Eligibility Criteria
Candidate Photo
Application Status Application Number Candidate's Name
SubmittedOffline NCL25012098 GITA RAGHUNATH JA
DHAV
Date of Birth Gender Marital Status
25/Jun/1999 Female Unmarried
Father's Name Mother's Name Email ID
RAGHUNATH MAHAD SHEVNTABAI gita.jadhav099@gmai
U JADHAV [Link]
Mobile Number Alternate Mobile Nu
7558365558 mber
9356224326
Post Details
Post Name Post Code
Technician Electrician 03
(Trainee) Cat III
Test City Preferences
Preferred Test City 1 Preferred Test City 2 Preferred Test City 3
Pune Nagpur Delhi/Delhi NCR
Preferred Test City 4 Preferred Test City 5 Preferred Test City 6
KolKata Ranchi Lucknow
Candidate Domicile and Category Details
Nationality Category
A citizen of India ST
ExServicemen Details/ Deparmental Employee Details
Are you an Ex Servic Are you a departme
emen (ESM) ? ntal candidate (Emp
No loyee of CIL and its s
ubsidiaries) ?
No
Other Employment Details
Are you employed in
Government/ Semi-
Government/Auton
omous Body or PSU
(except employee of
CIL & its subsidiarie
s)?
No
Correspondence Address
Address Line 1 Address Line 2 Country
AT- KHAIRAYPALI POS TAL- TRIMBAKESHWA India
T - KHARSHET R DIST- NASHIK
State
Maharashtra
City/District Pincode/Postal Code Is Permanent Addre
Nashik 422204 ss Same as Correspo
ndence address?
Yes
Permanent Address
Address Line 1 Address Line 2 Country
AT- KHAIRAYPALI POS TAL- TRIMBAKESHWA India
T - KHARSHET R DIST- NASHIK State
Maharashtra
City/District Pincode/Postal Code
Nashik 422204
Matriculation (10th) Details
Name of the Board/ Institute Name Subject Combinatio
Council Govt. Secondary and n
Maharashtra state bo higher secondary Ash 6
ard secondary and hi ram school Thanapad
a Please select any of
gher secondary educ
ation Pune the following
Percentage
Marks Obtained Maximum Marks Percentage of Mark
409 500 s (%)
81.80
Year of Completion
03/2015
ITI Details
Qualification Degre Institute Name Month and Year of P
e [Link] Boripada assing
ITI(2Year course)in Ele 07/2019
ctrician Trade
Please select any of Marks Obtained
the following 2070
Percentage Maximum Marks
2700
Percentage of Mark Do you have Electric
s ian trade certificate
76.67 issued by NCVT/SCV
T and minimum 01 Y
ear Apprenticeship
Training issued by N
CVT/SCVT under the
Apprentices ACT,196
1?
Yes
Payment Details
Amount Payment Mode
0 offline
Documents Upload
Signature
Document View / Download
To view your copy of scanned 10th class certificate: Click here.
To view your copy of scanned 10th class Marksheet: Click here.
To view your copy of ITI certificate: Click here.
To view your copy of Caste Certificate: Click here.
To view your scanned copy of Apprenticeship certificate Click here.
Declaration
I hereby certify that the information given by me in this Application Form is t
rue to the best of my knowledge. I certify that I fulfill the eligibility criteria sti
pulated in the Employment Notification and undertake to produce original d
ocuments whenever necessary and I will not demand any reschedule of exa
m. I agree to abide by the declaration of the authorities regarding the eligibil
ity of my application and understand that any misrepresentation or omissio
n of facts in my application may justify cancellation of my candidature.