BPCL

APPLICATION FORM FOR RECRUITMENT THROUGH GATE 2018

NAME: MOHD NASEEM

AHMAD

APPLICATION ID 2018007149

GATE 2018 ME18S13019181

REGISTRATION NO
Please affix recent
POST APPLIED FOR Management Trainee color passport-size
photograph and affix
DISCIPLINE Mechanical your signature
across it.
APPLICATION DATE 12 Jan 2018

Applicant Details :

NAME: MOHD NASEEM AHMAD

CATEGORY OBC (NCL)
ARE YOU A PERSON WITH DISABILITIES
No
(PWD) WITH 40% OR MORE DISABILITY?
WHETHER EX-SERVICEMAN No
Domiciled in J&K state (between 01.01.1980
No
and 31.12.1989)
Gender Male
Date of Birth 22 Feb 1996

Qualifying Degree Details :

1
PASSING YEAR December-2017
Delhi Technological QUALIFYING B.Tech Mechanical
NAME OF INSTITUTE
University DEGREE Engineering
MODE OF STUDY fulltime NAME OF Delhi Technological
NO. OF UNIVERSITY University
BACKLOG/CARRY- No DURATION OF
4 Years
OVER PAPERS DEGREE COURSE
Percentage in Joined your
72.27
graduation graduation course 12 th
Passed in first after.
Yes
attempt

Additional Qualification :

No Additional Qualification Present.

2
 Personal Information :

Name of the
Candidate (As appear MOHD NASEEM naseem928@gmail.co
Primary Email id
in GATE 2018 AHMAD m
Application form)
sazidmalik82@gmail.co
Alternate Email Id Nationality Indian
m
Mother
Religion Islam Hindi
Tongue
Marital
Home State Uttar Pradesh -
Status
Father's Name SALIM AHMAD Father's Occupation Businessman
Mother's Name RAHEESHA KHATOON Mother's Occupation House Wife
A-115 JAWAHAR
Address for PARK POST
City GHAZIABAD
correspondence CHIKAMBERPUR
SAHIBABAD
State Uttar Pradesh Pin Code 201006
A-115 JAWAHAR
PARK POST Permanent Address
Permanent Address GHAZIABAD
CHIKAMBERPUR City
SAHIBABAD
Permanent Address Permanent Address
Uttar Pradesh 201006
State Pin Code
Mobile Number 8800543851 Alternate Mobile no 7982906962
Contact Person in
Any other/Landline 8800543851 Salim Ahmad
case of emergency
Mobile number of
Relationship of
Father Person in case of 9810590615
person with candidate
emergency
Appeared for a BPCL
Choice of city Delhi selection process No
earlier?

Work experience:
No Work Experience.

3
Declaration :

I hereby confirm and declare that I have read all the conditions/criteria mentioned in
the detailed advertisement. I hereby declare that the details furnished by me in this
application are true, correct and complete to the best of my knowledge. I understand
that my candidature/appointment may be disqualified/cancelled/terminated at any
stage of the aforesaid selection process/post-appointment as applicable, if the
information furnished by me is found to be false, inaccurate or misleading in any
manner.

Date: 12 Jan 2018

Signature Of Candidate

Applicants may please note that their candidature is provisional.