Application Date 08/Jan/2013

Application Id BH00038198

GATE 2013 Registration No. ME51811116

Discipline Mechanical

Post Applied For Management Trainee

Category General

Are you a person with

Disabilities (PWD) with 40% No
or more disability?

Whether Ex-Serviceman No

Domiciled in J&K
state(between 01.01.1980 and No
31.12.1989)

Gender Male

Date of Birth 15/Jul/1990

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Graduation Degree Additional Qualification

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Graduation Degree B.E Name Of Course ---

Month and Year of passing

Jul 2013 Specialization ---
the above degree

Passed in first attempt --- Mode of study ---

Duration for completion of

4 years 0 months Percentage ---
graduation course

Mode of study Full Time Name of Institute ---

Percentage in
graduation,aggregate 64.3 Name of University ---
percentage till last Semester

I E S COLLEGE OF
Name Of Institute
TECHNOLOGY

RAJIV GANDHI TECHNICAL

Name of University
UNIVERSITY

No. of backlogs/arrears/carry
0
forward papers (if applicable)

Percentage in diploma in
Engineering before ---
Graduation(if applicable)
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Personal Information

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Full Name (as mentionedin
RAHMAT KHAN Email Id rahmatkhan03@gmail.com
GATE 2013 application)

Alternate Email Id --- Nationality Indian

Mother Tongue Hindi Home State Jharkhand

Marital Status Single Father's Name ENAMULLA KHAN

Father's Occupation STATE EMPLOYEE Mother's Name HASINA KHATOON

H.N0-5/498, ROAD NO-1A

Mother's Occupation HOUSE WIFE Address for Correspondence EAST, KABIR COLONY
MANGO, JAMSHEDPUR

City JAMSHEDPUR State Jharkhand

Pin code 832110 Mobile No. 7415288878

LandLine Telephone No. ---

Do you have Post

Qualification Work No
Experience

Have You Applied Earlier in

No
BPCL

I hereby affirm that the information furnished by me in this application form is correct and accurate
and I accept full responsibility for the accuracy and authenticity. I am aware that my candidature may
be disqualified at any stage of the aforesaid selection process , if the information furnished by me
is found to be false, inaccurate or rmisleading in any manner.

Signature Of Candidate