Application of Job: SSC [GS(ELECTRICAL)],SSC [GS(ENGINEERING)],SSC [SSC(HYDRO)],SSC

[SSC{GS(X)}],SSC [SSC(NAIC)],SSC [SSC(OBS)],SSC [SSC(LOG)],SSC [SSC(EDU)],SSC

[SSC(PILOT)],SSC [SSC(IT)] - 06/2021

Application No: SNI216F002929 Application Date: 27/12/2020

PRIORITY

1. SSC [SSC(NAIC)] 06/2021

2. SSC [SSC(PILOT)] 06/2021
3. SSC [SSC(LOG)] 06/2021
4. SSC [SSC(EDU)] 06/2021

PERSONAL PARTICULARS

Name: SUPRIYA NIVRUTTI KOLHE

Father's/Mother's Name: SEEMA
Guardian's Name:
Nationality: INDIAN
Identification Mark 1: MOLE ON RIGHT WRIST
Identification Mark 2: ---------
Pancard: GQRPK0910A
Date of Birth: 23/07/1997

EDUCATION PARTICULARS

Details of Graduation

Second Highest Candidate Status

B.E Stream : COMPUTER SCIENCE Completed Final Year
Qualification : :
LOKMANYA TILAK
Candidate Type : Diploma University Name : MUMBAI UNIVERSITY College Name : COLLEGE OF
ENGINEERING
PERCENTA
Marks Available In : College State : MAHARASHTRA College District : THANE
GE
Aggregate
Aggregate Percentage
61.34 Percentage of all 61.34 Passing Year : 2018
till 5 semester :
semester :

Details of 12th Commerce/humanity/Diploma in Science

Total Marks: 1700 Marksheet Serial Number: 1201120027
Obtained Marks: 1186 State Conduct: MAHARASHTRA
Percentage: 69.76 Board Conduct: Maharashtra State Board of Secondary and
Higher Secondary Education

Details of 10th

Total Marks: 550 Marksheet Serial Number: 002797

Obtained Marks: 427 State Conduct: MAHARASHTRA
Percentage: 77.64 Board Conduct: Maharashtra State Board of Secondary and
Higher Secondary Education

MILITARY RECORD

Have you ever been enrolled in

NO
Armed Forces before?:
Have you attended
any Services
NO
Selection Board
(SSB) before?:
Have you been
discharged from
NO
Armed forces
before?:

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: ROOM NO. 1383,NARAYAN NAGAR Address 2: CHINCHPADA,NEAR PARITOSH HOUSE,AMBARNATH

State: MAHARASHTRA District: THANE Pincode: 421501
Phone No.: 9022530080 Mobile No.: 9022530080
supriya23797@gma
Email id: supriya.2371997@gmail.com Alternate Email id:
il.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 8329935828

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.