Upload
nitesh-kotian
View
22
Download
1
Embed Size (px)
DESCRIPTION
Welcome to Mahavitaran - Application Form Print
Citation preview
5/20/2018 Welcome to Mahavitaran - Application Form Print
1/4
MAHAVITARAN /
RECRUITMENT OF VIDYUT SAHAYYAK /
Registration Number : 86044227
Full Name : PATHAK MILIND
RAMESH
(Candidate have to produce the documents at the time of verification of
documents )
Category / : OBC
Sub_Caste (): : PARDESI
Whether possessing Caste certificate issued by
the Competent Authority of Govt. of Maharas htra /
-?:
: YES
Whether possess ing Caste Validity certificate
issued by the Competent Authority of Govt. of
Maharashtra / -?::
: YES
If Person with Disability / : NO
Type of Disabili ty / : -Percentage of Disability / : -
Are you an Ex-Serviceman / : : NO
Are you regis tered with Dis trict Sainik Welfare Office / ?
: NO
Are you an employee of MAHAVITARAN /?
: NO
CPF Number (... ): : -
Are you a candidate who has undergone Apprentice training
in {ers twhile} MSEB/ MSEDCL / ? (inMonths / )
: {erstwhile} MSEB/MSEDCL
If Others, specify "Organisation/ Company of Apprentice
Training"/ .:
: -
Period of Training / (in Months /) : 24
5/20/2018 Welcome to Mahavitaran - Application Form Print
2/4
Are you applying under Women res ervation / ?
: NO
Do you have Non-Cream y Layer Certificate (for 01/04/2014
or date of Advertisement ) / (//)?
: YES
Validity of Non-Creamy Layer Certificate : 13-05-2014
Are you a Meritories Sports person / ?
: NO
Are you a Project Affected Person /? :
: NO
Are you a Earthquake Affected Person / ?
: NO
Are you regis tered with an Employment Exchange / ?:
: YES
If, Yes Emplyment Exchange Registration No. : 20140317C100409
Name of as Employment Exchange/ : : MILIND RAMESH PATHAK
Domicile of Maharashtra / ?
: YES
Nationality / : Indian
Application Fees Details/
Payment In/: : ONLINE(using only Master/Visa Debit orCredit Cards or Internet Banking)
Amount/ : 60.00
Payment Status : PAID
Reference ID : MSMP3474289491
Transaction Date : 04-09-2014
Personal Details / :
Date of Birth / (As per SSC / School Certificate)/../):
: 01-06-1983
Age completed as on 30.09.2014 / ..
: 31
Gender/ : MALE
Marital Status/ : Married
Father's Name / : RAMESH RAMACHANDRA PATHAK
Husband's Name / : -
Mother's Name / : KUNDA RAMESH PATHAK
Address for Correspondence / : : OM SHANTI NIWAS SHIVAJI NAGAR
: AT POST DEOLA
5/20/2018 Welcome to Mahavitaran - Application Form Print
3/4
District / : NASHIK
State / : MAHARASHTRA
Pin code / : 423102
Permanent Address / : : OM SHANTI NIWAS SHIVAJI NAGAR
: AT POST DEOLA
District / : NASHIK
State / : MAHARASHTRA
Pin code / : 423102
Contact Details /
Phone No. / : : -
Mobile No / : : +91 9423071519
Email ID / : : [email protected]
Educational Qualification Details (as on 30.9.2014 /..) ):
Exam Passed /
Name of
the School/
Institute
and Name
of the
Board/
/
Month &
Year of
Passing /
Marks
Obtained( )
Total
Marks()
% of
Marks /
Class/Grade
//
SSC / Equivalent /
:
NASHIK 03-1999 394 750 52.53 Second
Class
ITI
(Electrician/Wireman)
or Centre ofExcellence (Electrical
Sector) / (/ ) :
ITI
JALGAON
07-2001 454 700 64.86 First Class
Do you have National
Apprentices hip Certificate in
Electrical/Wireman Trade/Electrical
Sector awarded by the National
Council for Vocational Trade
: YES
5/20/2018 Welcome to Mahavitaran - Application Form Print
4/4
(NCVT), New Delhi / (),/
Do you have Marathi language as
one of the subjects in S.S.C.
Examination / ...
: YES
Other Details
Languages
Known /
Read /
Write /
Speak /
Marathi YES YES YES
HINDI YES YES YES
ENGLISH YES YES YES
, //PATHAK MILIND RAMESH . - RAMESH RAMACHANDRA PATHAK ////31 OM SHANTI NIWAS SHIVAJI NAGAR /,
) VIDYUT SAHAYYAK ( ).
) 1 () . . 1 (. (dd/mm/yy 10/09/2013 )
) .
If any information is found wrong at any stages of recruitment, then the candidature will be cancelled
automatically, and if appointed then his/her services will be terminated immediately
Place: NASHIK
Date: 04-09-2014 Signature of Applicant /
Copyright @ 2014, MahavitaranAll Rights Reserved.