Application MRE204240235330 PDF

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Application of Job: SAILOR [MR(CHEF)],SAILOR [MR(STEWARD)],SAILOR [MR (HYGIENIST)] -

04/2020

Application No: MRE204240235330 Application Date: 30/07/2019

PRIORITY

1. SAILOR [MR (HYGIENIST)] 04/2020


2. SAILOR [MR(STEWARD)] 04/2020
3. SAILOR [MR(CHEF)] 04/2020

PERSONAL PARTICULARS

Name: SIDDHANT SHUKLA


Father's/Mother's Name: SWAMI NATH SHUKLA
Guardian's Name:
Nationality: INDIAN
Identification Mark 1: BLACK SPOT ON CHEEK
Identification Mark 2: CUT ON RIGHT HAND
Pancard: ---------
Date of Birth: 02/01/2001

EDUCATION PARTICULARS

Details of 10th

Total Marks: 600 Marksheet Serial Number: 204523


Obtained Marks: 407 State Conduct: UTTAR PRADESH
Percentage: 67.83 Board Conduct: State Board

MILITARY RECORD

Have you ever been enrolled in


NO
Armed Forces before?:
Have you been
discharged from
NO
Armed forces
before?:

COMMUNICATION PARTICULARS
Details of Permanent Address

Address 1: NOORPUR POST B B SINGH Address 2: B B SINGH


State: UTTAR PRADESH District: GONDA Pincode: 271126
Domicile: UTTAR PRADESH Phone No.: 9565680047 Mobile No.: 9565680047
[email protected]
Email id: Alternate Email id: ---------
om

Details of Correspondence Address

Same as Permanent Address


Alternate Mobile Number: 9628868457

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.

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