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Concor India:REGISTRATION SLIP Gate-2013

CONCOR India 2013: Registration Slip Application Form for Post Code: MT/TH

* Registration No. * Application for the Post of

119642 Management Trainee (Technical) (Post Code: MT/TH)

Personal Particulars * Candidate Name Mr. RUDRA PRASAD MAISUR * Father's Name MADHURA NAGAR TTD BYPASS ROAD * Pin Code 517501 MAISUR GOPAL LAXMAN

* Address for Communication 18-8-39 F/1 NEAR LEEL MAHAL * City * State Contact No. * Date of Birth * Category * Are you a person with Disability(PwD)? TIRUPATI ANDHRA PRADESH 0877-2254420 01-Jun-1992 OBC NO

Mobile No. * Gender * Email-ID If yes, Nature of Disability & Degree if yes, Armed Forced Service Period of Service in Armed Force * Marital Status if yes, Employee No.

8000325387 Male rdrprsdm@gmail.com

* Whether ex-serviceman? * Religion * Are you Departmental employee of the CONCOR?

NO HINDU NO

From-- To -UNMARRIED

Essential Qualification Detail Qualification Degree Specialization/ University Name Discipline Name of Year of Marks Maximum %age CGPA Institute/College Passing Obtained Marks

DEGREE IN MECHANICAL BTECH MECHANICAL ENGINEERING

IIT IIT GANDHINAGAR GANDHINAGAR

Candidates who have secured marks in CGPA terms are required to mention the equivalent percentage of marks as per University/ Institute norms. Alternatively the marks in CGPA terms should not be less than the 7 points in the scale of 10. *Whether in the final year Essential Eductional Qualification /Degree course as mentioned above? YES GATE 2013 Registration Details GATE-2013 Paper for which Registered Mechnical Engineering Declaration
I he re by de clare that all state m e nts m ade in this application are true , com ple te and corre ct to the be st m y k nowle dge and be lie f. I unde rstand that in the e ve nt of any inform ation be ing found false or incorre ct at any stage or not satisfying the e ligibility crite ria according to the adve rtise m e nt, m y candidature / appointm e nt is liable to be cance lle d / te rm inate d. I he re by agre e that any le gal proce e ding in re spe ct of m atte rs or claim s or dispute s arising out of this application and / or out of said adve rtise m e nt can be institute d by m e in the N.C .T. of De lhi.

Paper code ME

Gate 2013 Registeration No. 21091320

Place Date Signature of Applicant Kindly save this page by using 'SAVE AS' option given in the browser before taking the print out.

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1/15/13

Concor India:REGISTRATION SLIP Gate-2013

(Please Print the form for Further Reference)

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