UPPCL AE Form 2016

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Application Form

Personal Details
Application Number:

7606

Post Applied For:

ASSISTANT ENGINEER (T) - COMPUTER SCIENCE

Name of The Candidate:

MANOJ PRABHAKAR

Father's Name:

RAJENDRA PRASAD SHASTRI

Mother's Name:

VIDYAWATI DEVI

UP Domicile:

UP

Applied in Category:

SC

Apprentice under apprentice act 1961:

No

Gender:

Male

Nationality:

Indian

Date of Birth:

23/08/1983

Age:

32

Age Months:

Age Days:

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Correspondence Address
Address Line 1:

15/66, Ekata Nagar-A

Address Line 2:

Near DMW AdminBuilding

Address Line 3:

Patiala, Punjab

District:

Patiala

State:

Punjab

Pincode:

147003

Mobile No:

9915247404

Email ID:

santosh.manoj@gmail.com

Alternate Mobile No:

9779582197

Permanent Address
Permanent Address 1:

Ali-Nagar S/o Rajendra Prasad Shastri

Permanent Address 2:

Mughalsarai

Permanent Address 3:

Near Nahar

Permanent Address District:

CHANDAULI

Permanent Address State:

Uttar Pradesh

Permanent Address Pincode:

232101

Qualifying Examination Details

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Year of
Examination

Board/School

Percentage/Grade

CBSE

52

Full Name of Institution

Percentage/Grade

Passing
10th or Equivalent Examination

1998

Date of
Qualifying Degree
Passing
Sri Guru Harkrishan College of
MCA

17/09/2008

Management Technology,

82

Patiala

Test Center Preferences

Test city 1:

Agra

Test city 2:

Varanasi

Test city 3:

Greater Noida

Fee Detail
Fee Applicable:

700

Declaration
I solemnly affirm that I have gone through and understood the eligibility condition given with the Advertisement 4/VSA/2016/AE-Computer Sc. and declare an oath that
the entries made by me in the online application are true to the best of my knowledge & belief and if at any stage, if it found to be false/incorrect/misinterpreted my
candidature may be cancelled & disciplinary action may be initiated as deemed fit by ESC/UPPCL.

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Date : 2016-04-01 10:24:54

Candidate Signature
Version 11.00.02

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