correspondence : 03-05-1988 23 FEMALE Unmarried JARWAL GABRUSING MATTUSING MARATHI FLAT NO. 1 CHANDRAKALA HEIGHTS BL A/1 SNO 106 PL 20/23 VAIDWADI HADAPSAR PUNE District : State : Pin : Permanent Address : PUNE MAHARASHTRA 411013 FLAT NO. 1 CHANDRAKALA HEIGHTS BL A/1 SNO 106 PL 20/23 VAIDWADI HADAPSAR PUNE District : State : Pin : Contact Details: Phone No : Mobile No : Email ID : Qualification Details (As on 29.11.2011): Exam Passed Name of Institute/University MAHARASHTRA BOARD MAHARASHTRA BOARD AN AUTONOMOUS AN AUTONOMOUS Subject/Stream MAR HN EN MAT SCI SO SCIENCE Degree in Civil Engineering DIPLOMA CE Year of Passing 2003 2005 2011 2008 % of Marks Class / Grade 9673006994 vidya.jarwal@gmail.com PUNE MAHARASHTRA 411013

SSC : HSC : Graduation : Professional Qualification :

76.93 52.33 73.47 78.48

First Class Second Class First Class First Class

Do you have minimum speed of 80 w.p.m. in Shorthand and 40 w.p.m. in Typing : Do you Possess Govt. Commercial Certificates? :

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Post Qualification work experience details if any as on 29.11.2011 (Start from present Employer) : Name Of Organisation with Annual Turnover Workforce of the Organisation From(mm/yyyy) To(mm/yyyy) Designation/Post held Pay Scale Last Emoluments p.m (excluding perquisites) Nature of Duties/ Responsibilities

Total period of experience (in months) : Total Experience in Power Sector : Total Experience in Transmission Field :

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Other Details : Languages Known MARATHI HINDI ENGLISH Read YES YES YES Write YES YES YES Speak YES YES YES

I declare that I have 00 Number of living children as on today, out of which no. of children born after 28.03.2005 is 00. I am aware that if any total numbers of living children are more than two due to the children born after 28.03.2006, I am liable to be disqualified for the post applied.

DECLARATION:
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect or suppressed or I do not satisfy the eligibility criteria regarding age, qualification & the condition of being domicile of the district my candidature / appointment, at any stage, is liable to be cancelled / terminated

Place: Date: 23-11-2011 Signature of Applicant

JARWAL VIDYA GABRUSING

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank