Neelachal Ispat Nigam Limited: Application Form

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NEELACHAL ISPAT NIGAM LIMITED

Affix your recent


passport size
photograph
duly signed

APPLICATION FORM
Advertisement No. 04/2015/NINL

Post _________________________________________
Name
1.

Name

2.

Date of Birth

4.

Whether belong to SC, ST, OBC


( attach certified photocopy)

5. Educational & Professional Qualification


Qualification
Board/University/Institute

Subjects/
Specialization

6. Details of work experience (use separate sheet, if required)


Name of the Organization
Position /
Period
(Full name with address)
Designation
From

Division/
% of
Marks/CGPA

Total
Salary
Drawn

To

Year of
passing

Nature of duties &


responsibilities
(Give details)

7. Achievements, if any (use separate sheet if required).________________


8.

Present address for


Communication

City
State
9.

Contact Telephone No. with STD


code, Mobile number and E-mail
address

10. PF Membership Details

PIN
Mobile

___________________________

E-mail

________________________________

Membership No.:

___________________________

Date of joining PF: ________________________________


DECLARATION
I hereby declare that the particulars furnished above are true, correct and genuine to the best of knowledge and belief and I
have not willfully suppressed any material information germane to my selection / appointment in NINL. In the event, it is found
that information not correct, my selection/ appointment may be terminated at any stage and I shall not raise any issue on the
documents.

Place:__________________
Date:__________________
Enclosures List:

(Signature of Applicant)

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