8/5/2014 Indian Ordnance Factory

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Indian Ordnance Factories

Advertisement No. 10201/11/0567/1415
Direct Recruitment Chargeman
APPLICATION FORM
Registration No. : 14EC138847
Registration Date & Time :
01-08-2014
17:42:02
Trade : Electronics
Center Choice 1 : Badmal (Odisha) Center Choice 2 : Kolkata
Unit Choice 1 Unit Choice 2 Unit Choice 3
Ordnance Factory Kanpur Small Arms Factory Ordnance Factory Project Korwa
Applicant's Name :
(First
Name)
(Middle
Name)
(Last
Name)
PRIYA RANJAN MEHER
Father's Name : HIMANSU SEKHAR MEHER
Mother's Name : MANJUMALA MEHER
Spouse's Name :
Date of Birth : 05-06-1989
Gender : Male
Nationality : Indian
Category : OBC
Whether Departmental Candidate : No
Whether Ex-Servicemen : No
Physically Handicapped : No
Candidates who had ordinarily been domiciled in the State of Jammu &
Kashmir during period from 1st Jan 1980 to 31st Dec 1989
: No
Whether belong to Minority Community : No
Medium of Examination : English
Educational Qualification (General) :
Educational Qualification School / Inst. Year of Passing
SSLC/10th GOVT. HIGH SCHOOL JUNAGARH 2004
Technical/Non Technical Qualification (General) :
Qualification Trade/Discipline Institutions Year of Passing
Three Years Diploma Electronics SUSHREE INSTITUTE OF TECHINICAL EDUCATION BOLANGIR 2009
B.TECH Electronics GANDHI INSTITUTE OF ENGG. AND TECH. GUNUPUR 2012
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Address For Correspondence :
:
C/O-HIMANSU SEKHAR MEHER
PRIYA RANJAN MEHER
8/5/2014 Indian Ordnance Factory
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City/Town/Village
District
State
Tel No.
:
:
:
:
:
:
AT/PO-BELPADA
VIA-JUNAGARH
BHAWANIPATNA
KALAHANDI
ORISSA - 766014
-
Email ID : meher.situ05@gmail.com
Mobile No. : 8339029717
Nearest Railway Station : JUNAGARH
Payment Details :
Bank Name Branch Code Challan No. Deposit Date Deposit Amount
STATE BANK OF INDIA 17769 012772338 02-08-2014 100
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Declaration :
I have not submitted any other applications for this examination. I am aware that if I contravene this rule, my application will be rejected summarily by the
commision.
I have read the provisions in the Notice of the examination carefully and i hereby undertake to abide by them.
I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualifications, and technical qualifications etc., prescribed for
admission to the examination. I understand that in the event of ineligibility being detected at any point (before or after the examination), may
candidature/appointment is liable to be cancelled.
I also declare that I do not stand debarred by any of the Ordance Factories as on date and have never been convicted by any court of law. I also declare that no
charge sheet is pending against me in any court of law. Further declare that I have never been dismissed or removed from Govt. Service or my service been
terminated during probation.
*For Candidate belonging to OBC:
I declare that I belong to the community which is recognized as a backward class by Govt. of India for the purpose of reservation in service as per orders contained in
Deptt. of Personnel and Training office memorandum No. 36012/22/93- Esst. (SCT) dated 8.9.1993. I also declare that I do not belong to the person/sections(creamy
layer) mentioned in column 3 of the schedule of the OM mentioned above and modified vide Govt. of India DOPT OMs mentioned in the notice. I further declare that I
am in possession of OBC Certificate in the prescribed format given in the Notice of the examination.
For all Candidates:
I hereby declare that all statements made in this application are true , complete and correct to the best of my knowledge and belief. i understand that in the event
of any information being found suppressed/false or incorrect ot ineligibility being detected before or after the examination, my candidature/appointment is liable
to be cancelled.
Pl ease Paste your Col or
Photograph 3.5 x 3.5 cm
not ol der than 3 months.
Registration No. : ______14EC138847________
Name : _________________________
Date : _________________________
Place : _________________________
________________________________________________
Signature of the Candidate
8/5/2014 Indian Ordnance Factory
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Note To Candidates :
* Pl ease keep one photocopy of the Acknowl edgement Sl i p for future reference.
* OBC Candi dates MUST ENCLOSE the Photo Copy of Non CREAMY LAYER CERTIFICATE as prescri bed i n Annexure III gi ven i n Ful l Noti ce.
* UR/OBC Candi dates, who are el i gi bl e to pay fees MUST ENCLOSE Ori gi nal Bank PAY IN SLIP al ongwi th the Regi strati on Sl i p dul y si gned and
Photo affi xed.
* The Envel ope must be sent by Ordi nary Post to the bel ow address.
* Do not write 'Indian Ordnance Factories' in the Postal Address.
Post Box No. 2091
Chennai 600020.
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