Indian

Institute of Technology Jammu

Opposite Janipur Police Station, Paloura Campus

JAMMU-181121
Tel: + 91-191-25974333

Email: staff.recruit@iitjammu.ac.in

Website: www.iitjammu.ac.in

APPLICATION FOR NON-ACADEMIC & TECHNICAL POSTS

1. Advertisement Details Application Reference No. IITJammu/01/2017(Direct Rectt.)/SLA&SM/TECHCADRE/806

a. Advertisement no. IITJammu/01/2017(Direct

Rectt.)

b. Applied for Senior Laboratory

Assistant/ Senior Mechanic
(SLA&SM/TECHCADRE)

2. Personal Details

a. First name AVTAR

b. Middle name

c. Last name SINGH

d. Date of birth February 26, 1993

e. Age 24

f. Birth place VILLAGE KANDOTE

g. Gender Male

h. Category General

i. Marital status Single

j. Nationality Indian

k. Father's name BIPAN LAL

l. Mother's name PURNA DEVI

m. Father's occupation EX SERVICEMAN

n. Mother's occupation HOUSEWIFE

o. Father's annual income 2 lakhs

p. Mother's annual income 0 lakhs

IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 1/4
 3. Contact Details

a. Email avtarsinghkotwal@gmail.com
b. Alternate email
c. Mobile number +91-9906608551
d. Alternate mobile number +91-7006170428
e. Correspondence address MOHALLA THATHAR TOPH SHERKHANIA PALOURA
JAMMU PIN CODE 181121
f. Permanent address H. NO. 53 R/O KANDOTE P/O NODI NALLA TEHSIL
THATHRI DISTT DODA JAMMU AND KASHMIR
PINCODE 182203

4. Identification Information
a. Aadhar number xxxxxxxx7834
b. PAN number

5. Extra Details
a. Are you physically disabled? No
b. Are you medically fit? Yes
c. Have you been ever dismissed from the No
services?
d. Whether you ever were/are a government No
servant?
e. Do you have any relative working in IIT Jammu? No

IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 2/4
 7. Qualifications

School,
Type of Joining Passing % / Out of
Degree Specialization College,
Board/University Year Year CGPA %/CGPA
Institute

GOVT
COLLEGE
ELECTRONICS
OF ENGG
AND
AND
B. E. COMMUNICAT State University 2011 2015 66.5 100%
TECHNOLO
ION
GY JAMMU/
ENGINEERING
UNIVERSITY
OF JAMMU

12th/Diplom JAWAHAR
a (Higher MEDICAL,MAT NAVODAYA
CBSE 2010 65.4 100%
Secondary HS VIDYALAYA
Education) DODA

HINDI MATHS
JAWAHAR
10th SCIENCE
NAVODAYA
(Secondary SOCIAL CBSE 2008 74 100%
VIDYALAYA
Education) SCIENCE
DODA
ENGLISH

8. Previous Work Experience

Month & Month & Pay & Grade / Nature

Type of
Designation Organization Year of Year of Salary (In of
Employment
joining leaving Lakhs) works

9. References

Name Designation Organization Email Contact Number Relationship

JUNIOR STATE BANK amitchib27@g

AMIT CHIB +91-9622775707 Other
ASSOCIATE OF INDIA mail.com

PARAMJEET paramjeet17@
HELPER PHE DEPTT +91-9622029161 Other
SINGH gmail.com

IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 3/4
 10. Additional Information

a. If offered a position, when is the earliest you could be available to join IIT Jammu?

28/02/2018

b. Other Information

None

11. Attached Documents

1. Birth certificate
2. 10th (Secondary Education) certificate
3. 12th (Higher Secondary Education) certificate
4. Qualification certificate for B. E.

12. Declaration

I, hereby declare that the information in this application and additional particulars (if any) furnished
in connection with the application are correct and true to the best of my knowledge & belief and
nothing has been concealed therein.

IP: 169.149.20.153 Submit Time: 19:12:15 Submission date : 21/01/2018 Page 4/4