Print AGRICULTURAL SCIENTISTS RECRUITMENT BOARD (ASRB) Indian Council of Agricultural Research (ICAR) COMPETITIVE EXAMINATION FOR RECRUITMENT TO POSTS OF ASSISTANTS - 2014 APPLICATION FORM Registration No 979366 Candidate Name Mr. GAUTAM KUNAL Father Name ASHOK KUMAR VARMA Gender Male Date of birth 25-Dec-1988 Category OBC (OTHER BACKWARD CLASS) A Person with Disability (PwD) No Age As on 29/9/2014 25 years, 9 months, and 4 days Are you seeking age relaxation No Age relaxation In Indicate your Caste/Tribe/Community as given in SC/ST/OBC Certificate OBC Citizen of India Yes Permanent Address C/O ASHOK KUMAR VARMA City/Village/Mandal INDAUT HOUSE NO 40 District NALANDA Pincode 801302
Print AGRICULTURAL SCIENTISTS RECRUITMENT BOARD (ASRB) Indian
Council of Agricultural Research (ICAR) COMPETITIVE EXAMINATION FOR
RECRUITMENT TO POSTS OF ASSISTANTS - 2014 APPLICATION FORM
Registration No979366
Candidate NameMr. GAUTAM KUNAL Father NameASHOK KUMAR VARMA
GenderMale Date of birth25-Dec-1988 Category OBC (OTHER BACKWARD
CLASS) A Person with Disability (PwD) No Age As on 29/9/2014 25
years, 9 months, and 4 days Are you seeking age relaxation No Age
relaxation In Indicate your Caste/Tribe/Community as given in
SC/ST/OBC Certificate OBC Citizen of IndiaYes Permanent AddressC/O
ASHOK KUMAR VARMA City/Village/MandalINDAUT HOUSE NO 40
DistrictNALANDA Pincode801302 StateBIHAR Present AddressC/O
SHISHMANI KUMARI City/Village/MandalR H S COMPLEX DENDUA DistrictPO
SALANPUR ,BURDWAN Pincode713357 StateWEST BENGAL Email
[email protected] Mobile No8447320663 Telephone No(Land
line) - Examination Center Opted For Preliminary Examination
Center1: Delhi Center2: Bhopal Center3: Lucknow Examination Center
Opted For MAINS Assistant Examination Delhi Medium Of Examination
For Assistant Mains Exam English Particulars of Examination Passed
Matriculation (10th) / Intermediate (12th) Examination LevelClass
(or) Division OGPA (%) Date of Passing Name of the University/Board
Matriculation level (10th)Ist69.115-Dec-2005BSEB Intermediate level
(12th)Ist69.82-Sep-2007JAC Graduation Examination Level Class (or)
Division Subject of SpecalisationOGPA (%) Date of Passing Name of
the University B.TechIstECE73.511-Jun-2013NIT TRICHY Masters Degree
Examination Level Class (or) Division Specialization as indicated
in Master's Degree Certificate OGPA (%)Date of PassingName of the
University If you have at any time been employed, give details
including present employment. NO Have you ever been
debarred/disqualfied by the ICAR/ASRB or any Public Service
Commission exam./selections? NO
