Professional Documents
Culture Documents
JAMMU-181121
Tel: + 91-191-25974333
Email: staff.recruit@iitjammu.ac.in
Website: www.iitjammu.ac.in
2. Personal Details
b. Middle name
e. Age 24
g. Gender Male
h. Category General
j. Nationality Indian
IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 1/4
3. Contact Details
a. Email avtarsinghkotwal@gmail.com
b. Alternate email
c. Mobile number +91-9906608551
d. Alternate mobile number +91-7006170428
e. Correspondence address MOHALLA THATHAR TOPH SHERKHANIA PALOURA
JAMMU PIN CODE 181121
f. Permanent address H. NO. 53 R/O KANDOTE P/O NODI NALLA TEHSIL
THATHRI DISTT DODA JAMMU AND KASHMIR
PINCODE 182203
4. Identification Information
a. Aadhar number xxxxxxxx7834
b. PAN number
5. Extra Details
a. Are you physically disabled? No
b. Are you medically fit? Yes
c. Have you been ever dismissed from the No
services?
d. Whether you ever were/are a government No
servant?
e. Do you have any relative working in IIT Jammu? No
IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 2/4
7. Qualifications
School,
Type of Joining Passing % / Out of
Degree Specialization College,
Board/University Year Year CGPA %/CGPA
Institute
GOVT
COLLEGE
ELECTRONICS
OF ENGG
AND
AND
B. E. COMMUNICAT State University 2011 2015 66.5 100%
TECHNOLO
ION
GY JAMMU/
ENGINEERING
UNIVERSITY
OF JAMMU
12th/Diplom JAWAHAR
a (Higher MEDICAL,MAT NAVODAYA
CBSE 2010 65.4 100%
Secondary HS VIDYALAYA
Education) DODA
HINDI MATHS
JAWAHAR
10th SCIENCE
NAVODAYA
(Secondary SOCIAL CBSE 2008 74 100%
VIDYALAYA
Education) SCIENCE
DODA
ENGLISH
9. References
PARAMJEET paramjeet17@
HELPER PHE DEPTT +91-9622029161 Other
SINGH gmail.com
IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 3/4
10. Additional Information
a. If offered a position, when is the earliest you could be available to join IIT Jammu?
28/02/2018
b. Other Information
None
1. Birth certificate
2. 10th (Secondary Education) certificate
3. 12th (Higher Secondary Education) certificate
4. Qualification certificate for B. E.
12. Declaration
I, hereby declare that the information in this application and additional particulars (if any) furnished
in connection with the application are correct and true to the best of my knowledge & belief and
nothing has been concealed therein.
IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 4/4