TECHNICAL TRAINING INSTITUTE
Application Form for Degree Apprentice 2016
Registration No: 24605
ANKUSH SUBHASH
Name:
KONDVILKAR
Gender: Male
SUBHASH SADASHIV
Father's Name:
KONDVILKAR
Date of Birth: (dd/mm/yyyy) 07/03/1989
Computer Science &
Branch: (Please Tick):
Technology
AP JANVALE
SHRINGARTALI
Address(for Correspondence): CHARMKARWADI NO 1
TAL GUHAGAR DIST
RATNAGIRI
State: Maharashrtra
District: RATNAGIRI
Pin Code: 415724
Contact No: 9156755765
Category: SC
Religion HINDU
Caste CHAMBHAR
Student Registration No. 24605
Whether Physically Handicapped: (Yes/No) No
Degree completed in year 2014
Passed
SLNO. Course Name Of School/College Board/University in Percentage
year
SAHYADRI POLYTECHNIC
1. Matric MSBTE 2010 73.87
SAWARDE CHIPLUN RATNAGIRI
GHARDA INSTITUTE OF
2. Degree MUMBAI 2014 62.93
TECHNOLOGY KHED RATNAGIRI
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Have You done / are doing Apprenticeship
No
previously(Yes/No):
Date of Registration (dd/mm/yyyy): 04/12/2016
I declare that information given in the application form is correct to the best of my knowledge
and belief. If any information is found false at any stage of selection or even after
selection/joining, my candidature is liable to be cancelled without any intimation.
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