Indian Oil Corporation Ltd.

Print Date: 05-Nov-2019 18:44:00

Refineries Division Advertisement No.: PR/P/Apprentice/52(2019-20)
Panipat Refinery & Petrochemical Application No.: 6010179011757
Application Date: 05-Nov-2019 18:43:42
Complex Application Status: REGISTERED

Application Form
Personal Details
Discipline applied for : Trade Apprentice/Attendant Operator (Chemical Plant) Discipline - Chemical
Discipline code : 101

Candidate's Name : SURENDER SINGH

Gender : Male

Father's Name : JHAMMAN LAL

Mother's Name : SAVITA DEVI

Marital Status : Single Spouse Name : NIL

Date of Birth : 11-Jul-1993 Religion : HINDU

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PH Status : N

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Caste/Community : SURENDER SINGH
Caste certificate issue dt. : 30-Jul-2018

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Category : SC State of Origin/Domicile: Haryana
Caste certificate issuing authority : NAIB

Whether Ex-Serviceman: N
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Correspondence Details :
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VILL MOSNOTA
POST NANGAL DURG
THE NANGAL DURG
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NARNAUL -123023 , Haryana (Nearest Railway Station : NIZAMPUR )

Mobile No.: Available
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Email ID (primary) : Available Email ID (optional) : Available

(all intimation will be on primary id)
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Qualification
Qualification Name : 3 years full time
College / Institute Name: MATSYA PG Affiliated to University : UNIVERSITY OF
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B.Sc.(Physics, Maths,Chemistry/Industrial
COLLEGE BANSOOR RAJASTHAN RAJASTHAN JAIPUR
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Chemistry)

Year of Admission : May-2013 Year of Passing : Jun-2017 Whether Passed : Y

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Aggregate %age of Marks : 60.22% Duration of course : 4 yrs. 1 months Full time regular course : Y
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Possess professional qualification : No Already undergone/pursuing Apprenticeship: No Result publication dt.: 03-Jun-2017

Application Fee Payment Details

Fee Exempted : YES

Key:7Pgh/v088r4muy4yrrT8VQ==
 Indian Oil Corporation Ltd. Print Date: 05-Nov-2019 18:44:00
Refineries Division Advertisement No.: PR/P/Apprentice/52(2019-
20)
Panipat Refinery & Application No.: 6010179011757
Application Date: 05-Nov-2019 18:43:42
Petrochemical Complex
Application Status: REGISTERED
Application Form

Experience Details
Experience Cut-off Date : 31-Oct-2019

Total Experience : 0 yrs. 0 months 0 days.

Have you ever been found UNFIT during medical examination conducted by any refinery unit while seeking engagement as an apprentice/

appointment in regular post in the past ? NO

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Have you been diagnosed with ailments, deficiencies or abnormalities in the past, that do not meet the physical fitness criteria in terms of IOCL Pre-

Employment Medical Fitness Guidelines ? NO

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I hereby declare that all statements made in the application are true, complete and correct to the best of my knowledge and belief. I also undertake

that I have not submitted applications for two different disciplines advertised. I understand that in the event of any information being found incorrect /
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false or I do not satisfy the eligibility criteria, my candidature / engagement will be cancelled / terminated, without assigning any reasons thereof. I
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have read the contents of the advertisement and agree to abide by the rules, regulations and procedures for engagement to the discipline applied

for. I also declare that I have never been arrested, prosecuted, kept under detention or fined, convicted by a Court of Law or for any offence
or

debarred / disqualified by any Public Service Commission from appearing in its examination.
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(Candidate's Signature Uploaded)

(Candidate's Signature)
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