3/19/2020 NLCIL Form 2019

Applicant Details

Personal Details

Application Sequence No

NLCIL003604

Candidate's Name
MOHANA UM

Father's Name Mother's Name

V MANOHARAN A VIJAYESWARI

Marital Status
Married Nationality
Indian

Post Applied Details

Post Applied Post Code

GET Electrical (EEE) 002

Center Choice 1 Center Choice 2

Coimbatore Salem

Center Choice 3 Center Choice 4

Tiruchirapalli Chennai

Center Choice 5 Category

Tirunelveli OBC(NCL)

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Gender Date of Birth (DD-MM-YYYY) same as Matriculation/

Secondary Certificate
Female
20/Jun/1988

Age as on 01.03.2020 Are you Person with disability (PWD) (degree of

disability 40% or above)?
31 Years 8 Months 11 Days
No

Are you an Ex-Service man? Are you NLCIL Employee ?

No No

Contact Details

Mobile Number

8072884646 Email ID

ummohana@gmail.com

Present Address

Address Line 1

9 VENKADASAMY NAIDU STREET 2

Address Line 2
UPPILIPALAYAM COIMBATORE

Country

India

State District

Tamil Nadu Coimbatore

Pin Code

641015

Permanent Address

Address Line 1

9 VENKADASAMY NAIDU STREET 2

Address Line 2
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UPPILIPALAYAM COIMBATORE

Country

India

State District

Tamil Nadu Coimbatore

Pin Code

641015

Matriculation (10th) Details

Name of the Board/Council

MARTRICULATION

Name of College/Institution Year Of Passing

PERKS MATRICULATION HIGHER 2003

SECONDARY SCHOOL
Percentage of Marks

81

Intermediate (12th) Details

Name of the Board/Council

MATRICULATION STATE

Name of College/Institution Year Of Passing

PERKS MATRICULATION HIGHER 2005

SECONDARY SCHOOL

Subject Combination

BIOLOGY MATHS

Percentage of Marks

83

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Graduate Degree Details

Degree Name

Full Time Bachelor degree

Discipline Name of College/Institution

Electrical & Electronics Engineering AVINASHILINGAM UNIVERSITY

Year of Passing Percentage of Marks

2009 63

Previous Work Experience Details (latest to earliest)

Sr. Designation/Post Organization/ Type of From Date To Date No. of

No. Employer Organization years of
Service

1 ASSISTANT VIDHYA MANDHIR Private/ 02/01/2013 16/07/2014 1 Year(s)

PROFESSOR INSTITUTE OF Listed 6
TECHNOLOGY Company Month(s)
14
Day(s)

Payment Details

Amount Payment Mode

854 online

Payment Status Payment Transaction No.

Successful CHD3488890

Candidate Documents/Images Upload Details

Photo

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Signature

Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in
the advertisement brochure. I further declare that I am not involved in any criminal case and/or no
such case is pending against me in any court of law.

Version 13.07.01

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