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    01 CE-Sakshi Mudliar DAF

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    harshavardhan
    This document contains a detailed application form for the Union Public Service Commission Engineering Services (Main) Examination, 2020. It includes personal details of the applicant such as name, address, contact information, educational qualifications, employment history, order of preference for various engineering services, and extracurricular activities. The applicant is an Indian citizen from Chhattisgarh pursuing a civil engineering degree.

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    01 CE-Sakshi Mudliar DAF

    Uploaded by

    harshavardhan
    478 views3 pages
    This document contains a detailed application form for the Union Public Service Commission Engineering Services (Main) Examination, 2020. It includes personal details of the applicant such as name, address, contact information, educational qualifications, employment history, order of preference for various engineering services, and extracurricular activities. The applicant is an Indian citizen from Chhattisgarh pursuing a civil engineering degree.

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    This document contains a detailed application form for the Union Public Service Commission Engineering Services (Main) Examination, 2020. It includes personal details of the applicant such as name, address, contact information, educational qualifications, employment history, order of preference for various engineering services, and extracurricular activities. The applicant is an Indian citizen from Chhattisgarh pursuing a civil engineering degree.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    478 views3 pages

    01 CE-Sakshi Mudliar DAF

    Uploaded by

    harshavardhan
    This document contains a detailed application form for the Union Public Service Commission Engineering Services (Main) Examination, 2020. It includes personal details of the applicant such as name, address, contact information, educational qualifications, employment history, order of preference for various engineering services, and extracurricular activities. The applicant is an Indian citizen from Chhattisgarh pursuing a civil engineering degree.

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    © All Rights Reserved
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    UNION PUBLIC SERVICE COMMISSION

    DETAILED APPLICATION FORM


    ENGINEERING SERVICES (MAIN) EXAMINATION, 2020

    Roll No. : 4900598


    RID: 12000567547
    Branch : CIVIL ENGINEERING

    1. Name | SAKSHI MUDLIAR

    2. (a) Address for correspondence to which | QR-5B STREET-8 SECTOR-10


    communication is to be sent | BHILAI,DURG,CHHATTISGARH
    Post Office: | SECTOR-10 BHILAI
    City: | BHILAI
    District: | DURG
    State : | CHHATTISGARH
    Pin Code : | 490009
    (b) Telephone No. with STD Code | -7024758979
    (c) Mobile No. | 7024758979
    (d) Fax No. |
    (e) E-mail address | MUDLIARSAKSHI@GMAIL.COM
    (f) Permanent Postal Address | QR-5B STREET-8 SECTOR-10
    | BHILAI,DURG,CHHATTISGARH
    Post Office: | SECTOR-10 BHILAI
    City: | BHILAI
    District: | DURG
    State : | CHHATTISGARH
    Pin Code : | 490009

    3. Nationality | INDIAN

    4. Gender | FEMALE

    5. Marital Status | UNMARRIED

    6. Citizenship | A CITIZEN OF INDIA(1)

    7. State of Domicile | CHHATTISGARH

    8. (a) Date of Birth | 29-11-96


    (b) Age Relaxation claimed | NO

    9. Mother tongue : | TAMIL


    10.Place of Birth :
    If born in India: | YES
    Post Office | SECTOR-10,BHILAI
    City/Town/Village | BHILAI
    District | DURG
    State | CHHATTISGARH
    Pincode | 490009

    11. (a) Community | GENERAL (4)

    14. Educational Qualifications : Commencing with Matriculation or equivalent examination till Graduation:-
    Examination Class/ Percentage CGPA Year of Subject(s) Name of Name of
    Passed Division of Score Out of School/College Board/University
    /Grade Marks(%) Passing /Institution
    10th or Equivalent A 10 10 2013 SCIENCE,MATHS,S DELHI PUBLIC CBSE
    OCIAL SCIENCE,E SCHOOL,BHILAI
    NGLISH,SANSKRIT
    12th or Equivalent 1ST 91 2015 PHYSICS,CHEMIST DELHI PUBLIC CBSE
    RY,MATHS,ENGIN SCHOOL,BHILAI
    EERING DRAWING
    ,ENGLISH
    Stream at Graduation Level :--
    DEGREE/DIPLOM HONOR 9.15 10 2019 CIVIL NATIONAL NATIONAL
    A IN S ENGINEERING INSTITUTE OF TEC INSTITUTE OF
    ENGINEERING HNOLOGY,RAIPUR TECHNOLOGY,
    FROM FOREIGN RAIPUR,
    UNIVERSITY/COL CHHATISSGARH
    LEGE/INSTITUTI
    ON RECOGNISED
    BY THE GOVT. OF
    INDIA

    15.(a) Have you ever been employed? : | NO


    18. Your order of preference against the Services/Posts given below,for which ,you would like to be
    considered for appointment. (Please write your first preference as 1 and second preference as 2 and so on ) .
    In case no preference is exercised,then '0' shall be filled against each services(s).

    Category : | CIVIL ENGINEERING

    Name of Services/Post Order of Preference


    CENTRAL ENGINEERING SERVICE 1
    CENTRAL ENGINEERING SERVICE (ROADS) GR.A (CIVIL ENGG POSTS) 3
    SURVEY OF INDIA GROUP A SERVICE 2
    AEE(CIVIL) IN BORDER ROAD ENGINEERING SERVICE 8
    INDIAN DEFENCE SERVICE OF ENGINEERS 5
    AEE(QS&C) IN MES SURVEYOR CADRE 6
    CENTRAL WATER ENGINEERING (GROUP A) SERVICE 4
    INDIAN SKILL DEVELOPMENT SERVICE 7

    Note 1 : No request for addition/alteration in the preferences indicated by a candidate in this application
    form will be entertained by the commission.

    Note 2 : Candidate is advised to indicate all the Services/Posts (as given in para 2 of Notice) for which he is eligible
    in terms of the Rules in the order of preferences in Col. 18 of his/her application form.In case he/she does not give
    any preference for any Services/Posts or does not include certain Services/Posts in Col. 18 of the application form,
    it will be assumed that he/she has no specific preference for these Services/Posts and in that event he/she shall be
    allocated to any of the remaining Services/Posts in the order as appearing in the notification and in which there are
    vacancies after allocation of candidates according to the Services/Posts of their preference.
    21. Please give Particulars at the University/State/National Level in respect of :-
    (a) Prizes, medals, scholarships | SAIL PM TROPHY
    SCHOLARSHIP,CERTIFICATE OF MERIT IN
    INDIA THEATRE
    OLYMPIAD,CUTTACK,ODISHA,1ST-3RD PRIZE
    IN VARIOUS DISTRICT STATE LEVEL
    DRAWING PAINTING
    COMPETITION,MARKERSCUP FOR SCORING
    HIGHEST IN ENGLISH IN CBSE CLASS 12TH
    EXAMINATION
    (b) Sports / N.C.C. |-
    (c) Position(s) of distinction /leader | EXECUTIVE MEMBER OF LITERATI-THE
    held in School/College LITERARY COMMITTEE OF NIT RAIPUR,3RD
    POSITION IN STATE LEVEL NTSE-2013
    (d) Other extra curricular activities | MAKING KOLAM,WATCHING TED
    interests (Such as hobbies etc.) TALKS,NARRATING INSPIRATIONAL SHORT
    STORIES

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