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Application For: Technical-Officer Application No.: 5_4350 1. Name: 2. Date of Birth: 3. Address Communication Address: City: State: Country: Pin: Phone/Mobile: Email: 350 ME Hemant Vihar Barra-2 kanpur Kanpur Uttar Pradesh India 208027 8885746055 aabhiforever@gmail.com Permanent Address: City: State: Country: Pin: Phone/Mobile: Alternate Email: 350 ME Hemant Vihar Barra-2 kanpur Kanpur Uttar Pradesh India 208027 8885746055 hithisisabhii@yahoo.co.in Tripathi Abhishek 29/12/1986 Age: 25 Years 2 Months

4. Have you ever been convicted by a court of law or is there any criminal case/disciplinary action/vigilance enquiry pending against you? If yes, specify:

5.a Secondary/Diploma Qualifications: Full Name of the examination passed 10th Board/Institute /University U.P. Board Allahabad Duration of Degree /Dip./Training 1 year Year of Passing 2001 % of Marks 71.30 Subject(s) studied Hindi, English, Mathematics, Science, Sanskrit, Social Science Specilization Science

12th

U.P. Board Allahabad

1 year

2003

67.40

Hindi, English, Mathematics Mathematics, Physics, Chemistry

5.b Degree Qualifications: Full Name of the examination passed B.Tech Board/Institute /University U.P.T.U Lucknow Duration of Degree /Dip./Training 4 year Year of Passing 2009 % of Marks 66.84 Subject(s) studied Specilization

Chemical Technology, Chemical Mass transfer, Engineering Thermodynamics, Chemical Reaction Engineering

5.c Post Graduation Qualifications: Full Name of the examination passed M.Tech Board/Institute /University Institute of Technology Banaras Hindu University Duration of Degree /Dip./Training 2 Year of Passing 2011 % of Marks 76.5 Subject(s) studied Metallurgical Engineering Specilization Extractive Metallurgy

6. Details of employment in reverse chronological order: No experience

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7. If appointed, how much time you require for joining the post: 1-2 months 8. Please name three references who are not your relatives: Name Occupation Address Department of Metallurgical Engineering, IT-BHU Varanasi(U.P) CSIR-NML Jamshedpur Dr. A.I.T.H Kanpur Tel.No Email

Prof. T.R. Mankhand

Professor

9451272130

trmankhand@yahoo.co.in

Dr. Manoj Kumar Mr. Ashutosh Mishra

Scientist Lecturer

7250263734 9369043188

mkr1971@gmail.com ashutoshm22@gmail.com

9. Whether any of your close relative(s) is/are employed in IISER? If yes, give details: No 10. Any other relevant information: 1 year research experience at National Metallurgical Laboratory Jamshedpur 1 research paper published in Non Ferros Metals Kolkata 2011. 11. Personal Information: a. Nationality: b. Religion: c. Gender: d. Marital status: e. Father's/Husband's Name: f. Mother Name: g. Are you: f. Community: Indian Hindu Male Unmarried Mr. Ram Prakash Tripathi Ms. Asha Tripathi Not Applicable General

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