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APPLICATION FORM FOR NALCO GET/MT-2010

Personal Details
Registration No: 2016927
Post applied for GET
Name of the test city Chennai
Please affix
Language for written test English
your self
Name of the Discipline Mechanical
attested
Indicate Category to which you passport size
SC
belong photo
No
Indicate if you belong to PWD
No Percentage of Disability
Date of Birth Friday, June 02, 1989
No
SC
Age relaxation claimed Date of Caste Cert.
Name of State of
Issuing Caste Issuing
Caste/Community Origin/Domicle
Cert. Authority
mandal
Details if domiciled in Kashmir mala 14/9/2005 Andhra pradesh revenue
Division during the period from No office
01/01/1980 to 31/12/1989
Nationality INDIAN
Sex Male
Marital Status UnMarried
Name (in Block Letters) MAHESH BONDHU

Address for Communication

Address MAHESH BONDHU C-203
MEGA TOWER-I N.I.T.K HOSTELS SRINIVASA NAGAR(PO)
SURATHKAL
State Karnataka
Pin 575025
Father's Name RAMANAIAH
Nearest Railway Station (from
mailing address mentioned MANGALORE
above)

Contact Details
Contact No 9741423564 (Mobile)
(Land Line with STD code)
Email Id (All information will be
514mahesh@gmail.com
in this id)
Alternate Email Id (Optional) maheshnitk.bondhu@gmail.com

Qualification Information

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ONLY FOR GRADUATE ENGINEER TRAINEES(GETs)

Educational Qualification: (Mention only the prescribed Qualification which makes you eligible i.e. Bachelor
Degree in Engineering/Technology)
Examination Percentage of Marks
Discipline Month
Passed/ Name of the Type of Year of upto 2 decimal places
relevant to of
Appeared/ University Course passing in aggregate of all
GET passing
Appearing years/semesters
SRI
Passed V\VENKATESWARA Mechanical BTech April 2009 65.7
UNIVERSITY
Management Degree if any (GETs): No
Mtech Degree if any (GETs): Yes

Declaration

I hereby declare that all statements made in the application are true, complete and correct to the
best of my knowledge and belief. In the event of any information being found false or incorrect at any point
of time, my candidature/appointment may be cancelled/terminated without any notice. I also declare that I
am a citizen of India by birth/domicile.
I understand that my application will be provisionally considered if and if this application form duly
completed along with self attested photograph and requisite NALCO’s copy of pay-in-slip in original with
bank seal is received at Post Box No. 12026, Cossipore Post Office, Kolkata-700002 on or before 07/09/2010
. Additionally if I belong to SC/ST/OBC(non-creamy layer)/PWD/J&K Domicile candidate; then I am also
enclosing a self attested copy of relevant certificate along with above-mentioned items.

________________________________
Place............................
Signature of the Candidate

Date............................. Advt.No

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