Upload
devansh-singh-pathania
View
222
Download
0
Embed Size (px)
Citation preview
8/13/2019 400128 (1)
1/1
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]
1