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Application Form

Application Registration No. 2331003821

Post Category STIPENDIARY TRAINEE (CAT-I)

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

Discipline CIVIL

Applicant Name ASHISH KUMAR MADDHESHIYA

First Name ASHISH

Middle Name KUMAR

Surname MADDHESHIYA

Father's Name ASHOK MADDHESHIYA

Mother's Name BINDU DEVI

Marital Status SINGLE

Date of Birth (DD-MM-YYYY) 17-10-2001

Age as on 22-05-2023 21 years, 7 months and 6 days

Gender MALE

Category OBC(NON-CREAMY LAYER)

Name of Caste: KANDU

Caste Certificate No. : 623213027965

Issue Date of caste certificate : 12-07-2021

Serial number of caste as per Central List : --

Religion HINDU

Nationality INDIAN

State of Domicile UTTAR PRADESH

Are you from PwBD (Persons with Benchmark Disabilities)


NO
category?

Are you presently employed? NO

Communication Details

Correspondence Address VILLAGE ALINAGAR


POST ALINAGAR
DISTRICT MAU

      City / Village ALINAGAR


      District MAU
      State UTTAR PRADESH
      Pincode 275102

Permanent Address VILLAGE ALINAGAR


POST ALINAGAR
DISTRICT MAU

      City/Village ALINAGAR
      District MAU
      State UTTAR PRADESH
      Pincode 275102

Mobile No. 8112958068

E-Mail ID akg17102001@gmail.com

Aadhaar No. XXXXXXXX4559

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

J K MADHYAMIK VIDYALAY ADARI


SSC -- 600 505 84.17 -- 05-2016
MAU

GOVT POLYTECHNIC BHILIHILI


Diploma DIPLOMA (CIVIL) 2551 1917 75.15 3 08-2019
AZAMGARH

Centre For Examination (City Preferences)

Preference 1 : ALLAHABAD Preference 2 : VARANASI Preference 3 : LUCKNOW

Payment Details:

Payment Mode Transaction Id Amount Transaction Date

ONLINE PAYMENT 5536311608725 150 05-05-2023

47.9.37.123

05-05-2023 9:17AM

   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: ASHISH KUMAR MADDHESHIYA

Application Registration No.: 2331003821

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