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0% found this document useful (0 votes)
8 views

Application

Uploaded by

csccollege4
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NATIONAL INSTITUTE OF TECHNOLOGY MEGHALAYA (NITM)

(AN INSTITUTE OF NATIONAL IMPORTANCE UNDER MINISTRY OF EDUCATION, GOVERNMENT OF INDIA)

RECRUITMENT 2024

POST ADVERTISEMENT / REFERENCE NUMBER: NITMGH/ES/REC/N-F/VOL.VII/2023-24/3203

Application Number: NITM-2024-665-4222 Paste your recent Passport size


Photograph here

Applying for Post: Technician (UR)

Applying for Department: Computer Centre

PERSONAL INFORMATION
Full Name: SANKET SHARMA Date of Birth (Y-m-d): 1999-08-25 Age: 25 years as of 2024-10-24
Category: Unreserved (UR) Sub-Category:

Gender: Male Marital Status: Single


Father's Name: Balwan Sharma Mother's Name: Kavita Devi Spouse's Name: NA

PRESENT POSTAL ADDRESS


Address: VPO JAKHOULI KAMAN PATTI City: Kaithal State: Haryana
Pincode: 136027 Mobile Number: +91-8295461041 Email: [email protected]
Alternate Mobile Number: +91-8307625260 Alternate Email: NA

PERMANENT ADDRESS
Address: VPO JAKHOULI KAMAN PATTI City: Kaithal State: Haryana
Pincode: 136027 Mobile Number: +91-8295461041 Email: [email protected]
Alternate Mobile Number: +91-8307625260 Alternate Email: NA

Are you a citizen of India? Yes


Language Proficiency:
Read: HINDI ENGLISH Write: HINDI ENGLISH Speak: HINDI ENGLISH

EDUCATIONAL QUALIFICATIONS
DEGREE / COURSE NAME UNIVERSITY SPECIALIZ ATIO N / DATE OF PERCENTAGE OF DIVISIO N
CERTIFICATE BOARD / SUBJECTS COMPLETION MARKS
AWARDED INSTITUTE
Higher 12TH HBSE HINDI ENGLISH 2019-05-21 58.2 Second
Secondary(12th) HISTORY POLITICAL
SCIENCE HISTORY
SKT
Secondary(10th) 10TH HBSE HINDI ENGLISH 2016-05-22 52.6 Second
MATH SOS SCIENCE
PHY

OTHER EDUCATIONAL QUALIFICATIONS


COURSE NAME UNIVERSITY BOARD / SPECIALIZATION / DATE OF PERCENTAGE OF DIVISION
INSTITUTE SUBJECTS COMPLETION MARKS
NA

EMPLOYMENT EXPERIENCE
NAME 0F DESIGNATIO N DUTIES SALARY DETAILS EMPLOYED FROM EMPLOYED TO REMARKS
EMPLOYER PERFORMED (ANUALLY)
NA
Any Other relevant information? NA Period required for joining the post, if selected (in
Days): 10 days

REFERENCES
REFERENCE 1
Name & Designation: ANKUSH Address: VPO JAKHOULI KAMAN APTTI DISTT KAITHAL STATE
HARYANA 136027
Contact Number: +91-9992046255 Email: [email protected] Fax Number: NA
REFERENCE 2
Name & Designation: RAVINDER KUMAR Address: VPO JAKHOULI DISTT KAITHAL TEH KAITHAL STATE
HARYANA PIN CODE 136027
Contact Number: +91-9812986043 Email: [email protected] Fax Number: NA
ENCLOSURES
SL. NO. DOCUMENTS
NA

PAYMENT
Payment Status: PAID (01-Apr-2024) Payment Reference Number: DUM4530572

DECLARATION
I hereby certify that the information furnished above are correct, complete and true to the best of my knowledge and belief. I am aware that if any information provided here is found to
be incorrect/false my candidature/selection is liable to be cancelled at any point of time.
Enclose relevant documents with self-attestation.

There are ................................................................ number of enclosures with ............................................. pages attached along with this form.

Date & Time (Application Form Submitted Online):


Date: .................................................................................. (01-Apr-2024 04:58:50 pm)

Place: ................................................................................

Signature: ..........................................................................

FO R OFFICE USE O NLY

RECOMMENDED / NOT RECOMMENDED


REMARKS:

Date: ................................................................................

Place: ...............................................................................
(Name & Signature of Scre e ning Committe e )

National Institute of Technology, Meghalaya (NITM), Bijni Complex, Laitumkhrah, Shillong, East Khasi Hills District, Meghalaya - 793003 (India)
Ph: +91-364-2501294 Fax: +91-364-2501113 Website: www.nitm.ac.in

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