S G INDIA

Central Recruitment & Promotion

DepartmentAPPLICATION FORMAT FOR
RECRUITMENT(ONE FORM FOR ONE POST
ONLY)

1. Post Applied For :RESEARCH/ANALYST

MANOJ CATEGORYGEN/SC/ST/OBC OBC

NAME KUMAR PATEL
SANTOSH SINGLE
FATHER/HUSBANDNAME KUMAR PATEL MARITIALSTATUS

OCT 24,1992 INDIAN

DATE OF BIRTH NATIONALITY

MALE 26 YEAR
AGE AS ON 1stAug. 2019
SEX

ADDRESS
OFCORRESPONDENCE PERMENENT ADDRESS
Manoj Patel, Room -C/808, 57,Bataiya,Thama-Ramnagar, Distt-
Hostel-16, IIT Bombay, Satna,M.P 485881
Powai, Maharashtra
ADDRESS
manojkpatel@iitb.ac.in manojkumarpatel14@gmail.com
EMAILADDRESS

MOBILENUMBER 9589754738 9074827957

4Academic Qualifications in descending order

 NAMEOFUNIVERSITY/INSTITUTE YEAR OF % of
S.NO. EXAM PASSED PASSING Marks/Grade
Master of Shri Govindram Seksaria 2018 7.64
Engineering Institute of Technology and
1 (Mechanical) Science
Bachelor of Rajiv Gandhi Proudyogiki 2013 74.8%
Engineering Vishwavidyalaya
2 (Production
Engineering)
12th Class CBSE 2009 76.6%

3
10th Class CBSE 2007 71.2%

5 Experience
WORK WORKINGTO
S.NO. ORGANIZATION DESIGNATION FROMYEAR YEAR JOB DETAILS

6 ApplicationFee

A. Offlinemode
NAME OF BANK IDBI BANK
ACCOUNT NUMBER 0885102000012449
ACCOUNT NAME S & G GROUP INDIA
BRANCH IN WHICH
AMOUNT TRANSFERRED
TRANSACTION ID
AMOUNT TRANSFERRED
IFSC CODE OF BRANCH IBKL0000885
B ONLINE MODE
NAME OF BANK IDBI BANK
ACCOUNT NUMBER 0885102000012449
ACCOUNT NAME S & G GROUP INDIA
IFSC CODE IBKL0000885
TRANSFREE BANK NAME CANARA BANK
TRANSFREE BANK BRANCH IIT POWAI
TRANSACTION ID 166577920341408
AMOUNT TRANSFERRED Rs 400/-

7. Preferred centre for PreliminaryExamination:- MUMBAI

8. Preferred centre for main Examination(interview):-MUMBAI

DECLARATION
I hereby declare that the information furnished above is true, complete and correct to the

best of my knowledge and belief. I understand that in the event of my information being

found false or incorrect at any stage, my candidature/appointment shall be liable to

Cancellation/termination without notice or any compensation in lieu thereof.

PLACE:Mumbai

DATE:August 23, 2019