APPLICATION FORM
Job Code/ Post Applied - Contract Engineer (480 Posts)

  Application # 0000023982

  Name of Candidate Sushant Sharma

  Date of Birth 02-Feb-1995 Gender MALE
General Affix recent Passport
  Category size Photograph signed
  Qualification B.E. by the candidate.

Branch Information Science Class Obtained Distinction (DO NOT USE STAPLER
AND PIN)
Year of Passing 7/2018 Marks Obtained (%) 70.5

  Center Selected Bangalore, Karnataka - 8th July 2018 at 8:30 AM

 
Address
A212, KRISHNA GEET SHELTERS,16E CROSS PAI Mobile No. 7903594787
LAYOUT, BANGALORE:16
    Email ID newlifesushant@gmail.com
Bangalore
Karnataka - 560016 Disabled/PWD ? No
 
  POST QUALIFICATION WORK EXPERIENCE (if any), beginning with the current job:
Sl. No. Organization Designation Period From Period To No. of Days Nature of Work

  1 N.m.b.r SYSTEMS Trainee 24-Jul-2016 13-Aug-2017 386 Software

2 N.M.B.R SYSTEMS Trainee 24-Jul-2017 13-Aug-2017 21 Software

  
  DECLARATION
  
Declaration: The candidature of those who do not produce Caste / Disability certificate in case of SC/ST/OBC/PWD as per the required format will be
considered under the General category provided they are otherwise meeting the criteria for General category.

  Ilater,
hereby declare that all the entries made in this form are true and correct to the best of my knowledge and in case of any erroneous entries found
my candidature may be cancelled.

  
  Please carry the following Documents along with the print of this Application
Passport Size Photo ,  B.E./ B. Tech Degree Certificate ,  SSLC / 10th Certificate , Caste Certificate (if applicable),
 
Experience Certificates
 

  
 
 
(Signature of Candidate)