Crenit5109619 1693822928
Crenit5109619 1693822928
Crenit5109619 1693822928
APPLICATION FORM
Candidate Details
Center Preference 1 Trivandrum
Center Preference 2 Kozhikode
Candidate’s Name ANSHAD S
Email ID [email protected]
Father's Name SEYYADALI M
Mother's Name HAYARINSA BEEVI S
Date of Birth 15-07-1997
Age (as on 2023-09-06) 26 years, 01 months, 22 days
Gender Male
Category OBC
Marital Status Single
Nationality Indian
Whether a person with disability Not Applicable
PAN/Passport/DL/Voter ID 19/7343/2015 View DOB Certificate
Phone No
Mobile No 8921972063
Religion Muslim
Ex Serviceman No
Are you and existing employee of this
No
NIT, Calicut
Have you already appllied for this post at
No
MNIT Jaipur
Have you already appllied for this post at
No
NIT Silchar
Have you already appllied for this post at
No
NIT Hamirpur
Have you already appllied for this post at
No
Kendriya Hindi Sansthan Agra
Are you an employee of Govt of India who
have rendered not less than 3 years
No
regular and continuous service as on
closing date for receipt of application
Address for Correspondence Permanent Address
Alshad Manzil Alshad Manzil
Manathottam Vellarada P.O. Manathottam Vellarada P.O.
Trivandrum ,Kerala Trivandrum ,Kerala
695505 ,India 695505 ,India
Educational Qualification
Schooling Details
Year of Percentage/G
Examination Main Subject Grade/Marks School/College Board/University
Passing rade
10th/SSC/Matri General Education Department
2013 General Percentage 95.46 St.Johns HSS Undancode
c Kerala
Computer
Board og higher secondary
12th/Diploma 2015 Science,Physics,Chemistry,Math Percentage 71.33 St.Johns HSS Undancode
examination Kerala
s,Language
Graduation Details
# Degree Name Main Subject Grade/ Percentage/Gr Year University/Institut State/Union Country
Marks ade ion Territory
1 DIploma in Electronics Electronics CGPA 7.77 2018 State Board of Kerala India
Engineering Engineering Technical
Education Kerala
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
Other Qualifications
1 Diploma 2018-07-07 Diploma in ELECTRONICS ENGINEERING STATE BOARD OF TECHNICAL EDUCATION KERALA
# 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
# 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
Miscellaneous Information
S Institutional Mobile /
No. Full Name Affiliation Designation Address Phone No. Email
No Objection Certificate
Please select the check box if NOC is not available (Advance Copy) or you are not working presently.
I shall produce the No Objection Certificate before/at the time of Interview. (For those who are working presently).
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