ISROSatelliteCentre

Bangalore,India

Step3of4:Pleaseverifytheinformationyouhaveenteredshownbelow.
Ifcorrect,pleasesubmityourapplicationformorelseGoBacktoPrevious
Step(s)andmakecorrectionsifany.

Applicationform

AdvtNo:ISAC/02/2016
PostNumber:TA01
PostAppliedfor:TechnicalAssistant(Mechanical)
Step1of4
FullName:VEEMARAJR Emailaddress:RAJ.VEEMA26@GMAIL.COM
Gender:MCategory:OBC
AreyouPhysicallyHandicapped:No
AreyouExserviceman:No
AreyouEmployedinGovernment/SemiGovt/PSU/AutonomousOrganisation:No
Father'sName:RAMALINGAM

AddressforCorrespondence/Communication
NO.4V.O.CSTREET,
SENTHANEERPURAM

City: TRICHY

Pincode: 620004

State: TAMILNADU TelelphoneNo/MobileNumber: 8015782272

MobileNumber: 8015782272
NearestRailwayStation:PONMALAI

QualifyingExam:
Degree

Board/Institution
Marks
(Nameofthe
Obtained
MonthandYear
Class/
Board/Institutionas
(Aggregateof
ofPass
Division
givenintheMarks
all
Cards/Certificates)
semesters/years)

Diplomain
Mechanical
BoardofTechnical
Engineering
Educationand
(minimum3
Training,TamilNadu
yearsduration)

Step2of4

Apr,2012

80.7outof100

1st

Step2of4

DateofBirth:06Jun1994

I affirm that information given in this application form is true and correct. I also fully
understandthatifatanystage,itisdiscoveredthatanyattempthasbeenmadebymeto
willfullyconcealormisrepresentthefact,mycandidaturemaybesummarilyrejectedor
myemploymentmaybeterminated.

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