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Applicant Details

Personal Details

Application Sequence Candidate's Name


No
PUTTA VIJAY
CIL157057

Father's Name Mother's Name


PUTTA SHANKARAIAH PUTTA LAXMI

Marital Status Aadhaar Number Visible Identification


Unmarried 775180903347 Mark
A MOLE ON THE
LEFT CHEEK

Nationality Have You ever been arrested,prosecuted,convicted by


Indian court of law?
No

Post Applied Details

Post Applied Post Code Center Choice 1 Center Choice 2


Mining 11 Hyderabad Warangal
Center Choice 3 Category Category Declaration Gender
Guntur OBC(NCL) I confirm that I Male
belong to the
Category selected
above, and I agree
Date of Birth (DD-MM-
that any YYYY) same as
deviation/discrepan Matriculation/
found at a later Secondary Certificate
stage will lead to 25/Aug/1998
cancellation of my Age as on 01.04.2020
candidature
21 7 7
Years Month Days

Are you Person with


disability (PWD) (degree
of disability 40% or
above)?
No
Are you medically fit, other than
the declared disability?
Yes

Are you an Ex-Service


man?
No

Were you originally Are you an employee of


domiciled in the state of Coal India or its
Jammu and Kashmir subsidiary companies ?
between 01.01.1980 No
and 31.12.1989 ?
No
Are you a Government /
Semi-Govt. / Public
Sector Undertaking /
Autonomous body
other than coal India
limited and
subsidiaries?

Contact
No Details

Mobile Number Email ID


8985962646 puttavijay963@gmail.com

Present Address
Address Line 1 Country State District
KHANAPUR India Telangana Karimnagar
MANTHANI
PEDDAPALLI

Pin Code
505184

Permanent Address

Address Line 1 Country State District


KHANAPUR India Telangana Karimnagar
MANTHANI
PEDDAPALLI

Pin Code
505184

Matriculation (10th) Details

Name of the Board/Council Year Of Passing


BOARD OF SECONDARY EDUCATION 2014
ANDHRA PRADESH

Subject Combination Percentage of Marks


TELUGU ,HINDI ,ENGLISH,SCIENCE 88

Intermediate (12th) Details

Name of the Board/Council Year Of Passing


STATE BOARD OF TECHNICAL EDUCATION 2017
AND TRAINING

Subject Combination Percentage of Marks


MINING ,MATHS ,ENGLISH 85.58
Graduate Degree Details

Please Select status of Degree Name Discipline Institute Name


Qualifying Degree B.Tech Mining Engineering JAWAHARLAL
Appearing NEHRU
TECHNOLOGICAL
UNIVERSITY
Year of Passing
HYDERABAD
2020

Payment Details

Amount Payment Status Payment Transaction


1000 S No.
CPX7646735

Candidate Documents/Images Upload Details

Photo

I Confirm that I have uploaded my Photograph

Signature

I Confirm that I have uploaded my Signature


Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in
the detailed advertisement of Recruitment of Management Trainees Advt. No. 01/2019 in CIL
website. I further declare that, I have never been debarred from applying for any Government job.

Version 13.07.01

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