Application Form

Section-I Personal Detail

Registration No. : 878215

Vacancy No. : 171/23
Post Applied For : 171/23
Name of the Post : Draftsman
Post Type : Contractual
Name of the Candidate : Karan Kumar
Sex : MALE
Father/Husband Name : Atul Kumar Verma
Date of Birth : 08/06/2000
Permanent Address : Chanakya Colony, Road No - 4,
Parsa Bazar, Patna
Post - Kurthoul
Pin - 804453
PS- Parsa Bazar
Permanent Address State: BIHAR
Correspondence Address : Chanakya Colony, Road No - 4,
Parsa Bazar, Patna
Post - Kurthoul
Pin - 804453
PS- Parsa Bazar
Correspondence Address State: BIHAR
Contact Phone No : 9798835379
Mobile No. : 9973577569
Email ID : ias20259973@gmail.com
Category : SC
Applied Category : SC
Total Experience : 4 Year(s), 0 month(s)
Religion : HINDU
Nationality : INDIAN
Identity Proof : Adhar Card NO:- 814399136945
Language : Hindi and English
Areas of Specialization :
Have you appeard before in RITES NO
recruitment process :
Person With Disability : NO
J&K Domicile : NO
Defence Service Personnel NO
Disabled in Operation :
Ex-Servicemen : NO
ECOs/SSCOs : NO
Rites Employee : NO
Interview Centre : JAIPUR
 Section-III Professional Experience Detail(in chronological order)
Sr.N Organization Position Held Pay From To Experience Job
o. Scale/Salary Description
drawn (in
lakhs)
1 Afcons Clerk 1 15/06/2018 16/06/2022 4 Year(s), 0 Like but not
Private month(s), 1 nice job.
Limited day(s)

I hereby declare that all statements/details furnished by me in this application are true, complete and correct
to the best of my knowledge and belief. I have ensured that I satisfy all the eligibility criteria stipulated in the
advertisement.
I understand that in the event of any information being found untrue or incorrect at any stage or I am not
satisfying any of the eligibility criteria stipulated, my candidature is liable to be summarily cancelled.

Candidate Signature