Government of Maharashtra Water Resources Department / vierdvar faut Candidate Personal Details/Saqanna aaattes might Candidate Photo Application Status Registration Application Number PaymentSuccess Number/atequht wae = 07017352 SEVUM0077872 Candidate's Name/ wigan ae KARISHMA JITENDRA AHIRE Date of Birth/a*™T Gender/fet Have you ever Rater Female changed your 03/Sep/1999 name? /STTea TATE Feet STR BT? No Marital Status/ Father's Name/ Mother's Name/aiga aenfge aaftrer afsaid are are Unmarried JITENDRA RANJANA Email ID/g -#at aTxgt_—- Mobile Number/ karishmaepil@gmail.c -whargerstax om 8788852668 Post Details/Waratad ried Apply Post/Tarat Name of Zonal Post Code Paster Office TRUSS 07 Civil Engineering ‘wraferard ara Level/RaR Assistant 4, Superintending Zonal Engineer (Gates), Central Designs Organisation and Zonal Officer Nashik Zone, Nashik Domicile Certificate/Birth certificate/School leaving Issuing Authority / SARRTATR WATOTA / OH STM / RTE ASAT ara Freer PeORA wrap wera Nationality / wgtaet Are you domicile of Indian Maharashtra State?/ wet werner eiearett SBE 1?Yes Candidate Caste Category/ aifgnrat ard wat aifedt Reservation Caste Category/aarnt wart Schedule Cast (SC) Caste Validity Date/ ra deren athe 08/06/2016 Certificate/Birth certificate/School leaving Issuing Authority/siftraret WTO / oH aT / ‘TT ASAT SRT Prfftra @eor=aT ‘eraferareen 2 ara EXECUTIVE MAGISTRATE DHULE Category Certificate Issuing Authority Name/aia WTO Prifta aor ‘wraferara ara SUB DIVISIONAL (OFFICER DHULE Domi Certificate/Birth certificate/School leaving Issue Date/ Rare warerea 1 oT ‘SRaeT / Ber StseaTET ‘aren Pritts eeoardt atte 12/06/2014 Dom Certificate/Birth certificate/School leaving Serial Number/aftrara WOT / OH TTT / TET ASTI SRT rae 15601 Caste Category Certificate Issue Date/ara WTO Priftra ecard area 12/09/2011 Caste Category Certificate Serial Number atte WTO ayer €/1282/2011 Candidate Identity Proof Details / SAaan sitoana await Any Identification/birth marks you want to specify?/aiam Fee we gfavd areaett wre sieaorr ar MOLE Name on Driving License/grafeg URR-aaR aa KARISHMA JITENDRA AHIRE Do you have Pan cardsamreaes ord ane ora? Yes Do you have Driving License?/ ‘grapes arrears on Yes Issuing Authority/ Pritts wort aftrercor MH18 Pan Card Number/t wre wae CYHPA4954) Name on Pan Card/ tard waa KARISHMA JITENDRA AHIRE Driving License Number/a1g4 arefavaren wart wae MH1820220003709 Date of Issue/rfftra ean atte 24/03/2022Validity of Driving License/grafes arnt deat 02/09/2039 Do you have Passport?/saeares Ureié sg wa? No Type of Driving License/grafes OAT TORE mv Do you have Bank Passbook? / qua ao Gd ome rr No Test Center District Preferences Test Center District Preference 1/08taT sarah Sx foreer eit a Nashik Test Center District Preference 2/78t&T ‘aracht x freer weit g Mumbai City Additional Details/atfattad aurea Do you want to apply under Women’s Reservation?/qreve after arearnr aferfat aret RTT ae wT? No Are you Earthquake Affected?/3iTauT ‘SORT omer BT? No ‘Are you Ward of Divyang Ex Servicemen/Martyr Ex Servicemen (Injured or Martyr in Service Period? / Get feoaia arsht Brey wrétg rh APT (aden wreaths Grenft fier wrétq) aia are sigra BT? No Are youa son/daughter of farmer who have committed suicide?/ SOT SAT RTERITTA aes geregerit ‘STBTE BT? No Are you a Part Time Employee 7/3140 SHTETA BT? No Are you meritious sport person as per Government resolution?/Waferd aera Pofarga geet Yorda Vary sera em? No Are you nominated by Freedom fighter?/ yen amifra ha one wre No Do you have Voter la2varmeeaTes ATG SETA Se wT? No Test Center District Preference 3/081aiT araoht ax freer oie 3 Pune Are you a State/Central Government Employee?/qret tsa/ Sa woe ott aga BT? No Are you Project Affected?/3iTaUT VR CTART SETA TA? No Are you an Ex Servicemen (ESM)?/ wet ast Are (esm) SETA BT? No ‘Are you PWBD i.e. Person with Benchmark Disabilities with at least 40% disability2/ ‘Wet Pwep wurst FRAT 40% ortTet oreeteh Sera one are srera wT? No Do you want to apply under Orphan Category ?/ ST SATE TET? NoWhether any FIR or Criminal case(s) has ever been registered against you?/ Have you ever had to execute any bond for keeping peace/good behaviour under security proceedings of CrP CATH: whaart wit Bede wrdaret sient fag re ATTA oe =r No Have you ever been arrested /detained in any criminal case(s)?/ ‘Were weet wroreaet Teme vena sew area Sara aire oe er No Have you ever been proceeded against by any School/College/Unive rsity in case of any Unfair means (UMQ)or any charges?/qreMeR oultel sre mada orang eat oar a8 1? No Correspondence Address/WA@aeRTa TT Address Line 1/37 ites 1 PN 92 MAHATMA]! NAGAR SAKRI ROAD DHULE District/ fereet Dhule Address Line 2/78 sites 2 PN 92 MAHATMAJI NAGAR SAKR] ROAD DHULE Pincode/Postal Code/ frets as 424001 Permanent Address/@TatTa WaT Address Line 1/0 iter 1 PN 92 MAHATMAJI NAGAR SAKRI ROAD DHULE District/ fareeT Dhule Address Line 2/011 sites 2 PN 92 MAHATMAJI NAGAR SAKRI ROAD DHULE Pincode/Postal Code/ frets as Have you ever been tried & convicted or acquitted by a Court of Law in any iminal case(s)?/ whore wtoranet Ween Grae wit Gee AeA en se snftr ate qerer ‘ahi oxadt aire frat Prete oxact ore? No Are you facing any iminal proceedings any court of Law in Indiazrurearetret Is there any departmental enquiry / court enquiry pending against you?/qremT fara fruits atest ararerdts aheeht weifara are re No Country/@xr India State /UT/@senft weer Maharashtra Is Permanent Address Same as Correspondence address?/@TaTe1 Tat WARAER TOASTS Se I? Yes Country/@3r India State /UTaRMf ea wee Maharashtra424001 ication Details / Waa Tree qui Do you have Knowledge of Marathi language? / Pere erst ares ATT Se 1? Yes Matriculation (10th) Details / gta (10 ah afer Name of the Passing _School/ Institute Board/ttafores: Namesarest / Hehe Hsore are ae Maharashtra State KAMLABAI GIRLS Board SCHOOL DHULE Marks Obtained / Maximum Marks / weg oredia area TT 383 500 Matriculation Matriculation Seat Month/Year of Number/Matriculatio Passing / 10 at aeitof n Roll Number Brad ag 085890 03/2014 Intermediate (12th) Details / 22 @ aut Name ofthe Board/ —_School/ Institute Feore are Name / 31@1/ Heat Maharashtra State are Board JR CITY HIGHSCHOOL DHULE Marks Obtained / Maximum Marks / uray rede ore TT 342 650 Year of Passing / orth gored at 2016 Diploma Details/fStatten aust Diploma Institute passed from Diploma in Civil 1eeatga sitet Engineering (DCE) SND POLYTECH YEOLA Marks Obtained / Maximum Marks / wear oredta area 11 609 800 Month and Year of Passing / atu grea Hisar snfor ae 06/06/2018 Percentage of Marks/CGPA/Grade / quiet caartcaPay a Percentage Percentage of Marks (%) / Toh carat (%) 76.60 Percentage of Marks/CGPA/Grade / quid catrartt ;cGPas is Percentage Percentage of Marks 1h caer 52.62 Percentage of Marks/CGPA/Grade / quid caraticaPay is Percentage Percentage of Marks 7 Yori cera 76.13Graduation Details/aqdten weit, Qualification Degree _Institute passed from Month and Year of sara ved eq sit Passing / otf Bachelor of Civil SANJIVANI COLLEGE arearer afer onfor are Engineering (BE) (OF ENGINEERING 30/07/2021 KOPARGAON Percentage of Marks/CGPA/Grade / orikh catrarfvcaray as GPA CGPAobtained/CGPA Total CGPA/E RUT CGPA Multiplying frreoret GPA Factor/CGPA TOTeT 75S 10 wew 95 Calculated Percentage from CGPA/CGPA TA Fbareteht carat Tn Experience Details/arqua quate Nameof Post cit date of End date of Length of service the held) eowvicertar seqvce! rendered as work Organisati Se giant experience/PTATaT Segue one uRUT * sa TEU Wart Seen ae Wa ae ante aiet ENGINEER! NG projects Other 13/06/2022 INDIA LTD. Payment Details / @u@ aux Amount Payment Mode Payment Status 300 online Payment Success Payment Transaction Number ZAX61550946089 Documents Upload / @MTqua Huis Ser Captured Photo Signature Document View / Download To view your copy of scanned 10th class certificate: Click here. To view your copy of scanned 12th class certificate: Click here.To view your copy of Graduation degree certificate: Click here. To view your copy of Diploma certificate: Click here. To view your copy of State Domicile Certificate: Click here. To view your copy of Caste Certificate: Click here. To view your copy of small family Certificate: Click here. To view your copy of Pan Card Click here. To view your copy of Driving License: Click here. Declaration / Hawes | hereby declare and confirm that all entries made by me in this online Application Form are correct and true to the best of my knowledge. | undertake that in case any information furnished by me is found to be false or incomplete or any material information is found to be concealed by me, my candidature may be cancelled and | understand that no claim, whatsoever shall be entertained in this regard afterwards. Al aER eifta eed eed sft ysl aed saree a, aT sifereTgs orate aetear wd Fel reer arfectigER Rik snr aes saree. Ht Be eae HI, HreaTaRe fetch Prod nfs ate fora suf sracarea srecscare een store rear mec gare ahaa sreaseury, ih Gaard xe dell wins Tepe sefOl Hen are ATOR mre I, UT Bafa eT Uys Brora era / SHH TEU ATE. I, hereby declare that all the statements made in this application form are true, complete and correct to the best of my knowledge & belief. In the event of any information being found false or incorrect, or any ineligibility being detected at any time during or after the selection process, my candidature may be cancelled and action can be taken against me by the Department. Fae ore areal H, a1 sraifa delet wd ert area nea sath aI wo, ef ont ata ona, Pras wftaear fara ae prorat aft aot safe Ge fra gard sneocare fra Paaite sora sracard oreweara Heh Sean / Prgadt ator comer wg def ars tea sai uma ga HrgaraR ata A eras ‘eh ars red. |, hereby declare that all the statements made in this application form are true, complete and correct to the best of my knowledge & belief. In the event of any information being found false or incorrect, or any ineligibility being detected at any time during or after the selection process, my candidature may be cancelled and action can be taken against me by the Department. aE TER era A, oT rata Hecht wd fur aren ae GER sath ararqee wa, Wl ont ata aga. Ras wien fear ae eto aa stra safe Ge fea gar sneacare fra Pome soa sacar sreweara Argh sAcane / Pract wlorendl ca te deel ass Bera safer ure gs AeA aha at oT ‘eel ors Bree. |, have read the advertisement and the relevant Service Rules related to this recruitment carefully and I hereby undertake to abide by them. | fulfil all the conditions of eligibility regarding age limit, educational qualifications ete. prescribed in the advertisement and relevant Rules. Ala uedieh dafte wnleerd sift safta Sar Raw wreovityder area aia anf at aie Oe Gwar ae Oat. nigeria Tye Sele gare, Merfore ora sao dafta Fran ordtaraa race ad ord rt of ec.!.am in possession of all the certificate / documents in support of my claim made above in the application form, HY stots Tye Seen rear wel Tes TATA / BUTT AS TOTS / TST ‘Smee. Information regarding examination Hall ticket/Timetable /Exam Centre / result J waiting list / document verification / appointment order will be communicated through SMS/Email only. No letter transaction shall be done through post / address. This matter is mentioned in the advertisement and | accept it. Frere / vettas ret / sree erred UsaTaUh / Pgadtt sree oretaial antec wae WHER / AER Heapach HEA. TAU HOTA VATA A GT ATT. TA ara wafgertta THe eh ane anor A se ATT ae.