This document is an application form for a trainee mechanical position at the Bhabha Atomic Research Centre. The applicant provides personal details like name, date of birth, address, education history, and employment history. He indicates his highest qualification as a diploma in mechanical engineering from MSBTE in 2010. He is currently pursuing a Bachelor of Engineering degree in mechanical engineering at SRT Nanded University.

1. BHABHA ATOMIC RESEARCH CENTRE http://barcrecruit.gov.in/barcrecruit/forms/application/application_print.j...
BHABHA ATOMIC RESEARCH CENTRE
Recruitment - I
Application No. : L130967/004378
Date of Application : 18/12/2012
Advertisement No. : 03/2012-R-I
Last date for Apply : 18/12/2012
Application For the Post of 1-Cat-I Trainees (Mechanical)
1. पूरा नाम Name In Full [as per SSC certificate] : SHRI RAVIKANT BHISHMACHRYA NAIKNAWARE
2. रा ीयता Nationality : INDIAN
3. धम Religion : Hinduism
4. ज मितिथ Date Of Birth : 15/05/1990
5. िलंग Gender : Male
6. वैवा हक थित Marital Status : Unmarried
7. या आप अजा/अजजा/ पछड़े वग क ह ? Whether SC/ST/OBC ?
े : NO
8. या आप ज मू क मीर क अिधवासी ह ? Are you domiciled in
े
Jammu & Kashmir during the period from 01/01/1980 to : NO
31/12/1989 ?
9. या आप 1984 क दंग म मरने वाल क प रवार क सद य ह ? Are you a
े े े
: NO
family member of those who died in 1984 riots ?
10. या आप अ पसं यक समुदाय क ह ? Whether belonging to
े
: NO
minority community ?
11. या आप शार रक प से अश ह ? Whether physically
: NO
handicapped ?
12. i) या आप भूतपूव सैिनक ह ? Are you an Ex-service man ? : NO
ii) या आप क य/रा य सरकार क एक कमचार ह ? Are you an
े े : NO
employee of Central/State Government ?
(If Yes, Please ensure that you have applied through proper channel and have to produce 'No Objection Certificate' at the time of Written
Exam/Interview)
13. प ाचार क िलए पता Address for Correspondence
े थायी पता Permanent Address
AT POST PATWARDHAN KUROLI TALUKA PANDHARPUR AT POST PATWARDHAN KUROLI TALUKA PANDHARPUR
DISTRICT SOLAPUR DISTRICT SOLAPUR
सहर City : PANDHARPUR सहर City : PANDHARPUR
ज हा District : SOLAPUR ज हा District : SOLAPUR
रा य State : Maharashtra रा य State : Maharashtra
पनकोड Pin Code : 413315 पनकोड Pin Code : 413315
मोबाइल नं. Mobile : 8888890631 मोबाइल नं. Mobile : 8888890631
ई-मेल Email : ravinaiknaware@ymail.com ई-मेल Email : Not Available
14. यो यता Qualification
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2. BHABHA ATOMIC RESEARCH CENTRE http://barcrecruit.gov.in/barcrecruit/forms/application/application_print.j...
Year of Stream/ Course
Name of University/ Board/ Maximum Marks % of
passing/ Discipline/ Duration Remarks
Examination Institution Marks obtained marks
appearing Subject in Years
SSC PUNE BOARD 2007 --NA-- 650 438 67 1
Diploma MSBTE 2010 Mechanical 1575 1044 66 3
15. Indicate the course of study, if any, the applicant is continuing presently.
No. of
University/ Board/ Full Time/ Part Duration of the
Course Name Semesters/Years % of marks
Institution Time course
Completed
SRT NANDED
B E MECH Full Time 36 2
UNIVERSITY
16. अनुभव Experience (Particulars of all previous and present employment are to be furnished)
Period of Service Permanent
Name & Address of Reasons for
Post Held Types of Employer in dd/MM/yyyy format or
Employer Leaving
From To Temporary
Not Applicable
17. Details of relatives already employed in Department of Atomic Energy or its Constituent Units.
Name of relative Relationship Unit in which employed Post Held
Not Applicable
18. कोई अ य सूचना Any Other additional information : Not Applicable
I hereby declare that the above information is factually correct to the best of my knowledge. I also understand that
I will be disqualified if any of the information furnished by me is found to be incorrect
Place : PANDHARPUR
Date : 18/12/2012 RAVIKANT BHISHMACHRYA NAIKNAWARE
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