Application of Job: SAILOR [AA],SAILOR [SSR] - 02/2020

Application No: SSR202130307594 Application Date: 09/07/2019

PRIORITY

1. SAILOR [SSR] 02/2020

PERSONAL PARTICULARS

VRUSHABH VASANTA
Name:
BARASKAR
Father's/Mother's Name: VASANTA BARASKAR
Guardian's Name:
Nationality: INDIAN
Identification Mark 1: MOLE ON CHEST
Identification Mark 2: ---------
Pancard: ---------
Date of Birth: 31/03/2001

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 62

Physics 100 35

Chemistry 100 41

Maths 100 35

Computer Science 200 120

Total Marks: 600 Marksheet Serial Number: 121329

Obtained Marks: 293 State Conduct: MAHARASHTRA
Percentage: 48.83 Board Conduct: State Board

Details of 10th

Total Marks: 500 Marksheet Serial Number: 136526

Obtained Marks: 374 State Conduct: MAHARASHTRA
Percentage: 74.80 Board Conduct: State Board

MILITARY RECORD
Have you ever been enrolled in
NO
Armed Forces before?:
Have you been
discharged from
NO
Armed forces
before?:

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: OLD MHADA COLONY Address 2: BEHIND HANUMAN MANDIR WARDHA

State: MAHARASHTRA District: WARDHA Pincode: 442001
Domicile: MAHARASHTRA Phone No.: 8668703062 Mobile No.: 8668703062
vrushabhbaraskar2001@gmail
Email id: Alternate Email id: ---------
.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: ---------

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.