8/12/2019 Ccl Application

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Application To Be Addressed: General Mana ger (Recruitment), Recruitment Dept., 2nd Floor Dam odar Building

CENTRAL COALFIELDS LIMITED

Darbhanga House, P.O. - Ranchi

Dist: Ranchi-834029

Jharkhand

Advertisement Ref No: GM(P&IR)/Posts/2013/1545 Dated:30.10.2013

Post Applied For: Asst. Foreman(Elect) Ref No:4476 Date 02-DEC-13

Name: Kalyan S S Bollapragada Application No:Asst. Foreman(Elect)/DEC-13/844

Father / Husband's Name: Narasimham V S S V Bollapragada Login Id: bsskalyan@gmail.com

Mother's Name: Kumari Sri Josuyula

Caste: GEN

Whether Ex-Serviceman? No Defence I-Card No:Defence Service From: Defence Service To:

Whether Physically Handicapped? No

Date of Birth 07-06-1985 Height In cm

Sex M Years of Experience:

Acadamic Qualification: Matric or Equivalent Complied: Yes

Technical Qualification: Diploma in Electrical Engg. (3 Yrs Course) Complied: Yes

Professional Qualification: Complied: Yes

Statutory Certificate Details

Statutory Certificate - 3: E l e c t r ic a l S u p e r v i s o r s h i p C e r t if ic a t e V a l id f o r M i n e s Complied: 31-10-2013

Address for Communication

Address-1 D r N o 1 5 - 1 0 - 2 , S r i K r i s h n a N a g a r , M a h a r a n i p e t a , V is a k h a p a t n a m Address-2

Post Office: Maharanipeta Town/city: Pincode: 530002

District: Visakhapatnam State: Andhra Pradesh

Telephone: 08912544909 Mobile: 08374450220

Permanent Address

Address-1 D r N o 1 5 - 1 0 - 2 , S r i K r i s h n a N a g a r , M a h a r a n i p e t a , V is a k h a p a t n a m Address-2

Post Office: Maharanipeta Town/city: Pincode: 530002

District: Visakhapatnam State: Andhra Pradesh

Telephone: 08912544909 Mobile: 08374450220

Employment Exchange Registration Details.

Registration No: Exchange: Yr of Registration: 0

Bank DD Details

DD Amount: 100 DD No: 146378 DD Issue Date: 30-11-2013

Issuing Bank: karur vysya bank Issuing Branch: pidaparthivari st

Qualification Details

Sl Examination Passed Stream Year of Duration of Name of The Institute Board/University Division/ %age

No P a s s i n g Course Grade

1 Diploma EEE 2003 3 Years C o l D S R a j u P o l y te c h n i c P o d u r u SBTET First 64.85

2 BTech EEE 2007 3 Years D r P a u l R a j E n g g C o l le g e B h a d r a c h a l a m JNTUH First 61.13

3 MTech EEE 2011 2 Years GMR IT Rajam JNTUK First 71

Experience Details.

Sl Organization Name. Organization Type. Emp No. Post Held. From Date To Date Description.

I do hereb y declare that all statementsmade in this application is true to the best of my k nowledge and belief. In the ev ent of any particular or information,"furnished by me,

f o u n d f a l s e o r i n c o r r e c t ,m y c a n d i d a t u r e i s l ia b l e t o b e r e j e c t e d o r c a n c e l l e d a n d i n t h e e v e n t o f a n y s t a t e m e n t / in f o r m a t i o n f o u n d f a l s e e v e n a f t e r a p p o i n t m e n t , m y s e r v i c e s a r e l ia b l e

to be terminated without any notice".

Instructions to the Candidate

1. Paste your photograph manually if you are unable to upload via online

2. Please ensure you sign the application form

3. Please ensure you paste your recent colour passport size photograph

Signature of the Candidate

(Kalyan S S Bollapragada)

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