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Common Recruitment Examination for National Institute of

Technology Generated On: 2023-09-04 15:52:08

APPLICATION FORM

Form No. Application No. Post Institute Name Advertisement No.


CRENIT5109619 231019532 Technical Assistant NIT, Calicut NITC/13-3(II)/2022-RO

Application Fee Details


Order ID Transaction ID Mode of Payment Amount Date
107496 116172189 Online Mode 1000.00 2023-09-04 15:42:41

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

Present Employment Details


Name of the Post Project Technician
Type of appointment Contractual
Date of Appointment 2021-12-01
Employer's Name Mahatma Gandhi Charitable Society
Pay Band and Grade Pay(6th CPC)/Equivalent Rs 21000 per Month

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Common Recruitment Examination for National Institute of
Technology Generated On: 2023-09-04 15:52:08
Pay Level/Equivalent 2
Gross Emoluments 2.5 LPANA
Age of retirement in the Present Post 40.00
Date of retirement in the Present Post 2023-11-30
Whether you are receiving any pension No

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

# Status Date Thesis Title University/Institution

Other Qualifications

# Title Date Description University/Institution

1 Diploma 2018-07-07 Diploma in ELECTRONICS ENGINEERING STATE BOARD OF TECHNICAL EDUCATION KERALA

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

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Common Recruitment Examination for National Institute of
Technology Generated On: 2023-09-04 15:52:08
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) ? 30


Do you have Computer Proficiency
No
Certificate?
Currently Involved in testing and validation of various hardware and software modules of
Software Defined Radio (SDR) and Terrestrial Trunked Radio (TETRA) base-station. ● Work
on wide portfolio of development tools like OrCAD, LTspice, WEBENCH, MATLAB, Xilinx
Kindly describe your contribution to
System Generator and CCStudio as well as on RF Vector Signal Analyser and Vector Signal
institutions where you have worked
Generator. ● Hands-on experience in schematic verification, schematic entry, schematic
(in about 500 words)
addition, BOM generation, soldering, cable assembly, as well as testing and validation of
waveform components of SDR like sample rate conversion modules and various digital
modulators/demodulators.
What makes you suitable for the post
Excellent Working knowledge of Electronic Devices
you have applied? (500 words max.)
Honours and awards (if any) NA

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 /
No. Full Name Affiliation Designation Address Phone No. Email

1 Shine K.P. CDAC Scientist E Communication and 8921247731 [email protected]


Software Technology
Group ,CDAC
Trivandrum, Kerala

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Common Recruitment Examination for National Institute of
Technology Generated On: 2023-09-04 15:52:08
S Institutional Mobile /
No. Full Name Affiliation Designation Address Phone No. Email

2 Satheesh CDAC Project Communication and 9495312475 [email protected]


kumar S. Engineer Software Technology
Group ,CDAC
Trivandrum, Kerala

5.2 Languages Known

# Language Known Speak Read write

1 Hindi No Yes Yes

2 Tamil Yes Yes No

3 Malayalam Yes Yes Yes

4 English Yes Yes Yes

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

Date: 2023-09-04 15:42:41

231019532 172.31.30.44 Page 4 of 4 ©Samarth eGov

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