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APPLICATION FORM FOR THE POST OF JUNIOR ENGINEER/20 15 1. Candidates Full Name: PAURUSH YADAV 2. Father’s Name: MR.RAMESH CHAND YADAV 3. Mother’s Name: MRS.PREETI YADAV 4. Date of birth(DD/MM/YYYY): 25/01/1995 Twenty fifth of January nineteen ninety five 5. Qualification: B-TECH in Civil Engineering 6. Present Address: Siddhi Vinayak College OF Science and Higher Education,E-1,B-1 M.I.A,Alwar(Rajasthan) 7. Permanent Address: Mirza Mandi ,Kalpi,District-Jalaun(U.P)285204 8. Mobile no: +919694821032 9. Address for Communication :Mirza Mandi ,Kalpi,District-Jalaun(U.P)285204 10. Gender: Male 11. Nationality: Indian 12. Category to which belongs: O.B.C 13. Employment Exchange Regd.No. if any: NIL 14. Whether employed in Department of the (Central/State govt./PSUs/Statutory etc.) :NO 15. Details of previous work experience: Fresher

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APPLICATION FORM FOR THE POST OF JUNIOR ENGINEER/2015

1. Candidates Full Name: PAURUSH YADAV2. Fathers Name: MR.RAMESH CHAND YADAV3. Mothers Name: MRS.PREETI YADAV4. Date of birth(DD/MM/YYYY): 25/01/1995 Twenty fifth of January nineteen ninety five5. Qualification: B-TECH in Civil Engineering6. Present Address: Siddhi Vinayak College OF Science and Higher Education,E-1,B-1 M.I.A,Alwar(Rajasthan)7. Permanent Address: Mirza Mandi ,Kalpi,District-Jalaun(U.P)2852048. Mobile no: +9196948210329. Address for Communication :Mirza Mandi ,Kalpi,District-Jalaun(U.P)28520410. Gender: Male11. Nationality: Indian12. Category to which belongs: O.B.C13. Employment Exchange Regd.No. if any: NIL14. Whether employed in Department of the (Central/State govt./PSUs/Statutory etc.) :NO15. Details of previous work experience: Fresher16. Additional information: Attaching 7th semester mark sheet as 8th SEM result is awaiting.

Place: Alwar (Rajasthan) Date: 12/04/2015 Signature of the Candidate