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Application for Recruitment (RECRUITMENT OF JUNIOR ENGINEER (CIVIL/

ELECTRICAL) IN ESI CORPORATION)

Post applied for :- Junior Engineer (Civil) Registered Reference No.:- 1101119700

Personal Details

Name:- GEORGE MATHEWS

Father Nam e:- VALLABH SHEPHERD Email ID:- GEORGEMATHEWS777@GMAIL.COM

Mother's Name:- RITA SHEPHERD Mobile Number:- 9452963277

Gender:- Male Category:- General

Date of Birth:- 18/11/1990

Married?(Y/N)" No Nationality:- Indian

Are you Govt.Employee No Centre of Examination. Kanpur

Sub Category: Sub Category Name:

Qualification Deatils

Course/Degree/Certificate Subjects Institute/University/Board Name% of Marks

/Grade

Year of

Passing

10th SCIENCE UP BOARD 63.33 2005

12th SCIENCE PCM UP BOARD 72.00 2007

Graduation

(DIPLOMA IN CIVIL)CIVIL ENGG. BTE UP LUCKNOW 76.64 2010

Experience Deatils

Name of Employer Designation From To Nature of Duties Experience

YY MM DD

M/S ABHILASHA

CONSTRUCTIONJE (CIVIL) 01/09/2010 15/06/2013

SUPERVISION OF

ROAD2 9 14

.

Total

Year

Total

Monts

Tota

Days

2 9 14

Correspondence Address Permanent Address-

Address :I-466 WORLD BANK COLONY

BARRAAddress :

I-466 WORLD BANK COLONY

BARRA

City : KANPUR City : KANPUR

Distt. : KANPUR NAGAR Distt. : KANPUR NAGAR

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State : Uttar Pradesh State : Uttar Pradesh

Pincode : 208027 Pincode : 208027

Declaration:-

I hereby declare that the particulars filled are true, correct and complete to the best of my knowledge and belief and

nothing has been concealed. In case any of the information is found to be false, incorrect or misleading at any stage I

shall have no claim against cancellation of my candidature and/or taking other legal action as deemed fit by ESIC.

Signature of the Applicant

" For any clarification or issue, please email to esicje2015@gmail.com"