Rashtriya Ispat Nigam Limited

Visakhapatnam Steel Plant (A Govt. of India Enterprise)

Recruitment to the Post of Management Trainee - Rectt Advt No. 02/2017
Registration Form

Candidate Prole Registration No.: 171096 Registration Date: 26/05/2017

Candidate Name: PAPANA JAYA PHANENDRA Date of Birth: 01 Mar 1992

Gender: Male Category: OBC (NCL)

Father's Name: PAPANA SOMESWARA RAO Mother's Name: PAPANA RAMA TULASI

Persons with Disability Status: No Disability %: N/A

Nationality: INDIAN Post Applying for : MT(Tech)

Medium of Test: English

Contact Details

Permanent Address: Correspondence Address:

D NO 5-182/425, SAI NAGAR NEAR ANJANEYA COLONY, MANGALAGIRI D NO 5-182/425, SAI NAGAR NEAR ANJANEYA COLONY, MANGALAGIRI
GUNTUR DISTRICT, Mangalagiri, Andhra Pradesh, India, 522503 GUNTUR DISTRICT, Mangalagiri, Andhra Pradesh, India, 522503

Mobile No: 1. 9441533679 , 2. Alternate-MobileNo 9493690179 E-Mail ID: pjp.phanendra@gmail.com

Qualication Details

Qualifying Exam University Name Institute Name Course Completion Date Discipline

B.Tech -- JNTU KAKINADA PVP SIDDHARTHA INSTITUTE OF TECHNOLOGY 16/09/2013 Mechanical

Identity Card Details

PAN Card No #.: Aadhar Card No. # :

Payment Details

Deposit Date: 29 May 2017 Branch Code No.: SBI Branch Name: SBI ATMAKURU Journal No.: 065194957
18828

Application Fee: 500 Bank Charges: 69

Do you have experience : No

Examination Center Opted: Vijayawada

UNDERTAKING/DECLARATION: I hereby declare that the information furnished by me in the Registration/Application Form is correct and nothing has been concealed.
In case any information furnished by me is found to be false/incorrect/untrue than I shall be liable to civil/criminal prosecution and my claim to
appointment/registration/ service in the Organization may be cancelled/terminated.

Signature of Candidate