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Application Format Iocl

The application format requests personal information such as name, father's name, address, contact details, date of birth, age, gender, nationality, religion, category, educational qualifications and work experience. It also requires the applicant to affix a recent photograph, provide demand draft details if applicable, and declare that all information provided is true to the best of their knowledge.

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Jitender Talwar
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© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
42 views

Application Format Iocl

The application format requests personal information such as name, father's name, address, contact details, date of birth, age, gender, nationality, religion, category, educational qualifications and work experience. It also requires the applicant to affix a recent photograph, provide demand draft details if applicable, and declare that all information provided is true to the best of their knowledge.

Uploaded by

Jitender Talwar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORMAT

(To be filled by the candidates in his/her own handwriting in capital letters) I hereby apply for the post of _____________________________ Medium of Exam: Hindi / English NAME OF CANDIDATE (As recorded in the Matric / Secondary School Certificate) FATHERS / HUSBANDS NAME

Candidates to affix recent passport size photograph self attested at the top

1. 2.

3.

FULL POSTAL ADDRESS FOR COMMUNICATION (with Pin Code No.)

4. 5. 6.

TELEPHONE NO. (with STD code) / MOBILE NO. E-MAIL ADDRESS A) DATE OF BIRTH B) AGE AS ON 31/05/2011 DAY MONTH YEAR

_________ YEARS _________ MONTHS MALE FEMALE

7. 8. 9. 10. 11.

SEX (PLEASE TICK) NATIONALITY RELIGION CATEGORY (Please tick) STATE OF DOMICILE SC ST

OBC

GEN

PC*

EXSM

* PC Physically Challenged 12. Educational Qualification (Matric / SSC onwards): Name of Board / Institute Exam Passed Duration Of Course Month & Year of Passing % of Marks Obtained

13. Details of work experience, if any Name & Address of Employer Post held Nature of job Period of service From To Salary / Month Reason for leaving

14.

If employed in Govt. / Semi Govt. Dept. / PSU, whether applied through proper channel (Please tick) DD No. Date of Issue

YES Name of Issuing Bank 2 0 1 1

NO

15. Demand Draft Details :

I hereby declare that I have read all the conditions mentioned in the advertisement and I fulfill the same. The statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any particular or information given herein being found false or incorrect, my candidature is liable to be cancelled and in the event of any misstatement/discrepancy in the particulars being detected after my appointment, my service is liable to be terminated without any notice to me. Date : . Note: 1. Candidates must write name of the post applied for on the top of the envelope containing application form. 2. Enclosures required: i) Attested copies of a) SSC/Diploma mark sheet & Certificate b) Birth Certificate c) Caste certificate (if applicable) d) Proof related to Physically Challenged Person / Ex-Servicemen (if applicable) ii) Demand Draft (if applicable) 3. Applications received after due date would be summarily rejected. Place : . Signature :

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