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  • 8/20/2015

    http://npc.onlineap1.com/register/RegistrationSlip 1/2

    20/08/201523:21:08

    OnlineApplicationforthePostofExaminerPatents&DesignsfortheofficeofCGPDTMExamination2015

    APPLICATIONNO.: NPC098701

    DISCIPLINEAPPLIED: MECHANICALENGINEERING

    QUALIFICATION:

    OTHERSEQUIVALENTTOBACHELORSDEGREEINMECHANICALENGINEERING/TECHNOLOGY

    DOYOUHAVEADEGREEINLAW

    FROMARECOGNISEDUNIVERSITY?NO

    DOYOUHAVEACERTIFICATE(Minimum6months)/DIPLOMA

    FROMARECOGNISEDUNIVERSITYINFORIEGNLANGUAGE?NO

    DOYOUHAVEMINIMUM3YEARSorMOREOFRESEARCHEXPERIENCE

    FROMARECOGNISEDUNIVERSITYorR&DINSTITUTE/ORGANISATION?NO

    CANDIDATENAME: VINODHKUMARR

    CATEGORY: OBC(NONCREAMYLAYER)

    GENDER: MALE

    PHYSICALLYHANDICAPPED(PH)CANDIDATE(Min.40%disability): NOTYPEOFPHYSICALDISABILITY:

    CANDIDATEWHOHASORDINARILYBEENDOMICILEDINJ&KDURINGTHEPERIOD01Jan1980to31Dec1989?

    NO

    DEFENCESERVICEPERSONNELDISABLEDINOPERATIONSDURINGHOSTILITIESWITHANYFOREIGNCOUNTRYorINADISTURBEDAREAANDHAVEBEENRELEASEDTHEREOF?

    NO

    AGE:22YEARS,1MONTHS,14DAYS

    DATEOFBIRTH: 18JUN1993

    MOBILENUMBER: 9840976901 EMAILADDRESS:

    [email protected]

    MARITALSTATUS: UNMARRIEDAreyoucurrentlyin NO

  • 8/20/2015

    http://npc.onlineap1.com/register/RegistrationSlip 2/2

    Govt.Service?:

    ExSERVICEMEN/CommissionedOfficer/ECO/SSCOHAVINGRENDEREDmin.5YEARSOFSERVICEASON01Jun2015ANDRELEASESTHEREOF? NO

    ADDITIONALTELEPHONENUMBER:

    04424745002

    Husband/FathersName: RAJENDRANC

    NATIONALITY:

    INDIAN

    CORRESPONDENCEADDRESS: NO61,KUMARANSTREET,,NESAPAKKAM,,CHENNAI,TAMILNADU,600078

    PERMANENTADDRESS: NO61,KUMARANSTREET,,NESAPAKKAM,,CHENNAI,TAMILNADU,600078

    ACADEMICDETAILS:

    EducationalQualification:

    ExaminationPassed Subject Board/College/Institute/UniversityYearof

    AcquiringQualification

    CGPAScore

    CGPAMaximum

    %ofmarks

    obtained

    10THCLASSMATHEMATICS,SCIENCE,SOCIALSCIENCE,TAMIL

    ,ENGLISHCBSE 2008 91

    12THCLASS

    MATHEMATICS,PHYSICS,CHEMISTRY,COMPUTERSCIENCE,FRENCH,ENGLISH

    STATEBOARD 2010 86

    OTHERSEQUIVALENTTOBACHELORSDEGREEIN

    MECHANICALENGINEERING/TECHNOLOGY

    MANUFACTURINGENGINEERING

    ANNAUNIVERSITY 2014 8.34 10 83.4

    CenterSelection(PreliminaryExamination):

    Preference1: CHENNAI

    Preference2 BENGALURU

    CenterSelection(MainExamination):

    Preference1: CHENNAI

    PAYMENTDETAILS:

    ModeofPayment PaymentType AmountPaid TransactionNumber

    Online NETBANKING 205.70 L3dxo8JxNT

    Iherebydeclarethatallinformationfurnishedinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.Intheeventofanyinformationbeingfoundfalseorincorrect,orineligibilitybeingdetectedbeforeoraftertheexamination,orevenaftertheappointmentatalaterstage,IfullyowntheresponsibilityofmycandidatureforthePostAppliedFor,betreatedascancelledandImaybedebarred/anyactionasperRulesandRegulationsmaybeinitiatedagainstme.

    20/08/201523:21:08


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