GOVERNMENT OF MAHARASHTRA

MAHAPARIKSHA MUMBAI , MAHARASHTRA

Maharashtra Information Technology Corporation Ltd. (MAHA IT), 514, 5th Floor,
Mantralaya,
Hutatma Rajguru Chowk, Madam Cama Road, Mumbai - 400032
E-mail:enquiry@mahapariksha.gov.in

Personal Details
Posts/Services Applied for Assistance Intelligence officer
Application Id SID_AIO_0015842
First Name AMOL
Middle Name PANDHARINATH
Last Name KHAIRNAR
Mother's Name JIJABAI
Father's Name PANDHARINATH
Nationality INDIAN
No of Children 0
Declaration of small familyWhether liable to be disqualified for the Government Ser
vices according to the provisions of Maharashtra Civil Services (Declaration of sma No
ll family) Rules, 2005?
Gender MALE
Date of Birth Jul 23, 1993
Candidate's Name AMOL KHAIRNAR
Mobile Number 9028553058
Marital Status SINGLE
Name Change Status NOT CHANGED
Changed First Name NOT APPLICABLE
Changed Middle Name NOT APPLICABLE
Changed Last Name NOT APPLICABLE
Category of the Candidate OBC
Caste Validity Certificate APPLICABLE
Caste Certificate Number OBC/3539/2009
Place of Issue NASHIK
Do you belong to non-creamy layer category? APPLICABLE
Aadhaar Number 648027658465
Are you Orphan as per Women and Child Development Department's Government R
NOT APPLICABLE
esolution No. अमुजा- २०११/ . . २१२/ का- ३, द. २ ए ल २०१८ ?
Enrollment Number NOT APPLICABLE
Project Affected or Dependent on Project Affected? NOT APPLICABLE
Earthquake Affected (Whether death of any family member or the house collapsed
NOT APPLICABLE
in the earthquake has been rebuilt by the government ?)
Part time employee NOT APPLICABLE
Name of Office: NOT APPLICABLE
Appointing Authority: NOT APPLICABLE
Part Time Experience in Years NOT APPLICABLE
Part Time Experience in Months NOT APPLICABLE
Part Time Experience in Days NOT APPLICABLE
Do you have MSCIT certification or equivalent certification ? YES
Marathi Language Proficiency(READ) YES
Marathi Language Proficiency(WRITE) YES
Marathi Language Proficiency(SPEAK) YES
Are you a Government or Semi-Government employee? NO
Name of the Office/Department: NOT APPLICABLE
Joining date: NOT APPLICABLE
Are you wife/son/daughter of a suicidal farmer? NOT APPLICABLE
Retired Ex-Service man NOT APPLICABLE
Years of service (Ex-Servicemen) NOT APPLICABLE
Are you wife/son/daughter of ex-servicemen NOT APPLICABLE
Whether candidate is employee of Home Guard Team with 3 years of experience in
NO
Home guard?
Height (in Cm) 166
Chest without expansion (in Cm) 80
Chest with expansion (in Cm) 85
Sports Quota NOT APPLICABLE
Meritorious sportspersons Reservation: NOT APPLICABLE
Have you sent all sports certificate from director/deputy director, sport for verificat
NO
ion?
Domicile of Maharashtra YES

Address Details of the Candidate

Address Type Address
Both Permanent and Current Addr
ess AKSHAR RESIDENCY B102 SHIVKRUPA NAGAR HIRAWADI Nasik,Nasik MAHARASHTRA 422003

Educational Qualification Details

Educational Quali Name of the c Name of the B Marks Obtaine Marks Maxim
fication ourse Qualified from oard/Universit Passed on d um Percentage Percentile CGPA GRADE
y Name

MAHARASHT Savitribai Phul

GRADUATE B.E/B.TECH RA e Pune Univer Jul 18, 2015 914 1500 60.93
sity
Sports
Name of Sport Level Medal/Position Start Date End Date
Exam Center Details
Preferred Exam Center Location1 Preferred Exam Center Location2 Preferred Exam Center Location3
NASIK THANE NAVI MUMBAI
Payment Details
Transaction Type Transaction Id Transaction Status Transaction Date Total Fees
ONLINE MAHAIT_SID_000000023237 SUCCESS 06/06/2018 11:02 AM 325
Before logging on to the registration portal
Sr.No Undertakings
1. I have scanned my photograph and signature ready on my desktop confirming to the specified standards mentioned in the information Brochure.
2. I have downloaded the Online information brochure and read it carefully before filling the form.
3. I have the details for payment (Credit Card / Debit Card / Internet Banking) available with me for making Online payment.
4. I agree that my application form will be treated as complete only if I finally submit the application along with the payment of necessary fees.
5. I agree to bear the payment gateway additional charges
6. I accept to receive messages from MAHA-IT even if my mobile number falls under Opt-in and / or DND (Do Not Distrub)/ DNC(Do Not Call) category.
Before submitting the form
Sr.No Undertakings
1. I fulfill the conditions as specified in the eligibility criteria and registration guidelines.
2. All the particulars provided by me in this application are true, correct and complete to the best of my knowledge and belief.

3. I shall produce all the original documents along with the attested copies at the time of next stage of recruitment process, failing to which I will be considered
as out of recruitment process.
In case any particulars given by me in this application are found to be false, incorrect and /or misleading, I shall be liable for being blacklisted or debarred fro
4.
m all further examinations and selection processes of the Directorate of State Intelligence Department, Mumbai

5. In case of scribe requirements, Candidates need to fill the scribe declaration form with Scribe photograph affixed on it and then get it attested from Gazetted
Officer before examination.
 6. If there is no availability for the preferred locations selected by candidate, then he/she will be allocated to a location as per the availability of the center.
Printed On:06/06/2018 11:04:48 AM