Application of Job: NCO [MR (HYGIENIST)],NCO [MR(STEWARD)],NCO [MR(CHEF)] - 04/2019

Application No: MRS194053011N Application Date: 25/06/2018

PRIORITY

1. NCO [MR(STEWARD)] 04/2019

PERSONAL PARTICULARS

SUSHIL POPAT
Name:
KAMBALE
Father's/Mother's Name:
Guardian's Name:
Identification Mark 1:
Identification Mark 2: ---------
Nationality: INDIAN
Aadhaar/Enrolment No.: ---------
Central/State Govt. Issued Photo ---------
ID:
Date of Birth: 27/03/1999

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 63

Physics 100 39

Chemistry 100 42

Maths 100 36

Biology 100 70

Total Marks: 550 Marksheet Serial Number: 049518

Obtained Marks: 288 State Conduct: MAHARASHTRA
Percentage: 52.36 Board Conduct: State Board

Details of 10th

Total Marks: 500 Marksheet Serial Number: 067083

Obtained Marks: 426 State Conduct: MAHARASHTRA
Percentage: 85.20 Board Conduct: State Board

MILITARY RECORD
Have you ever been enrolled in Armed Forces before?: NO
Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: HARIJAN VASATI Address 2: NADI VES MHAISAL

State: MAHARASHTRA District: SANGLI Pincode: 416409
Domicile: MAHARASHTRA Phone No.: --------- Mobile No.: 8390296367
Email id: kamblesushil2018@gmail.com Alternate Email id: ---------

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: ---------

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.