Application of Job: SSC [SSC(OBS)],SSC [SSC(PILOT)(MR)],SSC [SSC(PILOT)(OTHER THAN

MR)],SSC [SSC(ATC)] - 01/2019

Application No: SPN191M000788 Application Date: 02/03/2018

PRIORITY

1. SSC [SSC(PILOT)(OTHER THAN MR)] 01/2019

2. SSC [SSC(PILOT)(MR)] 01/2019
3. SSC [SSC(ATC)] 01/2019
4. SSC [SSC(OBS)] 01/2019

PERSONAL PARTICULARS

SHRIKANT PRAMOD
Name:
TAYADE
Father's/Mother's Name: PRAMOD
Guardian's Name: PRAMOD
Identification Mark 1: MOLE ON NOSE
Identification Mark 2: ---------
Nationality: INDIAN
Aadhaar/Enrolment No.: 604575987256
Central/State Govt. Issued ---------
Photo ID:
Date of Birth: 30/10/1997

EDUCATION PARTICULARS

Details of B.Tech Qualification

Details of
B.TECH Stream: CHEMICAL Qualification Type: REGULAR
Qualification:

Semesters Total Marks Obtained Marks

Semester 1 775 447

Semester 2 750 548

Semester 3 650 476

Semester 4 700 544

Semester 5 650 484

Grand Total 3525 2499

Percentage 70.89
Year of Passing: 2017
RASTRASANT
TUKADOJI
LAXMINARAYAN INSTITUTE
University Name: MAHARAJ College Name:
OF TECHNOLOGY
NAGPUR
UNIVERSITY
College State: MAHARASHTRA College District: NAGPUR

Details of 12th Qualification

Percentage based 72.33%

Subjects Total Marks Obtained Marks
on PCM marks:
Physics 100 63

Chemistry 100 64

Maths 100 90

12th English Marks 100 80

10th English Marks 100 92

Serial no. of
046521
Marksheet:
Maharashtra State Board
State Conducted Board Conducted
MAHARASHTRA of Secondary and Higher
Exam: Exam:
Secondary Education

Details of 10th Qualification

Maharashtra State Board

State Conducted Board Conducted Serial no. of
MAHARASHTRA of Secondary and Higher 042917
Exam: Exam: Marksheet:
Secondary Education

MILITARY RECORD

Have you ever been enrolled in Armed Forces before?: NO

Have you attended any Services Selection Board (SSB)
NO
before?:
Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

PLOT NO.63, MEHARBABA

Address 1: Address 2: CHINCHBHUWAN ,WARDHA ROAD,NAGPUR
COLONY
State: MAHARASHTRA District: NAGPUR Pincode: 441108
Phone No.: --------- Mobile No.: 9689695743
Email id: shrikanttayade6@gmail.com Alternate Email id: ---------

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 9552323993
A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.