NUCLEAR POWER CORPORATION OF INDIA LIMITED

( A Government of India Enterprise )

Kakrapar Gujarat Site
[ Advt No. KAKRAPAR GUJARAT SITE/HRM/01/2017 ]
ONLINE APPLICATION
1. Name of the Post applied for SA/ST CAT-I - Mechanical
2. Application Number 1714S1ME004489
3. Full Name POLATHALA NAGARJUNA
4. Father's Name P KRISHNAIAH
5. Mother's Name P RAMULAMMA
6. Date of Birth (in DD/MM/YYYY 03/01/1996
format)
7. Age as on 25/11/2017 21 Years 10 Months 22 Days
Age Relaxation availed: NO
8. Nationality Indian
9. Gender Male
10. Marital Status Single
11. Religion Hindu
12. Category OBC (Non Creamy Layer)
13. Mother Tongue TELUGU
14. PWD NO
15. Whether NPCIL Employee NO
16. State/UT of Domicile ANDHRA PRADESH
17. Educational Qualifications
Exam Degree Discipline College/In Board/Uni Mode of Mon/Year Mon/Year Aggregate
Passed stitute versity Study of of Passing (%)
Enrolment
SSC SSC VVMHS BSEAP 6 / 2010 5 / 2011 92
HSC
Diploma Diploma Mechanical SVGP SBTETAP Full Time 7 / 2011 4 / 2014 77.78

Date of Notification of Result/Issue of Final Marks Sheet for Diploma. 31/05/2014

Did you have English as one of the subjects at SSC or HSC level? YES
18. Other Qualifications
Name of Qualification Subject / Specialization Institute / University Mon/Year of Passing

19. Details of Post Qualification Experience, if any

Name of Type of Orgn. Post Held Nature of Date From Date To Serving
Employer Duties Presently

Total Experience 0 Years 0 Months 0 Days

20. Other Details
Aadhaar Number
Are you a dependent of those who NO
died in the riots of 1984
(Dep1984)?
Are you Physically domiciled in NO
Kashmir Division of Jammu
Kashmir State from 01/01/1980 to
31/12/1989 (Dom Kashmir)?
Preference of Test Centre 1. Chennai 2. Mumbai 3. Surat 4. Kolkata
Have you worked with NPCIL on NO
Contract/Fix Term basis?
Are you registered with any YES
Employment Exchange?
Employment Exchange Registration D1/2017/02005
No. :
Name of Employment Exchange : DEPARTMENT OF EMPLOYMENT
Employment Exchange State : ANDHRA PRADESH
Are any of your close relatives NO
employed in NPCIL/DAE?
21. Application Fee Details
Application Fee not applicable.
22. Correspondence Address 23. Permanent Address
4-89 GGS THANDA SIVALAYAM 4-89 GGS THANDA SIVALAYAM
KOLLUMULLA PALLI KOLLUMULLA PALLI
CKDINNE CKDINNE
District KADAPA District KADAPA
State ANDHR Pin 516003 State ANDHR Pin 516003
A Code A Code
PRADE PRADE
SH SH
Contact 8297649613 Contact 8297649613

24. Contact Details

Mobile No. 8297649613
Email ID ptnagarjuna55@gmail.com

Declaration by the Candidate

(i) I hereby declare that I am eligible to apply for the post as specified in the Advertisement / Internal Circular.
(ii) I hereby declare that all statements made in the application are true to the best of my knowledge and belief.
(iii) I am aware that my application is liable to be rejected if the information given above is incomplete or incorrect.

Date: 15/11/2017
Place: KADAPA (Signature of the Candidate)