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    Indian Oil Corporation Limited(A Government Of India Undertaking)

    Application form (Personal & Confidential)

    Please take the print out of the application form in A4 size portrait format only

    GATE Reg. No. # : ME-304906080

    Indianoil Reg. No.# : 400128

    Paste your recent self

    attested Passport size

    photograph and it should

    be the same as

    submitted along with

    GATE Application form

    Date : 19-12-2013

    Post Applied : Officer/ Engineer

    Candidate's Name : Mr.DEVANSH SINGH PATHANIA

    Father's / Husband's Name : DES RAJ PATHANIA

    Relationship : Father

    Date of Birth :19-06-1992

    Gender : Male

    Choice for Interview Centre : Delhi

    Contact No : 9711706618 , 11-24107689

    Email Id : [email protected]

    Are You p resen tly in Employment with IOCL : No

    Category : Gen

    State of Origin / Domicile : DELHI

    Religion : Hindu

    Whether belong persons with Disabilities(PWD)? : No

    Whether Ex-Serviceman : No

    Domiciled in JK (between 01.01.1980 and

    31.12.1989)

    : No

    Marital Status : Unmarried

    Discipline Applied For : Mechanical Engineering

    Discipline Code : ME

    Educational Qualification Details

    Name of Degree : B.Tech.

    Branch / Name of the Course : Mechanical Engineering

    Month & Year of Passing : -

    Course Duration : 4 Y - 0M

    Whether Full time Regular Course : Yes

    whether Completed : No

    If Result Awaited expected to be announce

    in Month of result: 5

    % of Marks : 0

    College / Institution Name : LINGAYAS UNIVERSITY

    Name of Affiliate University : LINGAYAS UNIVERSITY

    Course Approved by AICTE : Yes

    Address for Correspondence

    Address1 : 1655 LAXMI BAI NAGAR

    Address2 : 1655 LAXMI BAI NAGAR

    City / Town : NEW DELHI

    State : DELHI

    Pincode : 110023

    Permanent Address if different from above

    Address1 : 1655 LAXMI BAI NAGAR

    Address1 : 1655 LAXMI BAI NAGAR

    City / Town : NEW DELHI

    State : DELHI

    Pincode : 110023

    Nearest Railway station : NEW DELHI

    All the information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect, my candidature may be cancelled.

    Date: Signature:

    CANDIDATE TO PLEASE NOTE:

    1. Please note your IOCL registration no. for future reference

    2. Please visit our website after about 3 weeks of declaration of GATE 2014 result for further information.

    3. Please retain the photograph uploaded for GATE 2014 application. If you are shortlisted for further selection process. Same photograph may be required to be uploaded.4. Mobile no. and email ID mention in this application form should remain valid for at least next one year.

    5. If you are shortlisted for interview you will be required to produce this application form.

    6. You may contact our helpline number 1860 354 0112 or write to us at [email protected]

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