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Recruitment of Various Posts

ON-LINE APPLICATION FOR RECRUITMENT OF VARIOUS POSTS

21032
Registration # : 3012807

Full Name :

Sarode Deepashri Prashant

Post : Post Code : Whether candidate wants to take / avail reservation benefit? : (Only if post is reserved for your category): Category : 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? : Whether availing reservation for persons with disability? : Type of Disability : Percentage of Disability : Whether availing reservation for Woman? : Whether Possessing recent Non-creamy layer certificate issued by the Competent Authority of Govt. of Maharashtra? : Are you an employee of MSEDCL ? : If yes, CPF Number of Employee : Are you an Ex - Serviceman ? : Are you a disabled Ex-Serviceman (DXS)? : Actual Period of service rendered in defence services as an Ex-serviceman (experience will be furnished in months): Are you a dependent of an Ex-Serviceman killed in action ? : Are you a Project Affected Person ? : Are you a Earthquake Affected Person ? : Are you an Ex-Non Commissioned Officer who is serving from Army/ Navy/ Air Force or equivalent rank or from Police Department or Para Military Forces of the rank of Head Constable?: Year of experience : Are you working in Police Department ?: Specialized In : Year of experience : Are you an employee of Group C/ Class III from Vigilance / Security/ Intelligence Cadre of Central / State PSUs?: Year of experience : Nationality : Centre of Examination : Centre Code : Application Fee / Postal Charges Detail : Payment In : Transaction ID / Journal No : Branch Name :

ASSISTANT ENGINEER (DIST) AED NO OPEN YES YES YES NO NO

YES 02194465 NO NO

NO

Indian Mumbai 11

Bank of Maharashtra 1480404 Nashik Road

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Branch Code Number : Deposit Date : Amount : Personal Details : Date of Birth (as per SSC/ School Leaving Certificate) : Age completed as on 16.12.2012 : Gender : Marital Status : Husband's Name / Father's Name : Address for Correspondence : 03-06-1976 36 Years, 06 Months, 12 Days FEMALE Married Sarode Prashant Bhaskar F-304 Harivihar Appartment Near Bacchav Classes Swami SamarthNagar Jail Road District State : Pin code : Permanent Address : Nashik MAHARASHTRA 422101 F-304 Harivihar Appartment Near Bacchav Classes Swami SamarthNagar Jail Road District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Qualification Details (as on 16.12.2012): Exam Passed Graduation : Diploma : Degree B.E. Subject / Stream Electrical Engineering Electrical Year of Passing 1999 1994 % of Marks 53.00 64.00 Class / Grade Second Class First Class -7875669240 deepashri36@rediffmail.com Nashik MAHARASHTRA 422101 123 13-12-2012 510

Total Work experience details if any as on 16.12.2012 (Start from present Employer) : Name of Organisation Area of experience with Annual Turnover From To Total Designation/Post held Pay Scale Last Nature of Duties/ Experience (Years/Months) Emoluments Responsibilities p.m (excluding perquisites) Mahavitran Power Distribution 03/1999 12/2012 13/9 JE 42421 27423 Meter Testing

Total period of experience (in months) : 165 Languages Known Marathi Hindi English Read YES YES YES Write YES YES YES Speak YES YES YES

DECLARATION:
I hereby confirm and declare that all the statements made and information provided by me in this Application are true, correct and complete to the best of my knowledge and belief. In the event of any information or the part of it being found false or incorrect before or after the recruitment process, action can be taken against me by the competent authority and my candidature/appointment will automatically be cancelled/terminated.

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Place:

Date: 14-12-2012

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please send the System Generated Print-out to Following Address : POST BOX NO.8229, Dahisar (East), MUMBAI 400 068..

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