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Application No:- PWDM1002236

maharaYT/ rajya
saava-jainak baaMQakxama ivaBaaga mauMba[- ,

kxinaYz AiBayaMtaa (sqaapatya) rajyastarIya padBartaI sana 2016

pa`ita,
maa. AQyaXa,
maharaYT/ rajya saava-jainak baaMQakxama ivaBaaga mauMba[kxinaYz AiBayaMtaa (sqaapatya) rajyastarIya padBartaI sana 2016
saMpaUNa- naava

Full Name in English


(In Capital Letters)

DHUM NITIN PUNDLIK

pa~avyavaharacaa paUNa- pattaa:

NAVRATNA APT. ROOM NO 7, BEHIND JARIMARI TEMPLE, TISGOAN,


KALYAN(EAST)

ijalha

THANE

taalauk a

KALYAN

ipana k aoD

421306

maaobaa[-la (Ba`maNaQvanaI)

8652365953

ilaMga

Male

vaOvaaihk isqataI

UnMarried

dUrQvanaI
8655504752
[--maola AayaDI

nitindhum@gmail.com

{maodvaaracaI janmataarIKa

02/07/1992

{maodvaar maharaYT/acaa raihvaasaI Aaho k aya ?


ilaMga
jaata pa`vaga{maodvaarakDo naa^na ik` maIlaoAr pa`maaNapa~a Aaho k aya ?
{maodvaar pa`k lpaga`sta Aaho k aya?
{maodvaar BaUkM paga`sta Aaho k aya ?
{maodvaar maanyataa pa`apta KaoLataIla rajya raYT/Iya staravarIla pa`aivaNya pa`apta KaoLaDU Aaho k aya ?
{maodvaar svaataM~yasaOinak naamainad-oiSata paalya Aaho k aya ?
{maodvaar ApaMga Aaho k aya ?
Asalyaasa ApaMgatvaacaa pa`k ar
{maodvaar ApaMga Asalyaasa laoKaI parIXaosaazI laoKainak acaI AavaSyak taa Aaho k aya ?
Asalyaasa laoKainak svata: AaNaNaar Aahata k aya ?
{maodvaar maajaI saOinak Aaho k aya?
Asalyaasa saSas~a dlaata Jaalaolyaa saovaocaa k alaavaQaI
{maodvaar padvaI padvaIQaark AMSak ailana Aaho k aya ?
{maodvaar maihlaa AarXaNaacaa laaBa Gao{] [icCta Aaho k aya?
{maodvaar SaasakIya kma-caarI Aaho kaya?
{maodvaar sana 1991 cao janagaNanaa kma-caarI sana 1994 naMtarcao inavaDNauk kma-caarI Aaho kaya?
vaOvaaihk isqataI
ApatyaaMcaI ekU Na saMKyaa
id.283 2005 naMtarcaI Apatya saMKyaa

Yes
Male
ST
No
No
No
No
No
No
0
No
No
//
No
No
No
No
UnMarried

Application No:- PWDM1002236


SaOXaiNak Ah-taa
SaOXaiNak Ah-taa

maMDLsaMsqaa ivaVapaIzacao naava

SaaKaa ivaYaya

maaQyaimak
{ttaINa- Saalaanta pa`maaNapa~a parIXaa(10 vaI)
{cca maaQyaimak pa`maaNapa~a parIXaa (12 vaI) {ttaINapadvaI

MUMBAI

padvyauttar padvaI
padivak a
[tar
caaOqaI

Not Applicable

parIXao
maihnaacaava vaYa2008

gauvaarI
NaaMcaI T@ko
66.00

pa`Ea`moNaaNa
aI pa~aataIla
First

MUMBAI
MUMBAI
UNIVERSITY

SCIENCE
CIVIL

2010
2016

45.45
66

Second
First

MSBTE

CIVIL

0
2013
0
0

79.32

0
Distinction
0
0

TMk laoKana saMgaNak Xao~aataIla Anya taaMi~ak padvaIpadivak a pa`iSaXaNa maaihtaI


A.k`.
(1)
(2)

tapaSaIla
maharaYT/ SaasanaacaI TMklaoKanaacaI parIXaa
(A)
marazI
(ba)
[Mga`jaI
saMgaNak Xao~aataIla Anya taaMi~ak padvaIpadivak apa`iSaXaNa maaihtaI
AByaasak` maacao naava
1
AUTO CAD
2
3
4

vaoga Sa.pa`.ima.

parIXaocaa maihnaa va vaYa2016


0
0
0

pa`apta gauNa
52

Ea`oNaI
First
0

k amaacaa AnauBava
A.k`.
1
2
3
4

k ayaa-layaacao saMsqaocao naava

QaarNa ko laolao pad

Saasaik ya Aaho k aya?


No
No
No
No

vaotana

k alaavaQaI

pa`ita&aapa~a
maI pa`maaiNata k rtaaok rtao k I, yaa Ajaa-ta namaUd ko laolaI maaihtaI baraobar AsaUna, Ajaa-ta namaUd ko laolaI sava- maUL k agadpa~ao maaJyaakDo AajaimataIsa {palabQa Aahota. Ajaa-taIla maaihtaI KaaoTI Aqavaa cauk
IcaI AaZLUna Aalyaasa
k aoNatyaahI Tppyaavar maaJaI {maodvaarI r_ hao[-la yaacaI malaa jaaNaIva Aaho. Ajaa-taIla maaihtaI pairpaUNa- nasalyaasa vaa AavaSyak tyaa parIXaa Saulk acaa Qanaak Ya- ivahIta maudtaIta Ajaa-saaobata saadr na kolyaasa
maaJaa
Aja- naak arlaa jaa[-la yaacaI malaa jaaNaIva Aaho va yaabaabata maaJaI k aoNataIhI tak` ar rahNaar naahI.

idnaaMk : 5/23/2016 1:24:03 PM


DHUM NITIN PUNDLIK

sqaL

{maodvaaracao naava va svaaXarI


({maodvaar ivavaahIta Asalyaasa KaalaIla namaunyaataIla CaoTyaa kuTuMbaacao pa`ita&aapa~a Ajaa-maQyao Baravao)
maharaYT/ naagarI saovaa (lahana ku TuMbaacao pa`ita&aapa~a) inayama 2005 Anvayao

pa`ita&aapa~a
maI Ea`I Ea`ImataI ................................................................................................................................. Ea`I Ea`ImataI..........................................................................yaaMcaa
yaaMcaI maulagaa maulagaI patnaIpataI, vaya ......... vaYa-o , rahNaar .................................................................................................... yaaWaro pauZIlapa`maaNao Asao jaahIr
k rtaao k rtao k I,
(1) maI .........................................yaa padasaazI maaJaa Aja- saadr kolaa Aaho.
(2) Aaja raojaI malaa ..................... (saMKyaa) [tak I hyaata Apatyao Aahota. tyaapaOk I idnaaMk 28032005 naMtar janmaalaa Aalaolyaa ApatyaaMcaI saMKyaa ............ Aaho. (Asalyaasa janmaidnaaMk
namaUd kravaa)
janmaidnaaMk 1)..............................2)..............................
(3) hyaata Asalaolyaa ApatyaaMcaI saMKyaa daona paoXaa AiQak Asaola tar idnaaMk 28032005 naMtar janmaalaa Aalaolyaa ApatyaaMmauLo yaa padasaazI maI Apaa~a zrona yaacaI malaa jaaNaIva Aaho.

idnaaMk : 5/23/2016 1:24:03 PM


DHUM NITIN PUNDLIK

sqaL

{maodvaaracao naava va svaaXarI

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