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BHEL Copy Acknowledgement Slip for the Post of Engineer Trainee 2013-14 in BHEL ( through GATE-2013) Ackn. No. 35018853 2013-01-21 18:27:09.0 Acknowledged Date. 2013-01-21 18:22:17.0 Gen Discipline Electrical GATE 2013 Regn NO. EE41052470 Personal Particulars Name ALIND DUBEY 35018853 Please Paste Your Photo Here & Sign across Date of Birth 09/02/1991 Gender M Marital Status Unmarried Father's Name R K DUBEY Nationality Indian Minorty Status Not Applicable Category Gen Ex-Serviceman N Years of Service 0 Physically Challenged None % (or) Decibels 0 Whether domicile in J&K between 01/01/1980 and 31/12/1989 N Address for Correspondence Address Line 1 AG 69 State Uttar Pradesh Address Line 2 CHANDANVAN Country INDIA Address Line 3 MATHURA Pincode 281001 Address Line 4 Permanent Address Address Line 1 AG 69 State Uttar Pradesh Address Line 2 CHANDANVAN Country INDIA Address Line 3 MATHURA Pincode 281001 Address Line 4 Email id [email protected] Mobile No. 96614749388 Alternate Phone No 9458030647 Educational Qualifications Graduation Degree B Tech 4 Yrs Branch Electrical Engg Month / Year of Passing JUN 2013 Name of Institute INDIAN SCHOOL OF MINES Type of Course Full Name of University INDIAN SCHOOL OF MINES Type of University Indian Total Marks 10 Total Scored 8.33 Percentage 83.3 Post Graduation Degree Branch Marks Obtained 0 Month / Year of Passing Type of Course Name of Institute Name of University Type of University Processing Fee Payment Details Challan Journal No. 014600494 Bank Branch Name SBI ISM DHANBAD CAMPUS Date 17/01/2013 Whether BHEL Employee N Staff No. 0 Unit null Designation null Present Employee Details Not Employed Preference of Posting 1) AP 2) RJ 3) BP 4) FF 5) CT Caste Name Caste State I hereby Declare that all the information given above are true to the best of my knowledge. Date: SIGNATURE Place: ( ALIND DUBEY ) Encl: BHEL Challan Copy [ ] Please tick Note: All candidates are required to use preferably copies of the same photgraph used in GATE-2013 application form, for the entire process of recruitment and selection. Hence, it is advised to keep sufficient number of copies of photograph

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Page 1: 123

BHEL Copy

Acknowledgement Slip for the Post of Engineer Trainee 2013-14 in BHEL ( through GATE-2013)

Ackn. No. 35018853 2013-01-21 18:27:09.0 Acknowledged Date. 2013-01-21 18:22:17.0 GenDiscipline Electrical GATE 2013 Regn NO. EE41052470

Personal ParticularsName ALIND DUBEY

35018853

Please Paste Your PhotoHere & Sign acrossDate of Birth 09/02/1991

Gender M

Marital Status Unmarried

Father's Name R K DUBEY

Nationality Indian

Minorty Status Not Applicable

Category Gen

Ex-Serviceman N Years of Service 0

Physically Challenged None % (or) Decibels 0

Whether domicile in J&K between 01/01/1980 and 31/12/1989 N

Address for CorrespondenceAddress Line 1 AG 69 State Uttar Pradesh

Address Line 2 CHANDANVAN Country INDIA

Address Line 3 MATHURA Pincode 281001

Address Line 4

Permanent AddressAddress Line 1 AG 69 State Uttar Pradesh

Address Line 2 CHANDANVAN Country INDIA

Address Line 3 MATHURA Pincode 281001

Address Line 4

Email id [email protected]

Mobile No. 96614749388 Alternate Phone No 9458030647

Educational QualificationsGraduation

Degree B Tech 4 Yrs Branch Electrical Engg

Month / Year of Passing JUN 2013

Name of Institute INDIAN SCHOOL OF MINES Type of Course Full

Name of University INDIAN SCHOOL OF MINES Type of University Indian

Total Marks 10 Total Scored 8.33 Percentage 83.3

Post Graduation

Degree Branch

Marks Obtained 0

Month / Year of Passing Type of Course

Name of Institute

Name of University Type of University

Processing Fee Payment DetailsChallanJournal No.

014600494

Bank BranchName

SBI ISMDHANBADCAMPUS

Date 17/01/2013

Whether BHELEmployee

N Staff No. 0 Unit null Designation null

PresentEmployeeDetails

Not Employed

Preference ofPosting

1) AP 2) RJ 3) BP 4) FF 5) CT

Caste Name Caste State

I hereby Declare that all the information given above are true to the best of my knowledge.Date: SIGNATURE

Place: ( ALIND DUBEY )

Encl: BHEL Challan Copy [ ] Please tickNote: All candidates are required to use preferably copies of the same photgraph used in GATE-2013 application form, for the entire process of recruitment and selection.Hence, it is advised to keep sufficient number of copies of photograph

Page 2: 123

Applicant Copy

Acknowledgement Slip for the Post of Engineer Trainee 2013-14 in BHEL ( through GATE-2013)

Ackn. No. 35018853 2013-01-21 18:27:09.0 Acknowledged Date. 2013-01-21 18:22:17.0 GenDiscipline Electrical GATE 2013 Regn NO. EE41052470

Personal ParticularsName ALIND DUBEY

35018853

Please Paste Your PhotoHere & Sign acrossDate of Birth 09/02/1991

Gender M

Marital Status Unmarried

Father's Name R K DUBEY

Nationality Indian

Minorty Status Not Applicable

Category Gen

Ex-Serviceman N Years of Service 0

Physically Challenged None % (or) Decibels 0

Whether domicile in J&K between 01/01/1980 and 31/12/1989 N

Address for CorrespondenceAddress Line 1 AG 69 State Uttar Pradesh

Address Line 2 CHANDANVAN Country INDIA

Address Line 3 MATHURA Pincode 281001

Address Line 4

Permanent AddressAddress Line 1 AG 69 State Uttar Pradesh

Address Line 2 CHANDANVAN Country INDIA

Address Line 3 MATHURA Pincode 281001

Address Line 4

Email id [email protected]

Mobile No. 96614749388 Alternate Phone No 9458030647

Educational QualificationsGraduation

Degree B Tech 4 Yrs Branch Electrical Engg

Month / Year of Passing JUN 2013

Name of Institute INDIAN SCHOOL OF MINES Type of Course Full

Name of University INDIAN SCHOOL OF MINES Type of University Indian

Total Marks 10 Total Scored 8.33 Percentage 83.3

Post Graduation

Degree Branch

Marks Obtained 0

Month / Year of Passing Type of Course

Name of Institute

Name of University Type of University

Processing Fee Payment DetailsChallanJournal No.

014600494

Bank BranchName

SBI ISMDHANBADCAMPUS

Date 17/01/2013

Whether BHELEmployee

N Staff No. 0 Unit null Designation null

PresentEmployeeDetails

Not Employed

Preference ofPosting

1) AP 2) RJ 3) BP 4) FF 5) CT

Caste Name Caste State

I hereby Declare that all the information given above are true to the best of my knowledge.Date: SIGNATURE

Place: ( ALIND DUBEY )

Encl: BHEL Challan Copy [ ] Please tickNote: All candidates are required to use preferably copies of the same photgraph used in GATE-2013 application form, for the entire process of recruitment and selection.Hence, it is advised to keep sufficient number of copies of photograph

Page 3: 123

Page 3

Cut Here ---------------------------------------------------------------------------------------- X ------------------------------------------------------------------------------------------

ACKNOWLEDGEMENT SLIP- ENGINEER TRAINEE 2013-14

Acknowledgement No. - 35018853

Discipline - Electrical______________________________From - ALIND DUBEY

AG 69CHANDANVANMATHURA

TO

MANAGER/HR (MPP & R)HR DEPARTMENT / BLDG. NO:24BHARAT HEAVY ELECTRICALS LIMITEDTIRUCHIRAPPALLI - 620 014TAMILNADU

Cut Here ---------------------------------------------------------------------------------------- X ------------------------------------------------------------------------------------------

Important:

1.Cut the above address slip and paste it on the envelope containing your signedAcknowledgement Slip and send.