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1/18/2017 BHABHAATOMICRESEARCHCENTRE

BHABHAATOMICRESEARCHCENTRE
BARCFacilities,Kalpakkam

ApplicationNo. :A000132000908

DateofApplication :18/01/2017

AdvertisementNo. :01/2017

LastdateforApply :31/01/2017

ApplicationForthePostof2StipendiaryTraineesCategoryII(LaboratoryAssistant)

UI. AadharNo[Ifavailable] :860188417453

01. NameInFull[asperSSCcertificate] :ShriMANISHJAISWAL

02. Nationality :INDIAN

03. Religion :Hindu

04. DateOfBirth :28/09/1996

05. Gender :Male

06. MaritalStatus :Single

07. //  ?WhetherSC/ST/OBC? :OBC,KALWAR

08. ?AreyoudomiciledinJammu
&Kashmirduringtheperiodfrom01/01/1980to :NO
31/12/1989?
09. 1984 ?Areyoua
:NO
familymemberofthosewhodiedin1984riots?
10. ?Whetherbelongingto
:NO
minoritycommunity?
11. ?Whetherphysically
:NO
handicapped?
12. i)
 ?AreyouanExserviceman? :NO

ii) / ?Areyouan :NO


employeeofCentral/StateGovernment?
(IfYes,Pleaseensurethatyouhaveappliedthroughproperchannelandhavetoproduce'NoObjectionCertificate'atthetimeofWritten
Exam/Interview)

13. AddressforCorrespondence PermanentAddress

89/1,SHUTURKHANAMAQBOOLGANJ,P.O.SHIVAJI 89/1,SHUTURKHANAMAQBOOLGANJ,P.O.SHIVAJI
MARG,LUCKNOW226018 MARG,LUCKNOW226018

City :LUCKNOW City :LUCKNOW

District :LUCKNOW District :LUCKNOW

State :UttarPradesh State :UttarPradesh

PinCode :226018 PinCode :226018

.Mobile :8574889900 .Mobile :8574889900

Email :manish.jaiswal987@gmail.com Telephone :NotAvailable


14. Qualification

Yearof Stream/ Course
Nameof University/Board/ Maximum Marks %of
passing/ Discipline/ Duration Remarks
Examination Institution Marks obtained marks
appearing Subject inYears
BOARDOFHIGH
SCHOOL& WithMaths&
SSC 2012 600 494 82 1
INTERMEDIATE Science
EDUCATION,U.P.

https://barcrecruit.gov.in/barcrecruit/forms/application/application_print.jsp?do=print&action=appForm&process=4674A1492D0AB955176DDF580C579B5 1/2
1/18/2017 BHABHAATOMICRESEARCHCENTRE
BOARDOFHIGH
HSC SCHOOL& 2014 Science 500 380 76 1
INTERMEDIATE
EDUCATION,U.P.
PHY74%,CHEM80%,MATH63%,BIONA


15.  Indicatethecourseofstudy,ifany,theapplicantiscontinuing
presently.

No.of
University/Board/ FullTime/Part Durationofthe
CourseName Semesters/Years %ofmarks
Institution Time course
Completed
BachelorofScience LucknowUniversity FullTime 36 2 54


16.
Experience(Particularsofallpreviousandpresentemploymentaretobefurnished)

PeriodofService Permanent Reasons
EmployerDetails
PostHeld NatureofDuties indd/MM/yyyyformat or for
Type Name&Address From To Temporary Leaving
NotApplicable


17.  Detailsofrelativesalreadyemployedin
DepartmentofAtomicEnergyoritsConstituentUnits.

Nameofrelative Relationship Unitinwhichemployed PostHeld
NotApplicable


18. AnyOtheradditionalinformation :NotApplicable



/

/Iherebydeclarethattheaboveinformationisfactuallycorrectto
thebestofmyknowledge.IalsounderstandthatIwillbedisqualifiedifanyoftheinformationfurnishedbymeisfoundto
beincorrect

Place:LUCKNOW

Date:18/01/2017 MANISHJAISWAL

https://barcrecruit.gov.in/barcrecruit/forms/application/application_print.jsp?do=print&action=appForm&process=4674A1492D0AB955176DDF580C579B5 2/2

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