Application of Job: SAILOR [AA],SAILOR [SSR] - 08/2021

Application No: SSA218120239828 Application Date: 01/05/2021

PRIORITY

1. SAILOR [AA] 08/2021

2. SAILOR [SSR] 08/2021
Considered for AA Submarine specialisation : Yes

PERSONAL PARTICULARS

Name: MOHIT KUMAR DWIVEDI

Father's/Mother's Name: SUNITA DWIVEDI
Guardian's Name: RAJENDRA MANI DWIVEDI
Nationality: INDIAN
Identification Mark 1: MOLE ON FACE
Identification Mark 2: MOLE ON RIGHT HAND
Pancard: HBAPD7709B
Date of Birth: 11/12/2001

EDUCATION PARTICULARS

Details of Graduation

AWADESH PRATAP
Second Highest SINGH UNIVERSITY
B.Sc Marks Available In : PERCENTAGE University Name :
Qualification : REWA MADHYA
PRADESH
NEW SIENCE COLLEGE
Stream : Maths College Name : REWA MADHYA
PRADESH
Completed
Candidate Status : Percentage : 62.36 College State : MADHYA PRADESH
Final Year
Candidate Type : Regular Passing Year : 2020 College District : REWA

Details of 12th Science

 Subjects Total Marks Obtained Marks

English 100 65

Hindi 100 90

Physics 100 89

Chemistry 100 82

Maths 100 86

Total Marks: 500 Marksheet Serial Number: 273528698

Obtained Marks: 412 State Conduct: MADHYA PRADESH
Percentage: 82.40 Board Conduct: State Board

Details of 10th

Total Marks: 600 Marksheet Serial Number: 0428362

Obtained Marks: 516 State Conduct: MADHYA PRADESH
Percentage: 86.00 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: VILLAGE BHAINSARHA Address 2: VILLAGE BHAINSARHA

State: MADHYA PRADESH District: SIDHI Pincode: 486776
Domicile: MADHYA PRADESH Phone No.: 9669957650 Mobile No.: 9669957650
Email id: mohitkumardwivedi96@gmail.com Alternate Email id: mohitkumardwivedi96@gmail.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 9669957650

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.