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ON-LINE APPLICATION FOR RECRUITMENT OF COMMERCIAL ASSISTANT - I/II

16032
Registration # : 66202

Full Name:

Rakesh Kumar

Name of Company : Classification : State : Category : If Physically Challenged : Type of Disability : Percentage of Disability : Are you an Ex-Serviceman ? : Do you have Military Cross/Chakra or any other higher distinction ? : Actual Period of service rendered in defence services as an Exserviceman (in months) Whether you are an employee of Respective Vidyut Vitaran Nigam Limited ? : Nationality : Centre of Examination : Centre code : Application Fee / Postal Charges Details : Payment In : Transaction ID / Journal No. Branch Name : Branch Code Number : Date of Deposit : Amount :

Jaipur VVNL -RAJASTHAN BC NO NO --NO indian Jaipur 13

State Bank of Bikaner and Jaipur 834748 sfs agarwalfarm mansarover 10767 03-09-2011 300

Personal Details : Date of Birth : Age completed as on 06.09.2011 : Gender : Marital Status : Spouse Name : Spouse Date of Birth : No. of Children Before 01.06.2002 : --05-07-1982 29 MALE Unmarried

No. of Children Before 01.06.2002 : No. of Children On or after 01.06.2002 : No. of disabled children, if any : Father's Name / Husband's Name : Mother's name : Address for Correspondence :

---subhash chandra sampati devi 1/72 Sfs Agarwalfarm Mansarover Jaipur

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District : State : Pin : Permanent Address :

Jaipur RAJASTHAN 302020 Nr New Indian Sr Sc School Ghoomchakkar Nawalgarh

District : State : Pin : Contact Details: Phone No : Mobile No: Email ID : Qualification Details (as on 06.09.2011): Exam Passed Sr.Secondary / Equivalent : Graduation / Equivalent : Working Knowledge of Computers : Details of Computer Knowledge : Name of Stream biology science bsc biology Year of Passing 1999 2004 Maximum Marks 650 1350

Jhunjhunu RAJASTHAN 333042

9468855566 kulhari_r@yahoo.com

Marks Obtained 422 876 YES basic computer

% of Marks

Class / Grade First Class First Class

64.92 64.88

DECLARATION:
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements of the past, my candidature / appointment is liable to be cancelled / terminated. I am willing to serve anywhere in the area of operation of the Corporation. I undertake to abide by all the terms and conditions mentioned in the advertisement given by the Corporation.

Place: Date: 05-09-2011 Signature of Applicant

Rakesh Kumar

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank