Banaras Hindu University Generated On: 2025-04-09 15:18:16

ONLINE APPLICATION FORM

Application No. Post Organizational Unit Advertisement No.

CBN123142 Junior Clerk University Campus Advt. No.-07/2024-2025 (for Junior Clerk_50003)

Application Fee Details

Order ID Transaction ID Mode of Payment Amount Date
Not Applicable Not Applicable Online Mode Exempted 2025-03-27 19:38:11

Candidate Details
Candidate’s Name AMIT KUMAR GAUTAM
Email ID [email protected]
Father’s/ Husband’s Name KANHIYALAL GAUTAM
Mother's Name URMILA DEVI
Date of Birth 15-12-1997
Age (as on 2025-04-17) 27 years, 04 months, 02 days
Gender Male
Category SC
Applied for Category SC
Marital Status Single
Nationality Indian
Whether a person with disability Not Applicable
PAN/Passport/DL/Voter ID CRCPG2305K
Phone No
Mobile No 7052329813
Religion Hindu
Ex Serviceman No
Employee of this University/Institution No
Are you an employee of Govt. of India No
Address for Correspondence Permanent Address
S/O KANHAIYA LAL GAUTAM S/O KANHAIYA LAL GAUTAM
BHAGWANPUR POST BHU BHAGWANPUR POST BHU
VARANASI ,Uttar Pradesh VARANASI ,Uttar Pradesh
221005 ,India 221005 ,India

Present Employment Details

Not Filled
Educational Qualification
Schooling Details
Year of Grade/Ma Percentage
Examination Main Subject School/College Board/University
Passing rks /Grade
S K R H S SCHOOL
10th/SSC/Ma
2013 SCIENCE Percentage 60.1 KHOJWAN BAZAR U P BOARD
tric
VARANASI
12th C M G I C LODHAN
2015 COMMERCE Percentage 58.6 U P BOARD
qualification SHIVPUR VARANASI
Diploma
2016 DCA Grade B Only RAJ COMPUTERS RAJ COMPUTERS
qualification

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Banaras Hindu University Generated On: 2025-04-09 15:18:16

Graduation Details
# Degree Name Main Subject Grade/M Percentage/Gr Year University/Instituti State/Union Country
arks ade on Territory

1 B.A. ECONOMICS EDUCATION Percenta 58.83 2019 MAHATMA GANDHI UTTAR INDIA
POLITICAL SCIENCE ge KASHI VIDYAPITH PRADESH
VARANASI

Post-Graduation Details
# Degree Name Main Subject Grade/Marks Percentage/Grade Year University/Institution State/Union Country
Territory

M.Phil. Details
# Degree Name Main Subject Grade/Marks Percentage/Grade Year University/Institution State Country

Ph.D. Details
# Status Date Thesis Title University/Institution

Other Qualifications,

*Add ITI/Diploma/Certificate and Other degree detail here.

#Title Date Description University/Institution Division Percentage/CGPA/Grade

Relevant Work Experience

# Type Name of Organization Designation Pay Band and Pay Level(as Type of From To Experience
Grade Pay(6th per 7th employment
CPC)/Equivalent CPC)/Equivalent

Research Papers / Review Articles / Conference Proceedings (In Related Areas Only)

# Publication Type Title of the Paper Journal ISSN/ ISBN No. Refereed Author Year
Name/Page
Numbers

Research Publications - Books,Chapters, Edited work, Articles etc. (In Related Areas Only)

# Publication Type Title ISSN/ ISBN No. Refereed Author/Co-Author Publisher (city/country) Year

Research Projects

# Title Major/Minor Period Total Name of Outcome of the

(Months) Grant/Funding Sponsoring/ Project
received(Rs.) Funding Agency

Miscellaneous Information
Time required for joining (in days) ? 1
Do you have Computer Proficiency Certificate? Yes
CURRENTLY I AM WORKING AS A MTS WARD BOY IN
Kindly describe your contribution to institutions where you have worked ?
SSH BHU
What makes you suitable for the post you have applied ? NA
Honours and awards (if any) NA

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Banaras Hindu University Generated On: 2025-04-09 15:18:16

Have you been debarred or punished for adopting

unfair means in any Examination by the No Description: NA
Institution/Board/University?
Have you ever been involved in any administrative
No Description: NA
malpractice?
Have you ever been involved in any financial
No Description: NA
irregularity?
Were you ever discharged or dismissed from any
No Description: NA
previous employment?
Is there any pending or contemplated disciplinary
No Description: NA
proceedings against you?

Two Referees familiar with your profile and professional contribution

S Institutional Mobile / Phone

No. Full Name Affiliation Designation Address No. Email

1 URMILA SSH BHU WARD BOY BHAGWANPUR POST 7905842371 [email protected]

DEVI BHU VARANASI

2 SUNIL SSH BHU WARD BOY NARIA POST 9170511003 [email protected]

KUMAR RAI SUNDERPUR BHU
VARANASI

# Language Known Speak Read write

No Objection Certificate
I shall produce the No Objection Certificate before/at the time of Interview/Document Verification.

Declaration

I declare that the statements made in this Application Form are correct and true and also complete to the best of my knowledge
and belief. I am aware that if at any stage it is found that the statements made are not true or are incomplete/misleading, my
candidature is liable to be cancelled

Date: 2025-03-27 19:38:11

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