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Applicant Copy

Acknowledgement Slip for the Post of Engineer Trainee GATE-2017 in BHEL ( through GATE-2017)
Ackn. No. 33018926 2017-01-27 16:37:56.0 Acknowledged Date. 2017-01-27 16:17:55.0
SC
Discipline Mechanical GATE 2017 Registration NO. ME17S15015194

Personal Particulars
Name DHARMENDRA KUMAR
Date of Birth 06/07/1996
Gender M
Marital Status Unmarried
Father's Name SHYAM DHAR PRASAD
Nationality Indian 33018926
Minorty Status Not Applicable
Category SC

Ex-Serviceman N Years of Service 0
Physically Challenged None % (or) Decibels 0
Whether domicile in J&K between 01/01/1980 and 31/12/1989 N

Address for Correspondence
Address Line 1 VILL-BARGO State Uttar Pradesh
Address Line 2 POST-BHAISALA Country INDIA
Address Line 3 TEHSIL-SAHJANWA Pincode 273209
Address Line 4 DIST-GORAKHPUR

Permanent Address
Address Line 1 VILL-BARGO State Uttar Pradesh
Address Line 2 POST-BHAISALA Country INDIA
Address Line 3 TEHSIL-SAHJANWA Pincode 273209
Address Line 4 DIST-GORAKHPUR

Email id meet2dk96@gmail.com

Mobile No. 8874606190 Alternate Phone No 8423066297

Educational Qualifications
Graduation

Degree B Tech 4 Yrs Branch Mechanical Engineering
Month / Year of Passing AUG 2017
Name of Institute Others Type of Course Full Time
Name of University APJ AKTU LUCKNOW Type of University Indian

Total Marks 3000 Total Scored 2071 Percentage 69.03

Post Graduation

Degree Branch
Marks Obtained 0
Month / Year of Passing Type of Course
Name of Institute
Name of University Type of University

Other Details
Whether BHEL N Staff No. 0 Unit null Designation null
Employee
Present Not Employed
Employee
Details
Preference of 1) NR null null null null
Posting
Caste Name 24 Chamar, Caste State UTTAR
Dhusia, Jhusia, PRADESH
Jatava

I hereby Declare that all the information given above are true to the best of my knowledge.
SIGNATURE

Note:The print out copy of online application form and other related documents NEED NOT be sent to BHEL office.