Registration No.

: 397945                 
     I.    POSITION DETAILS

Name of Post : EXECUTIVE TRAINEE (iNSTRUMENTATION)

Pay scale : Rs. 60000-180000

Grade : E2

     II.    PERSONAL DETAILS

1. GATE-2019 Registration Number

(Enter GATE-2019 Registration No. which is mentioned on : IN19S43008144
your GATE-2019 admit card )

2. Name (Name should be filled up as appearing in your GATE 2019 admit card)

     First Name : AKASH

     Middle Name :

     Last Name : MADHESHIA 

3. Date of Birth : 12/09/1998

4. Father's Name : KRISHNA MURARI MADHESHIA

5. Category : OBC (NON CREAMY LAYER ONLY)

6. Name of Caste / Tribe (In case of SC/ST/OBC) : OBC

7. Other Category, If Applicable  

  (i) Persons with disabilities : NO

  (ii) Ex-Serviceman : NO
Domiciled in J&K between 01.01.1980 and
  (iii) : NO
31.12.1989
8. Details (In case of PWD)

  (i) Type of Disability : NA

  (ii) Percentage (%) of Disability : 0
9. Details (In case of Ex-Serviceman)    

  (i) Rank : NA
  (ii) Corps / Regiment Number : NA

  (iii) Date of Commission : NA

  (iv) Date of Discharge : NA
   (v) Date of start of pre-commission training, if any : NA

  (vi) Education of Military : NA

  (vii) Length of service : 0 YEAR(S) 0 MONTH(S) 0 DAY(S)
10. Nationality : INDIAN

11.  Religion : HINDUISM

12.  Sex : MALE

13. Marital Status : SINGLE

14.  Present Postal Address    

  (i) 1st Address Line : HOUSE NO -10

  (ii) 2nd Address Line : SIRSIA NO 1
  (iii) 3nd Address Line : RAMPUR KARKHANA

  (iv) City : DEORIA

  (v) District : DEORIA

  (vi) State : UTTAR PRADESH

  (vii) PIN Code : 274405

  (viii) Telephone (Landline) : STD Code: 0 Number: 0

  (ix) Telephone (Mobile) : 7011615762
15. Present e-mail Address : AKASHMADESHIA02@GMAIL.COM

     III.    Education & Experience Details

1. Essential Qualification Details :

Examination / Year of Year of Percentage of

Branch/Discipline/Specialization College / Institution Board / University Type
Degree Passed Joining Passing Marks *

UTTAR PRADESH
SSC (10th) SCIENCE G.S.A.S ACADEMY 2011 2012 85.6 FULL TIME
BOARD
UTTAR PRADESH
HSC (10+2) PCM G.S.A.S. ACADEMY 2013 2014 89.6 FULL TIME
BOARD
GALGOTIAS
BE / B TECH / ELECTRICAL AND COLLEGE OF DR APJ ABDUL KALAM
2015 2019 75.47 FULL TIME
BSc(ENGG) INSTRUMENTATION ENGINEERING AND UNIVERSITY
TECHNOLOGY

* Percentage of marks in the essential qualification (s), as specified shall be considered as per Institute/University rules/norms. Wherever CGPA/OGPA or
letter grade in a Degree is awarded, equivalent percentage of marks should be indicated in the application as per norms adopted by University/Institutes.
Candidates currently in final year (2018-19) of their Engineering Degree Course should indicate percentage of marks received in aggregate upto the last
semester examination at the time of applying.

2.  Post Qualification Work Experience Details :

 I. Do You have any post qualification work experience : NO

II. Current / Last Company Name NA

III. From Date (DD/MM/YYYY) NA

IV. To Date (DD/MM/YYYY) NA

     IV.    DECLARATION

I certify that –
a) I  am not employed in Govt. /Statutory Organization /Public Sector Undertaking.
b) In case of my employment in Government / Statutory Organization / Public Sector Undertaking, I will produce No Objection Certificate (NOC) from my
organization at the time of Interview, if called for.

I declare that all information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect or
  distorted at any stage, I shall have no objection to cancellation of my candidature.

AKASH  MADHESHIA    
(Name & Signature)   
Date: 13/02/2019