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TCS EMPLOYMENT APPLICATION FORM

BASIC DETAILS
Reference # DT20223722023

PERSONAL DETAILS
College/Institute mumbai university
Name Mr. Rupak Ramesh Shukla
Father's Name Mr.Ramesh Bhgwatiprasad Shukla
Date Of Birth 30/06/2000
Nationality India
Gender Male
SSC Roll Number

CONTACT DETAILS
PERMANENT ADDRESS
House No./Apartment Name/Block No E/104,Rashmi Star City
Road/Street/Lane Achole Road
Area/Landmark Near Achole Police Station
City Vasai Virar
State Maharashtra
PIN Code 401209
Country India

PRESENT ADDRESS
House No./Apartment Name/Block No E/104,Rashmi Star City
Road/Street/Lane Achole Road
Area/Landmark Near Achole Police Station
City Vasai Virar
State Maharashtra
PIN Code 401209
Country India
ACADEMIC DETAILS:
Degree Course Duration Duration Course University/Institute Board Of Specialization CGPA/Marks Total Percentage
Name From To Type Education Obtained Marks/CGPA
Graduate Bachelor 16/08/2019 30/06/2022 Full Time Mumbai University Mechanical 3481.0 4500.0 77.36
Of Engineering
Engineerin
g
Equivalent Diploma 14/09/2016 12/06/2019 Full Time M.S.B.T.E. Mechanical 1249.0 1700.0 73.47
Diploma Engineering
X 14/06/2015 12/05/2016 Full Time Thakur Shyamnaryan State Board 387.0 500.0 77.4
High School
Are there any break in studies ? No
Rewards Or Scholarships : No
Academic Projects Undertaken: 1.Design And Analysis Of Pressure Vessel Using Computational Techniques.
2.Four Wat Motorized Hack Shaw.
Have you done any other course ? Yes, Java,Mysql Technical Course
Do you have any pending backlogs No
currently ?
Declaration
1. You have taken all subject marks into consideration for calculating the obtained/Total Marks/CGPA in each
of the above mentioned academic qualifications :
Yes
2. The "Marks/CGPA Obtained" entered by you for each of the above mentioned academic qualifications has
been secured in the first attempt :
Yes
3. You have considered only the Marks/CGPA obtained during the normal duration of the course for calculating
Obtained/Total Marks/CGPA :
Yes
4. You have completed each of the above mentioned academic courses in the stipulated time as specified by
your University/Institute and as per TCSL selection guidelines and do not have any extended education:
Yes
5. You have declared break in studies/work experience and pending backlogs,if any, during your academics:
Yes
6. You have not attended the TCSL Selection Process in the last 6 months:
Yes
7. You have read the TCSL eligibility criteria and understand that your candidature/application/offer/ on
boarding is subject to fulfillment of the specified criteria :
Yes
I Mr. Rupak Ramesh Shukla solemnly declare that the information in this form is truly stated and correct and I am
competent to furnish as well as verify it with adequate details whenever requested for by TCSL.
CONTACT DETAILS
E-mail ID rupak.shukla30@gmail.com
Mobile Number 91 - 9890053846
Alternate E-Mail ID rupakshukla4@gmail.com
Alternate Contact Number 91 - 9004733313

LANGUAGE DETAILS:

Language Mother Tongue Read Speak Write

Hindi No Yes Yes Yes

English No Yes Yes Yes

Marathi No Yes Yes Yes

Bhojpuri Yes Yes Yes Yes

Security Details

Are you involved in any pending and / or closed Civil / Criminal / case / proceedings / charges / enquiry prior to joining No

TCS.

Are you involved in any pending and / or closed Disciplinary / malpractices and / or any other charges / proceedings / No

enquiry / case pending against me in any University or any other educational authority / institution prior to joining TCS.

''If the answer to any of the above mentioned question is YES give full particulars of the case / arrest /detention / fine
/conviction / sentence / punishment etc. and / or the nature of the case pending in the Court / University / Educational
authority etc. at the time of filling this form.''

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