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    Lucky

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    Pawde Chakradhar
    1. Laxman Madukar Deshmane applied for the post of Stipendiary Trainee (CAT-I) in the Civil discipline with post code TR-14. 2. He is a 22 year old, single, OBC male from Maharashtra with a diploma in civil engineering from Government Polytechnic College Nanded. 3. He declared all information on the application form is true and understands his candidature may be cancelled if any information is found to be false.

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    Lucky

    Uploaded by

    Pawde Chakradhar
    31 views2 pages
    1. Laxman Madukar Deshmane applied for the post of Stipendiary Trainee (CAT-I) in the Civil discipline with post code TR-14. 2. He is a 22 year old, single, OBC male from Maharashtra with a diploma in civil engineering from Government Polytechnic College Nanded. 3. He declared all information on the application form is true and understands his candidature may be cancelled if any information is found to be false.

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    1. Laxman Madukar Deshmane applied for the post of Stipendiary Trainee (CAT-I) in the Civil discipline with post code TR-14. 2. He is a 22 year old, single, OBC male from Maharashtra with a diploma in civil engineering from Government Polytechnic College Nanded. 3. He declared all information on the application form is true and understands his candidature may be cancelled if any information is found to be false.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views2 pages

    Lucky

    Uploaded by

    Pawde Chakradhar
    1. Laxman Madukar Deshmane applied for the post of Stipendiary Trainee (CAT-I) in the Civil discipline with post code TR-14. 2. He is a 22 year old, single, OBC male from Maharashtra with a diploma in civil engineering from Government Polytechnic College Nanded. 3. He declared all information on the application form is true and understands his candidature may be cancelled if any information is found to be false.

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    Application Form

    Application Registration No. 2331013320

    Post Category STIPENDIARY TRAINEE (CAT-I)

    Post code/Post Applied For TR-14 / STIPENDIARY TRAINEE

    Discipline CIVIL

    Applicant Name DESHMANE LAXMAN MADUKAR

    First Name LAXMAN

    Middle Name MADUKAR

    Surname DESHMANE

    Father's Name MADUKAR

    Mother's Name LATABAI

    Marital Status SINGLE

    Date of Birth (DD-MM-YYYY) 25-11-2000

    Age as on 22-05-2023 22 years, 5 months and 28 days

    Gender MALE

    Category OBC(NON-CREAMY LAYER)

    Name of Caste: MALI

    Caste Certificate No. : 1224

    Issue Date of caste certificate : 13-08-2013

    Serial number of caste as per Central List : 1467

    Religion HINDU

    Nationality INDIAN

    State of Domicile MAHARASHTRA

    Are you from PwBD (Persons with Benchmark Disabilities)


    NO
    category?

    Are you presently employed? NO

    Communication Details

    Correspondence Address BHANGAPUR, SAILU, PARBHABI


    BHANGAPUR ,SAILU ,PARBHANI

          City / Village BHANGAPUR


          District PARBHANI
          State MAHARASHTRA
          Pincode 431503

    Permanent Address BHANGAPUR, SAILU, PARBHABI


    BHANGAPUR ,SAILU ,PARBHANI

          City/Village BHANGAPUR
          District PARBHANI
          State MAHARASHTRA
          Pincode 431503

    Mobile No. 7219774298

    E-Mail ID [email protected]
    Aadhaar No. XXXXXXXX1842

    Educational Details

    Candidates who have their marks in CGPA should convert them into percentage.

    Maximum Obtained Duration of Month & Year


    Qualification Discipline/Degree Name of School/College/Board Percentage
    Marks Marks Course of Passing

    SSC -- AURANGABAD BOARD 500 437 87.40 -- 03-2016

    HSC -- AURANGABAD BOARD 650 392 60.31 -- 02-2018

    GOVERNMENT POLYTECHNIC
    Diploma DIPLOMA (CIVIL) 1900 1573 82.79 3 04-2021
    COLLEGE NANDED

    Centre For Examination (City Preferences)

    Preference 1 : PUNE Preference 2 : NASHIK Preference 3 : NAGPUR

    Payment Details:

    Payment Mode Transaction Id Amount Transaction Date

    ONLINE PAYMENT 8367321952613 150 22-05-2023

    157.33.4.134

    22-05-2023 10:37PM

       Declaration :
           I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any
    information being found false at any stage or not satisfying the eligibility criteria according to the requirements of the post, my candidature/ appointment is liable to be
    cancelled/terminated.

    (Signature of the candidate)

    Name of the candidate: DESHMANE LAXMAN MADUKAR

    Application Registration No.: 2331013320

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