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7/28/2019

GOVERNMENT OF MAHARASHTRA
MAHAPARIKSHA MUMBAI , MAHARASHTRA
Maharashtra Information Technology Corporation Ltd. (MAHA IT), 514, 5th Floor, Mantralaya,
Hutatma Rajguru Chowk, Madam Cama Road, Mumbai - 400032
E-mail:enquiry@mahapariksha.gov.in

Personal Details
Posts/Services Applied for Junior Engineer (civil), Group 'B' Non-Gazetted
Application Id WRD_JEC_0004552
First Name SHUBHAM
Middle Name BHIMRAO
Last Name BHARSHANKAR
Mother's Name UMATAI
Father's Name BHIMRAO DIWAN BHARSHANKAR
Nationality INDIAN
No of Children 0
Declaration of small familyWhether liable to be disqualified for the Governmen
t Services according to the provisions of Maharashtra Civil Services (Declarati No
on of small family) Rules, 2005?
Gender MALE
Date of Birth Aug 31, 1995
Candidate's Name SHUBHAM BHARSHANKAR
Mobile Number 7888265777
Marital Status SINGLE
Name Change Status NOT CHANGED
Changed First Name NOT APPLICABLE
Changed Middle Name NOT APPLICABLE
Changed Last Name NOT APPLICABLE
Category of the Candidate SC

Note:Candidate opting for reservation category have to provide original caste category certificate during document verification else your reservation benefits will be rejected.

Caste Certificate APPLICABLE


Caste Validity Certificate APPLICABLE
Caste Certificate Number 17293
Place of Issue YAVATMAL
Physical Disability NOT APPLICABLE
Do you have a disability Certificate(Minimum 40%)?(SADAREM) NO
One Arm affected(OA) NOT APPLICABLE
One Leg affected(OL) NOT APPLICABLE
Hearing Handicapped(HH) NOT APPLICABLE
Scribe/Assistant Needed NO
Aadhaar Number 776956993355
Are you Orphan as per Women and Child Development Department's
NOT APPLICABLE
Government Resolution No.२०११/ . . २१२/ का- ३,िद. २एि ल२०१८ ?
Select your Highest Educational Qualification Diploma-Engineering
Enrollment Number NOT APPLICABLE
Do you have MSCIT certification or equivalent certification ? YES
Marathi, Language Proficiency(READ) APPLICABLE
Marathi, Language Proficiency(WRITE) APPLICABLE
Marathi, Language Proficiency(SPEAK) APPLICABLE
Are you son/daughter of a farmer who committed suicide? NOT APPLICABLE
Non-Creamy layer certificate NOT APPLICABLE
Are you government / semi-government / local bodies employee? YES
Name of the Office/Department: COLLECTOR OFFICE YAVATMAL
Joining date: Oct 10, 2017
Domicile of Maharashtra YES
Sports Quota NOT APPLICABLE
Meritorious sportspersons Reservation: NOT APPLICABLE
Have you sent all sports certificate from director/deputy director, sport for
NO
verification?
Name Of Sports Level of Sports From date End Date Medal/Position
Address Details of the Candidate
Address Type Address
Both Permanent and Current Addr
ess VASANT NAGAR ANJI ROAD GHATANJI , DIST YAVATMAL , yavatmal,yavatmal MAHARASHTRA 445301

Educational Qualification Details


Educational Qualifica Name of the cour Qualified from Name of the Board/ Passed on Marks Obtained Marks Maximum Percentage Percentile CGPA GRADE
tion se University Name

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7/28/2019

GRADUATE B.E/B.TECH (Civil MAHARASHTRA Sant Gadge Baba A Feb 23, 2018 500 650 76.92 8.63
Engineering) mravati University
Diploma in Civil E
DIPLOMA MAHARASHTRA MSBTE Jun 12, 2014 1361 1775 76.68
ngineering
Maharashtra State B
oard of Secondary a
SSC Mar 12, 2012 342 500 68.4
nd Higher Secondar
y Education
Exam Center Details
Preferred Exam Center Location1 Preferred Exam Center Location2 Preferred Exam Center Location3
YAVATMAL AMRAVATI NAGPUR
Payment Details
Transaction Type Transaction Id Transaction Status Transaction Date Total Fees
ONLINE MAHAIT_WRD_000000008370 failure 27/07/2019 07:42 PM 300
ONLINE MAHAIT_WRD_000000008808 SUCCESS 27/07/2019 09:01 PM 300
ONLINE MAHAIT_WRD_000000008391 failure 27/07/2019 07:47 PM 300
ONLINE MAHAIT_WRD_000000008374 failure 27/07/2019 07:43 PM 300
ONLINE MAHAIT_WRD_000000008355 failure 27/07/2019 07:39 PM 300
Before logging on to the registration portal
Sr.No Undertakings
1. I have read and understood the instruction booklet carefully before filling in the form.
2. I have scanned my photograph and signature ready on my desktop confirming to the specified standards mentioned in the information Brochure.
3. I have downloaded the Online information brochure and read it carefully before filling the form.
4. I have the details for payment (Credit Card / Debit Card / Internet Banking) available with me for making Online payment.
5. I agree that my application form will be treated as complete only if I finally submit the application along with the payment of necessary fees.
6. I agree to bear the payment gateway additional charges
7. I accept to receive messages from MAHA-IT even if my mobile number falls under Opt-in and / or DND (Do Not Distrub)/ DNC(Do Not Call) category.
Before submitting the form
Sr.No Undertakings
1. I fulfill the conditions as specified in the eligibility criteria and registration guidelines.
2. All the particulars provided by me in this application are true, correct and complete to the best of my knowledge and belief.
3. I shall produce all the original documents along with the attested copies at the time of next stage of recruitment process, failing to which I will be considered as out of recruitment process.
In case any particulars given by me in this application are found to be false, incorrect and /or misleading, I shall be liable for being blacklisted or debarred from all further examinations and selection proces
4.
ses of the Soil and Water Conservation.
Printed On:28/07/2019 09:55:27 AM

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