3/23/2019 ZONE-WISE RECRUITMENT FOR JUNIOR ENGINEER (JE) (CIVIL ENGINEERING / ELECTRICAL MECHANICAL ENGINEERING), A…

FOOD CORPORATION OF INDIA 350150

ZONE-WISE RECRUITMENT FOR JUNIOR ENGINEER (JE) (CIVIL ENGINEERING / ELECTRICAL MECHANICAL
ENGINEERING), ASSISTANT GRADE-II (AG II) (HINDI), TYPIST (HINDI), ASSISTANT GRADE-III (AG III) (GENERAL /
ACCOUNTS / TECHNICAL / DEPOT) AND STENOGRAPHER GRADE-II

Registration Number : 43489976

Full Name : SHIVAM KUMAR

Zone : : North
Post : : Assistant Grade-III (AG III)
(Technical)

Category : OBC

Are you a person with benchmark disability of 40% and above ? : NO

Type of Disability : -

Do you need compensatory time at the time of examination : -

Are you suffering from cerebral palsy and your writing speed is affected : -

If Yes, Do you need compensatory time at the time of examination ? : -

Whether your dominant (Writing) hand is affected : -

If Yes, Do you need compensatory time at the time of examination ? : -

Do you intend to use the services of a scribe ? : -

Whether scribe will be brought by candidate ? : -

Do you need scribe from FCI ? : -

Are you a person domiciled in the State of Jammu & Kashmir during the period 1-1- : NO
1980 to 31-12-1989 :?

Are you seeking relaxation under Widow / Divorced Women / Women Judicially : NO
Separated from their husbands and who are not re-married ?

Are you an Ex-Serviceman : ? : NO

Period of Service (in months) : -

Have you joined a Government job on the civil side after availing of the benefits : -
given as an ex-serviceman?

Are you Serving Defence Personnel ? : NO

Are you Departmental (FCI) employee ? : NO

Select group for online examination Paper-II: : GROUP B- Agriculture, Chemistry

and Physics

Do you belong to Religious Minority Community ? : NO

Religion to which you belong : -

Nationality / Citizenship : Indian

State of Examination Centre (Phase-I) : Uttar Pradesh

Centre of Examination (Phase-I) : Noida / Greater Noida

State of Examination Centre (Phase-II) : Delhi NCR

Centre of Examination (Phase-II) : Noida

Centre of Examination (Paper-IV-Subjective Test) : -

Application Fee

Payment In : ONLINE

Fees : 423.72

Tax : 76.28 (IGST)

Amount : 500.00

Payment Status : PAID

Reference ID : QHMP7355889795

Transaction Date : 23-03-2019

https://ibpsonline.ibps.in/fcirevpjan19/registration_print.php?q=OGM0ZmEwMTQxMWU1MGFmMWU0OWJjMGU4M2M1YWY5ZWN8NDM0ODk5NzY= 1/3
3/23/2019 ZONE-WISE RECRUITMENT FOR JUNIOR ENGINEER (JE) (CIVIL ENGINEERING / ELECTRICAL MECHANICAL ENGINEERING), A…

Personal Details

Date of Birth : 03-07-1996

Age completed as on 01.01.2019 : 22

Gender : MALE

Marital Status : Unmarried

Father's Name : SURESH PAL SINGH

Mother's Name : SUSHILA DEVI

Spouse's Name : -

Address for Correspondence : HOUSE NO 08 GATE 02

Address 2 : ASHUTOSH CITY NEAR FUN

CITY

District : BAREILLY

State : UTTAR PRADESH

Pincode : 243123

Permanent address : HOUSE NO 08 GATE 02

Address 2 : ASHUTOSH CITY NEAR FUN

CITY

District : BAREILLY

State : UTTAR PRADESH

Pincode : 243123

State for GST invoicing : Communication Address (UTTAR

PRADESH)

Contact Details
Mobile No : +91 7895641478

Alternative Number : +91 8171746995

(Mobile No/Landline No)
Email ID : shivamkurmi446@gmail.com

Educational Qualification (as on 01.01.2019)

Exam Passed Degree/ Subject / Stream Date of Passing % of Marks Class / Grade

Degree B.Sc. in Agriculture from a 30-06-2016 69.54 Second Class

recognized University

Do you have proficiency in use of computers ? : YES

Other Details :

Languages Known Read Write Speak

HINDI YES YES YES

ENGLISH YES YES YES

Uploaded Document Details :

1. Left thumb impression

2. Hand written declaration

Declaration:

I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I understand that in the
event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria stipulated, and also in case of creating
influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.

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3/23/2019 ZONE-WISE RECRUITMENT FOR JUNIOR ENGINEER (JE) (CIVIL ENGINEERING / ELECTRICAL MECHANICAL ENGINEERING), A…

Date: 23-03-2019 Signature of Applicant

Left thumb impression

Hand written declaration

https://ibpsonline.ibps.in/fcirevpjan19/registration_print.php?q=OGM0ZmEwMTQxMWU1MGFmMWU0OWJjMGU4M2M1YWY5ZWN8NDM0ODk5NzY= 3/3