1/26/2020 fts.bih.nic.in/MWRD/APP/Finalize.

aspx

Application Form
Minor Water Resource Department, Govt. of Bihar
Application for Contractual Recruitment of Junior Engineer
Application Details
Application ID : ###### Application Date : 21-Jan-2020 Post Applied For : Junior Engineer(Civil)

Personal Details
Applicant Name ANAND KUMAR CHAUHAN
Father's /Husband's Name VIRENDRA CHAUHAN
Mother's Name URMILA CHAUHAN
Date of Birth 23-Nov-1999
Age as on (01.08.2019) 19 Years 8 Months
Gender Male
Category BC
Nationality Indian
Physically Handicapped No
Catagory of Physically Handicapped
Percentage of Physically Handicapped
Grand Children of Freedom Fighter No
Email ID anandkumarakc1111@gmail.com
Mobile No. 8004828247
Phone With STD Code
Aadhar No XXXXXXXX4208
Identification Marks BLACK MOLE ON FACE NEAR NOSE

Address for Correspondence

Address HNO C23, RAM VIHAR COLONY, NEAR PANDIT PURVA, SEC 14, INDIRA NAGAR,
LUCKNOW
Pin Code 226016

Permanent Address
Address HNO C23, RAM VIHAR COLONY, NEAR PANDIT PURVA, SEC 14, INDIRA NAGAR,
LUCKNOW
Pin Code 226016
State of Domicile No
Home District

Educational Qualification
Board/University Institute Type State Specialization Passing Year Marks (%)
I.Matric UP BOARD Private Uttar Pradesh 2013 84.17
II.Diploma MAHARISHI UNIVERSITY Private Uttar Pradesh Diploma In Civil Engineering 2017 81.11

Experience
Nature of Organization
Organization Designation From To
Job Type
ARCH DESIGN CREATION, ALIGANJ, BUILDING CONSTRUCTION 01-Jul- 30-Dec- PRIVATE Other
LUCKNOW (CIVIL ENGG.) 2017 2019

I declare that all the above information is correct to the best of my knowledge and that I shall be liable for punishment if information is found
incorrect. I also declare that I have understood the guideline for engagement and will fully abide by the same including any further guideline issued

fts.bih.nic.in/MWRD/APP/Finalize.aspx 1/2
1/26/2020 fts.bih.nic.in/MWRD/APP/Finalize.aspx
by Minor Water Resource Department, Government of Bihar in this regard. I categorically declare that there is no pending Criminal case or serious
complaint against myself.

Place:-

Date:-
Signature of Applicant

fts.bih.nic.in/MWRD/APP/Finalize.aspx 2/2