National Institute of Technology Karnataka, Surathkal

Mangaluru-575025, Karnataka, India 17/07/2019

Application for Recruitment of Non-Teaching Postions

No:1085/Estt./2019/B2
Application No : ME16015
Payment Ref No : TXIRIS00164670
Post Applied : Technical Assistant
Department : Mechanical Engineering
Category : UR
Name of the Applicant: BALAJI K
Name of Father/Husband : KRISHNAN R
Date of Birth : 29/12/1989
Gender : Male
Ex-Sportsman : No
Ex-Serviceman : No
PWD : No
Marital Status : Single
EmailID : jbalaji1129@gmail.com
Phone Number : 9789374134
Total Work Experience : 5 Yr 10 Months
Are you employed in NITK, Surathkal : No

Communication Address Permanent Address

Line1 : 564, Lakshmi Nagar, Line1 : 564, Lakshmi Nagar,
Line2 : Tirupattur Line2 : Tirupattur
City : Vellore District City : Vellore District
State : Tamilnadu State : Tamilnadu
PinCode : 635601 PinCode : 635601
Country :India Country :India

Educational Qualifications (Start with highest degree)

Max
Qualification/ Year Marks/CGPA Percentage/
School/College Board/University Class/Division Marks/
Degree Passed Obtained CGPA
CGPA
National Institute National Institute of
Industrial First Class with
2013 of Technology Technology 9.31 10 93.10
Metallurgy Dis
Tiruchirappalli Tiruchirappalli
Government
Anna University of
Mechanical College of
2011 Technology First Class 8.49 10 84.90
Engineering Engineering
Coimbatore
Salem
 Educational Qualifications (Start with highest degree)
Max
Qualification/ Year Marks/CGPA Percentage/
School/College Board/University Class/Division Marks/
Degree Passed Obtained CGPA
CGPA
Dominic Savio
Tamilnadu State
HSC 2007 Higher First Class 1091 1200 90.91
Board
Secondary School
Dominic Savio
Tamilnadu State
SSLC 2005 Higher First Class 455 500 91.00
Board
Secondary School

Experience Details (Start with most recent)

Institute/ Post Total
From To Pay Scale Duties/Roles
Organization Held Exp(YY.MM)
Handling Theory and
Laboratory Classes for UG
and PG Mechanical
University
Engineering
College of Teaching
07/08/2013 23/06/2019 05.10 22000(Consolidated) Students,Conducting
Engineering Fellow
Assessments and Guiding
Villupuram
and monitoring students'
projects and other
institutional activities

Reference One : Reference Two :

Dr.V.Gnanamoorthi Asst. Prof./H
oD University College of Engine
ering Villupuram Kakuppam Vill
upuram - 605103 Tamilnadu 994
2005782 cvgnana@gmail.com
Mr.D.Palani Asst. Prof. Univer
sity College of Engineering Vill
upuram Kakuppam Villupuram - 6
05103 Tamilnadu 9865762565 pa
lani.dinesh@gmail.com

I hereby declare that the entries in this form are true to the best of my knowledge and belief. I understand that my
Candidature will be cancelled if any of the information is found to be false or incorrect. Further, if selected, I will
abide by the rules and regulations of the institute and also the directions given to me from time to time.

Date: 17-Jul-2019

Applicant Signature

Note: Enclose and send all the relevant self attested documents along with this application.