Registration No.

: 141079

I. POSITION DETAILS
Name of Post Pay scale Grade : : : EXEC UTIVE TRAINEE (MEC HANIC AL) Rs. 24900-50500 E2

II. PERSONAL DETAILS

1. GATE-2014 Registration Number (Enter GATE-2014 Registration No. which is mentioned on your GATE-2014 admit card )

ME102304227

2. Name (Name should be filled up as appearing in your GATE 2014 admit card)

C andidate's full Name

PRASHANTH M

3. Date of Birth

03/09/1992

4. Father's Name 5. Category 6. Name of Caste / Tribe (In case of SC/ST/OBC) 7. Other Category, If Applicable (i) (ii) (iii) Persons with disabilities Ex-Serviceman Domiciled in J&K between 01.01.1980 and 31.12.1989

: : :

N MRUTHYUNJAYA OBC (NON C REAMY LAYER ONLY) VISHWAKARMA

: : :

NO NO NO

8. Details (In case of PWD) (i) (ii) Type of Disability Percentage (%) of Disability : : NA 0

9. Details (In case of Ex-Serviceman) (i) (ii) (iii) (iv) (v) (vi) Rank C orps / Regiment Number Date of C ommission Date of Discharge Date of start of pre-commission training, if any Education of Military : : : : : : NA NA NA NA NA NA

(vii)

Length of service

: : : : :

0 YEAR(S) 0 MONTH(S) 0 DAY(S) INDIAN HINDUISM MALE SINGLE

10. Nationality 11. Religion 12. Sex 13. Marital Status 14. Present Postal Address (i) (ii) (iii) (iv) (v) (vi) (vii) 1st Address Line 2nd Address Line 3nd Address Line C ity District State PIN C ode

: : : : : : : : : :

NO. 44 3RD A MAIN VENKATAPURA KORAMANGALA BANGALORE URBAN KARNATAKA 560034 STD C ode: 80 7760877931 MPRASHANTH666@GMAIL.C OM Number: 65904481

(viii) Telephone (Landline) (ix) Telephone (Mobile)

15. Present e-mail Address

III. Education & Experience Details

1. Essential Qualification Details :

Examination / Branch/Discipline/Specialization Degree Passed

C ollege / Institution C ARMEL GARDEN PUBLIC SC HOOL KRUPANIDHI PESIT

Year of Joining

Year of Passing

Board / University KARNATAKA SEC ONDARY EDUC ATION EXAMINATION BOARD KARNATAKA PU BOARD VTU

Percentage of Marks *

Type

SSC (10th)

MATHS SC IENC E

2007

2008

84.9

FULL TIME

HSC (10+2) BE / B TEC H / BSc(ENGG)

PC ME MEC HANIC AL

2009 2010

2010 2014

87.8 80.2

FULL TIME FULL TIME

* Percentage of marks to be calculated taking average of all semesters/ years, irrespective of the weightages given to any particular semester/ year by the Institute/ University. Wherever, C GPA/ OGPA or letter Grade in a Degree is awarded, equivalent percentage of marks should be indicated in the application as per norms adopted by University/ Institute. C andidates currently in the final year (2013-14) of their Engineering Degree course should indicate percentage of marks received in aggregate up to the last semester examination at the time of applying.

2. Post Qualification Work Experience Details : I. Do You have any post qualification work experience : NO

II. C urrent / Last C ompany Name III. From Date (DD/MM/YYYY) IV. To Date (DD/MM/YYYY)

NA NA NA

IV. DECLARATION

I certify that a) I am not employed in Govt. /Statutory Organization /Public Sector Undertaking.

b) In case of my employment in Government / Statutory Organization / Public Sector Undertaking, I will produce No Objection C ertificate (NOC ) from my organization at the time of Interview, if called for.

I declare that all information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect or distorted at any stage, I shall have no objection to cancellation of my candidature.

PRASHANTH M (Name & Signature) Date: 29/12/2013