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102264 rec2011 pe-1
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102264 rec2011 pe-1

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  • 1. CENTRE FOR DEVELOPMENT OF ADVANCED COMPUTING,NOIDA (Department of IT, Ministry of Communications & Information Technology, Govt. of India) Application for : REC2011 Post Name : PE Post Description : CDAC PEREGISTRATION NO. 102264 APPLICATION FORM 1. Name of Candidate : RICHHPAL 2. Fathers Name : KALURAM 3. Date of Birth : 16 May 1988 4. Sex : Male V.-38NP, P.O.-Nanuwala Tehsil-Raisinghnagar 5. Address(Present) : City : SRI GANGANAGAR State : RAJASTHAN Pin Code : 335051 Country : India Contact No. : 8750348998 E-mail : richhpalgora1610@gmail.com 6. Address(Permanent) : V.-38NP, P.O.-Nanuwala Tehsil-Raisinghnagar City : SRI GANGANAGAR State : RAJASTHAN Pin Code : 335051 Country : India 7. Category : SC (SC/ST/OBC/General/PH/Def) 8. Qualification : Examination Board / University Year % age 10th ajmer board 2003 80.81 12th ajmer board 2005 78.92 Qualifying Degree MCA MLSU Udaipur 2011 NA Page 1 of 2
  • 2. 9. Phd ( if applicable ) : NA10. Experience ( if any ) :11. Payment Mode : Demand Draft If Payment is made through Demand Draft (Please write your name and address on the back of Demand Draft) DD Number : 247029 Date : 26 May 2011 Amount Rs. : 100 Bank : punjab national bank ANY PERSON, UPON SUBSEQUENT EMPLOYMENT, THAT IS FOUND TO HAVE KNOWINGLY SUPPLIED FALSE OR MISLEADING INFORMATION, OR HAS DELIBERATELY WITHHELD RELEVANT INFORMATION, WILL BE SUMMARITLY DISMISSED Declaration : I have read and understood the information supplied to me in relation to this Job Position and the information requested in this Job Application Form. I confirm that all information supplied by me is true and correct to the best of my beliefs. I give the prospective employer the right to follow up references and to make any other job-related enquiries as may be deemed necessary. Signature: ________________________________ Date: ____________________ Page 2 of 2

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