2/10/25, 11:50 PM HPCL Application Form
APPLICATION FOR : JUNIOR EXECUTIVE MECHANICAL 2025 (Advertisement Close Date : 14/02/2025)
PERSONAL DETAILS
Name * BHAKTI JAIN
Father's/Spouse Name * Sanjay Jain
Mother's Name * Anjana Jain
Actual Category * Unreserved(General)
Applying as Category * Unreserved(General)
Sub Caste/Community
Gender * Female
Person with Benchmarked Disability
Specify disability %
Are you an Ex Servicemen * No
Domiciled in Jammu & Kashmir between
No
01.10.1980 and 31.12.1989 *
Date of Birth * 03/06/2001
Religion * Jain
PAN No. * CCOPJ4093C
Aadhaar No. 803891356013
Type of ID Proof * Driving License
ID Proof Number * MP20N20200030776
Citizenship * Indian
Marital Status * Unmarried
Are you an existing employee of HPCL * No
If yes, share employee number
Have you worked with HPCL as a GAT * No
If yes, share GAT number
Duration of apprenticeship
APPLICATION FEE/INTIMATION CHARGES
Amount 1180
CONTACT DETAILS
MAILING ADDRESS (MAIN CORRESPONDENCE ADDRESS)
Address 1 * 510
Address 2 VLB Hostel
Address 3 Delhi Technological University
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2/10/25, 11:50 PM HPCL Application Form
Pin Code * 110042
District * North West Delhi
State * DELHI
Current City * delhi
Current State * Delhi
PERMANENT ADDRESS
SAME AS MAILING ADDRESS
Address 1 * new ram nagar
Address 2 adhartal
Address 3
Pin Code * 482004
District * Jabalpur
State * MADHYA PRADESH
Home City * jabalpur
Home State * Madhya Pradesh
CONTACT DETAILS
Mobile No. * 7999920927
Email ID * [email protected]
Alternate Contact Number 9685647014
PREFERRED CENTER FOR WRITTEN TEST NAME
Centre Name * NA
Qualification Details
EDUCATIONAL QUALIFICATION
Start with Qualifying degree/diploma/certificate
Duration(In Month & year of Month & year of
Degree % of Marks University/Institute
years) joining passing
DIPLOMA-MECHANICAL
3 87.1 07/2019 05/2022 OTHERS-KNPC Jabalpur
ENGINEERING
Delhi Technological University,
BE BTECH 3 73.1 07/2022 05/2025
New Delhi
OTHERS-Pt. Lajja Shankar Jha
INTERMEDIATE-HSC 1 82.8 07/2018 05/2019
Model H.S. excellence school
MATRICULATE-SSC 1 88 07/2016 05/2017 OTHERS-Anupam Vidyalaya
LIST OF ADDITIONAL PROFESSIONAL CERTIFICATIONS, IF ANY. IF YOU ARE A FRESHER MENTION ANY MAJOR PROJECTS
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2/10/25, 11:50 PM HPCL Application Form
BANKING DETAILS
I declare that Bank account details given below are correct and HPCL will not be liable in case wrong details are furnished by me
Bank Act No. * 41368960445
IFSC * SBIN0000390
Bank Name * STATE BANK OF INDIA
Branch Name * JABALPUR MAIN-
UPI Id 7999920927@ptsbi
SUBMITTED ON : 10-FEB-2025
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