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    Deep
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    Application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views1 page

    Application

    Uploaded by

    Deep
    Application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Northern Coalfields Limited

    A Subsidiary of CIL / Government of India Public Sector Undertaking


    PANJREH BHAWAN, Singrauli, Madhya Pradesh 486889

    To
    The office of General Manager (HRD),
    NCL HQ,Thana: Morwa, P.O. Singrauli,
    District: Singrauli - 486889,
    Madhya Pradesh

    Application No.9044502 Dated 25-07-2023


    Advertisement Ref No NCL/HRD/Graduate-Diploma Apprenticeship/Notification/2023-24
    Position Applied For Graduate and Diploma(Technician) Apprentice trainees-Bachelor of Science
    Email Id deepakkr18082001@gmail.com Reg. Mobile 9897437595
    Name DEEPAK KUMAR
    Father / Husband's Name RAKSHAPAL SINGH
    Mother's Name URMILA DEVI
    Category SC Religion HINDUISM
    Date of Birth 18-08-2001 PWD No
    Gender Male Marital Status Bachelor
    Address for Communication
    Address-1 VILLAGE SAHAN
    Address-2 POST SAHAN
    Post Office: SAHAN District: MAINPURI Pincode: 205268
    State: Uttar Pradesh Telephone: Mobile: 9897437595
    Permanent Address
    Address-1 VILLAGE SAHAN
    Address-2 POST SAHAN
    Post Office: SAHAN District: MAINPURI Pincode: 205268
    State: Uttar Pradesh Telephone: Mobile: 9897437595
    Bank Detail (Aadhaar linked) of Applicant for receiving Stipend in case of selection as Apprentice
    Bank Name: State Bank of India Branch: KARAHAL
    IFSC: SBIN0001367 A/c No.: 37881906461
    Qualification Details
    Examination Passed Stream Year of Duration of Name of The Institute Board/University Nature of %age
    Passing Course Course
    JANARDAN INTER COLLEGE
    Matriculation All Subject 2016 1 year Up board Regular 85
    GUSUPUR
    Bachelor of Shri rajkumar singh mhavidhyalay Dr.bhimrao ambedkar
    Graduate/Diploma 2022 3 year bhavaneepur ptara Regular 47.17
    Science university agra

    I do hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I also give undertaking that in the
    event of any statement or information furnished by me are found false or incorrect,my candidature is liable to be rejected or cancelled and in the event of any statement
    or information found false even after my appointment my services are liable to be terminated without intimation and will also be liable for prosecution under law.
    I do confirm that I have gone through the provisions of eligibility as stipulated in the Notification and I am aware and agree of the fact that my eligibility will be subject to fulfillment
    of the criteria provisioned under the notification. Under any circumstances if I do not fulfill the eligibility my candidature will be deemed cancelled.

    Signature of the Candidate

    Page 1/1

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