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1/22/2016

RecruitmentofVariousPostADVERTISEMENTNO.2/2015/Estt.ApplicationFormPrint

BUREAUOFINDIANSTANDARDS[BIS]
RecruitmentofVariousPostADVERTISEMENTNO.2/2015/Estt.

RegistrationNumber

: 130042501

FullName

: ANKITKUMARMISHRA

Post:

: TechnicalAssistant(Lab)

Discipline:

: Electrical

Category

: UR

IfPersonwithDisability

: NO

TypeofDisability

Percentageofdisability

Areyousufferingfromcerebralpalsyandyourwritingspeedis
affected?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Whetheryourdominant(Writing)handisaffected?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Doyouintendtousetheservicesofascribe(onlyforVHcandidates
andthecandidateswhosewritingspeedispermanentlyaffected)?

Religiontowhichyoubelong

: Hindu

WhetheryoubelongtoReligiousMinorityCommunity?

: NO

AreyouaPersondomiciledintheStateofJammu&Kashmirduringthe : NO
periodfrom01.01.80to31.12.89.?
Areyouseekingrelaxationunderwidow/divorcedwomen/women
judiciallySeparatedfromtheirhusbandandwhoarenotremarried?

: NO

AreyouanExServiceman:?

: NO

AreyouanExservicemenincludingCommissionedOfficersand
ECOs/SSCOs?

: NO

AreyouanDisabledExServiceman?

: NO

ActualPeriodofservicerenderedindefenceservicesasanEx
serviceman(inmonths)

AreyouaDepartmentalcandidateinBureauofIndianStandards[BIS]
?

: NO

EmployeeNo.:

AreyouMeritoriousSportsPersons(MSP)

: NO

DoyouholdAadharCard?

: YES

AadharCardNo.

: 439629226835

Nationality

: Indian

CentreofExamination

: Bhuaneshwar/Cuttack

ApplicationFeeDetails
Amount

: 500.00

PaymentStatus

: PAID

ReferenceID

: ESBI4250832743

TransactionDate

: 22012016

http://ibps.sifyitest.com/bisrvpjan16/registration_print.php?q=Yjg4OGM2M2IxNDIyYWE2YzBiOTdlMWQ1ZmQ2ZTg4YmN8MTMwMDQyNTAx

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1/22/2016

RecruitmentofVariousPostADVERTISEMENTNO.2/2015/Estt.ApplicationFormPrint

PersonalDetails
DateofBirth

: 12081990

Agecompletedason01.02.2016

: 25

Gender

: MALE

MaritalStatus

: Unmarried

FathersNameinFull

: TEJPRAKASHMISHRA

MothersNameinFull

: PARWATIMISHRA

SpouseNameinFull

AddressforCorrespondence

: MOHANBAZAR
PATHERDIH

Address2

: BEHINDPOSTOFFICE

Address3

: P.OPATHERDIH

District

: DHANBAD

State

: JHARKHAND

Pincode

: 828119

Permanentaddress1

: MOHANBAZAR
PATHERDIH

Address2

: BEHINDPOSTOFFICE

Address3

: P.OPATHERDIH

District

: DHANBAD

State

: JHARKHAND

Pincode

: 828119

ContactDetails
MobileNo

: +919040205780

AlternativeNumber
(MobileNo/LandlineNo)

: +919504444416

EmailID

: ankit.talking@yahoo.in

QualificationDetails(Ason01.02.2016)
ExamPassed

Degree/Subject/
Stream

Dateof
Passing

Matric/Equivalent

ENGHINDIMATHS
SCIENCESST

27052006

HSC

PHYCHEMMATHS
ENGPHYED

23052008

Diploma

Electrical

25082012

WorkingKnowledgeinComputer

DetailsofComputerKnowledge

DoyouhaveOneYearDiploma/Certificatein
ComputersfromareputedOrganization

DoyouhaveShorthandspeedof80words
perminutewhichthecandidatesshallbe
requiredtotranscribein50minutes(English
dictation)andin65minutes(Hindidictation)
inEnglishorinHindi

DurationofCourse

%ofMarks

Class/Grade

67.00

FirstClass

53.00

SecondClass

74.50

FirstClass

:
DoyouhaveShorthandtestinEnglishor
Hindicomprisingdictationtestat100words

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RecruitmentofVariousPostADVERTISEMENTNO.2/2015/Estt.ApplicationFormPrint

perminutefortenminuteswhichthe
candidatesshallberequiredtotranscribein
40minutes(Englishdictation)andin55
minutes(Hindidictation)
:
Doyouhavetwoyearspracticalexperiencein :
therespectivetradeafterhavingobtainedthe
ITICertificate

PostQualificationworkexperiencedetails(Ason01.02.2016)(StartfrompresentEmployer)
Nameofthe
Employer&
Natureof
Employment

Designationand
Rankifany

From

To

Yearsof
Service
(YY/MM/DD)

Natureofduties
performed

Reasonfor
Leaving

TATASTEELLTD

MAINTENANCE
INCHAR
GE

15/10/2013

22/01/2016

2/3/7

MAINTENANCEOF
ELE
CTRICALEQUIPMENT

LOOKING
FORACARE
ERINBIS

TotalExperience(inmonths):27

OtherDetails:

LanguagesKnown

Read

Write

Speak

ENGLISH

YES

YES

YES

HINDI

YES

YES

YES

BENGOLI

YES

NO

YES

Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibility
criteriastipulated,andalsoincaseofcreatinginfluence/unduepressureregardingrecruitmentshalltantamounttocancellationofmy
candidature.

Date:22012016

SignatureofApplicant

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