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    Application Form

    Uploaded by

    vishal787055

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form

    Uploaded by

    vishal787055
    12 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views2 pages

    Application Form

    Uploaded by

    vishal787055

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FORM

    Name: ________________________________________
    vishal kumar das

    [write your name in block letter as per your pan card]


    [Paste your recent
    Pan no: _______________________________________
    FBFPD6988B
    coloured photo here]
    Gender: Male/Female/Others [Tick the correct one]
    05/11/2000
    Date of Birth: __________________________________
    Contact no: ____________________________________
    7979905211

    9334125659
    Alternative contact no: ___________________________
    [email protected]
    Email id: ________________________________________________________
    Basant ravidas
    Father’s Name: ___________________________________________________
    Mother’s Name: __________________________________________________
    Savitry devi

    Housewife
    Father’s/Mother’s occupation: _______________________________________

    Local Address:
    BOKARO STEEL CITY , SECTOR-9 , STREET 35 , QUARTER NO-414
    ________________________________________________________________
    ________________________________________________________________
    ________________________________________________________________
    Pin- ________________________
    827009 BOKARO
    Dist- ________________________________
    JHARKHAND
    State- ___________________________.

    Permanent Address:
    ________________________________________________________________
    JHARKHAND,BOKARO,NAWADIH, DAHIYARI PARASBANI
    ________________________________________________________________
    ________________________________________________________________
    828403 BOKARO
    Pin- ________________________ Dist- ________________________________
    JHARKHAND
    State- ___________________________.
    Educational Qualification:
    Passing Percentage
    Qualification Board/University Roll no
    Year of marks
    GRADUATION BINOD BIHARI MAHTO 712 60%
    KOYLACHAL UNIVERSITY 2022

    Professional Experience (if any describe below):


    Name of Organization Designation Duration of work

    Declaration:
    I hereby declare that all the information given in this application are true,
    complete and correct to the best of my knowledge. I understand that any
    information being found suppressed/false or incorrect or ineligibility being
    detected for this particular job role; My candidature/appointment is liable to be
    cancelled.

    Signature of Applicant: _____________________________________________


    01/02/2023
    Date: ___________________________________________________________

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