Date of Receipt :
Application No :
APPLICATION FORM
Advertisement No
ARCI/HRD/FELLOWSHIPS/1/2016
Post Name
Yarrachinnappa Nagarjuna
Fathers/Husband Name
Y Narasimhulu
Date of Birth
Day
Community
Mont
h
Year
2 1 Months 0 1 Days
Years
1 1
SC
Sex
Male
Religion
H I
Nationality
Marital Status
Qualification
B.Tech
Year of Passing
2 0 1 6
ST
OBC
Female
PH
Others
N D U
N D I
A N
Married
Unmarried
Branch/
Specializ
ation :
CHEMICAL ENGINEERING
ARCI/HRD/FELLOWSHIPS/1/2016
Page 1 of 6
Class
Aggregate :
86.9%
YES/NO
:
Communication Address
Distinctio
n
Year of Pass
Percentile
score
Score Valid
upto
Rank
secured
2016
309
2019
3223
City
State
Phone Nos.*
* contact Nos. given to be valid till
July/August
Nalgonda
Telangana
7702170176
nagarjuna.y123@gmail.com
Examination Passed
Year of
Passing
Name of
School/College
Name of
Board/University
Class & %
of Marks
S.S.C
2010
A.P.R School,
GyaramPalli
94.83
Mathematics,
Sciences
2012
Rajiv Gandhi
University of
Knowledge
Technologies
Rajiv Gandhi
University of
Knowledge
Technologies
75.3
2016
Rajiv Gandhi
University of
Knowledge
Technologies
Rajiv Gandhi
University of
Knowledge
Technologies
86.9
PUC
B.Tech
Mathematics,
Physics,
Chemistry,
Biology
Thermal&Fluid
Sciences, Mass
Transfer and
Reaction
Engineering
Semester/Year Wise Marks of Qualifying Examination(s). Compulsorily to be given & attach marks sheets of
semester/year-wise/Consolidated . Do not take marks of extra-curricular activities/courses registered for but not counted for
calculation of aggregate %.
Year/
Year of
Name of
Marks
Maximum
Examination Passed
Main Subject (s)
Sem.
Passing
Board/University
Obtained
Marks
ARCI/HRD/FELLOWSHIPS/1/2016
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Details of Professional Work Experience acquired during/after the course of study (project study/Internship/summer
training etc.)
Name of the
Institute/Organization
Period of Training
(dd/mm/yy)
From
To
ARCI/HRD/FELLOWSHIPS/1/2016
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Not Applicable
Technical Papers/Reports
Published/presented (Use
additional
sheet,
if
required) *
:
Not Applicable
ARCI/HRD/FELLOWSHIPS/1/2016
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1)
2)
DECLARATION
I declare that I fulfill all the eligibility conditions as per the advertisement and that all the statements made in
this application are true, complete and correct to the best of my knowledge and belief. I understand that in
ARCI/HRD/FELLOWSHIPS/1/2016
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Place : Choutappal
Date:09-08-2016
ARCI/HRD/FELLOWSHIPS/1/2016
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