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    DVC Application Form DVC

    Uploaded by

    bittukumar9973715783

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DVC Application Form DVC

    Uploaded by

    bittukumar9973715783
    50 views3 pages

    Original Title

    Dvc Application Form Dvc

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    50 views3 pages

    DVC Application Form DVC

    Uploaded by

    bittukumar9973715783

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    Damodar Valley Corporation

    DVC Towers, VIP Road Kolkata - 700054


    PRINTED APPLICATION FORM

    Application No 246649

    Full Name BITTU KUMAR

    Mobile No 9973715783

    Alternative Number
    8507645757
    (Mobile No/LandLine No)

    Email Id [email protected]

    JUNIOR ENGINEER GR.II - JE GR.II (ELECTRICAL),


    Applied Post Name
    2024/JE2
    Do you have Surveyors’ certificate of competency issued
    SELECT
    by DGMS?
    Are you PwBD? : NO
    Are you Ex-Serviceman? : NO
    Having domicile in the State
    of Jammu & Kashmir during the NO
    Period 01.01.1980 to 31.12.1989 ?
    Are you DVC Departmental Candidate? NO
    Category OBC-NCL
    Gender MALE
    Date of birth 1 - 1 - 2003
    AGE AS ON 04/07/2024 : 21 YEARS, 6 MONTHS AND
    Age Completed
    3 DAYS
    BASIC DETAILS
    Religion to which you belong HINDU
    Nationality/Citizenship INDIAN

    Any valid govt. Identity no.


    504569349397
    (Like Aadhar no./Pan No./Passport no. etc)
    Father's name VISHWANATH GUPTA
    Mother's name RITA DEVI
    Martial Status UNMARRIED
    State of Domicile BIHAR
    Correspondence Address

    Address Vill-bhopatpur,siris Post-siris Ps-Barun Dis-Aurangabad


    State Bihar
    District Aurangabad
    PO (Post Office) Siris
    PS (Police Station) Barun
    Pincode 824112
    Nearest Railway Station Anugraha narayan road
    Permanent Address

    Address Vill-bhopatpur,siris Post-siris Ps-Barun Dis-Aurangabad


    State Bihar
    District Aurangabad
    PO (Post Office) Siris
    PS (Police Station) Barun
    Pincode 824112
    Nearest Railway Station Anugraha narayan road
    Exam City Preference 1 Patna
    Exam City Preference 2 Ranchi
    Exam City Preference 3 Kolkata

    EDUCATIONAL DETAILS
    Month School /Board Marks Secured
    Year of Mode Marking
    Qualification of /University
    Discipline/Trade Passing Division of Scheme Marks Max. % of
    Name Passing /Institution
    Exam Study Marks/Grade Obtained Marks Marks
    Exam /Technical Board
    BIHAR SCHOOL
    ALL GENERAL
    10th 04 2019 EXAMINATION FIRST yes Marks 400 500 80.00
    SUBJECT
    BOARD,PATNA

    12th Marks

    STATE BOARD OF
    Diploma Electrical 08 2022 TECHNICAL FIRST yes Marks 1673 2250 74.36
    EDUCATION,BIHAR

    Other Qualification Details

    Other 1 Marks

    Other 2 Marks

    Other 3 Marks

    Note : Candidates with CGPA gradations/Grade Scheme will have to convert the grades into marks and enter in the
    respective columns.

    WORK EXPERIENCE DETAILS


    Service Service Nature of Reason For
    Employer Name Designation Year Month Day
    From To Duty Leaving
    Total experience

    Language Known

    ENGLISH Read Write Speak

    HINDI Read Write Speak

    Other Details

    Whether College/Institution approved by AICTE? yes

    GOVERNMENT
    Name of
    POLYTECHNIC
    College/Institution
    AURANGABAD

    Are you employed in any Govt. /Semi Govt. /Public Sector Undertaking? no

    Visible marks of identification (Mole marks/Wound/Scar/Burn etc.) A MOLE ON RIGHT HAND

    Extra-Curricular Activities (Only University/District/State/National


    No
    Level):

    Details of any Criminal/Civil/Vigilance/Disciplinary case in which the


    No
    candidate is involved

    PAYMENT DETAILS
    Bank Reference Payment Transaction
    SBI Reference Id Amount Transaction Date Message
    Number Mode Status
    300 2024-06-30 Payment
    0648567399325 418212611599 UPI SUCCESS
    (INR) 17:25:10 Successful

    Declaration:
    I, do hereby declare that all the statements made in this application are true, complete, correct to the best of my
    knowledge and in the event of any information being found false, incomplete, incorrect or concealing the fact,
    my candidature may be cancelled at any stage without any notice and without assigning any reason thereof
    even after selection.

    Application Submission Date : 30-Jun-2024


    Scanned Signature of Candidate

    THE INFORMATION FURNISHED IN THE APPLICATION FORM AND ORIGINAL CERTIFICATES WILL, HOWEVER,BE
    SCRUTINIZED / VERIFIED AT THE TIME OF DOCUMENT VERIFICATION

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