10. Whether Physically Handicapped/Ex-Servicemen ________________________________ 11. Sex (Write Male/Female) : ___________________________________________________ 12. Complete Correspondence Address: ____________________________________________ _______________________________________________________________________ _________________________________________________________Pin ___________ 13. Phone/Mobile No. ___________________ e-mail ID ____________________________ 14. Qualification (High School onwards) : Name of Exam. Passed
Name of Institute/University
Duration of Course
Date of Admission (DD/MM/YYYY)
Date Passing
of
Percentage of marks obtained
(DD/MM/YYYY)
15. Work Experience: Name & Address of the organization/employer
Post held
Period From
To
Nature of Job
Salary drawn
Reason for leaving
16. Choice of Language of Test/Interview: Hindi/English (Please tick) 17. Demand Draft No. : _______________ Dated ______________ Bank: _______________ I hereby declare that the above information is true to the best of my knowledge. I understand that my candidature will be cancelled, if the information is found to be false or incorrect or my application is incomplete. Date: ______________
(Signature of candidate) Also visit our Website http://www.iocl.com