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Indian Oil Corporation Limited: Application Form (Personal & Confidential)

This document is an application form submitted by Mr. KALEESWARAN S for a position as an Officer/Engineer at Indian Oil Corporation Limited. The form provides personal details such as his name, father's name, date of birth, gender, contact information, category, religion, educational qualifications and addresses. He has completed a B.E. in Electronics and Communication Engineering from Syed Ammal Engineering College in May 2007 with 68% marks and is currently unemployed. He has applied under the SC category and is a resident of Tamil Nadu.

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Darrell Mendoza
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0% found this document useful (0 votes)
53 views1 page

Indian Oil Corporation Limited: Application Form (Personal & Confidential)

This document is an application form submitted by Mr. KALEESWARAN S for a position as an Officer/Engineer at Indian Oil Corporation Limited. The form provides personal details such as his name, father's name, date of birth, gender, contact information, category, religion, educational qualifications and addresses. He has completed a B.E. in Electronics and Communication Engineering from Syed Ammal Engineering College in May 2007 with 68% marks and is currently unemployed. He has applied under the SC category and is a resident of Tamil Nadu.

Uploaded by

Darrell Mendoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Indian Oil Corporation Limited


(A Government Of India Undertaking)

Application form (Personal & Confidential)


Please take the print out of the application form in A4 size portrait format only
GATE Reg. No. #
Indianoil Reg. No.#
Date

: EC-77053S1086
: 809028
: 21-12-2014

Post Applied
Candidate's Name

: Officer/ Engineer
: Mr.KALEESWARAN S

Father's / Husband's Name


Relationship
Date of Birth
Gender
Choice for Interview Centre
Contact No

: SUBRAMANIAN K
: Father
:10-05-1986
: Male
: Chennai
: 9994873150

Email Id
Alternate Email Id
Are You presently in Employment with IOCL
Category
Name of Caste/Community
Date of Issuing Caste cert.
Caste cert. issuing authority
State of Origin / Domicile
Religion
Whether belong persons with Disabilities(PWD)?
Whether Ex-Serviceman
Domiciled in JK (between 01.01.1980 and
31.12.1989)
Marital Status
Discipline Applied For
Discipline Code

: [email protected]
:
: No
: SC
: PALLAN
: 13-09-2004
: TAHSILDAR
: TAMILNADU
: Hindu
: No
: No

Paste your recent self


attested Passport size
photograph and it should
be the same as
submitted along with
GATE Application form

: No
: Unmarried
: Electronics & Communication Engineering
: EC

Educational Qualification Details


Name of Degree
Branch / Name of the Course
Month & Year of Passing
Course Duration
Whether Full time Regular Course
whether Completed
% of Marks
College / Institution Name
Name of Affiliate University
Course Approved by AICTE
Address for Correspondence
Address1
: NO.32 MANGALA NAGAR
Address2
: 9TH CROSS STREET PORUR
City / Town
: CHENNAI
State
: TAMILNADU
Pincode
: 600116
Nearest Railway station

: B.E.
: Electronics & Communication Engineering
: 05-2007
: 4 Y - 0M
: Yes
: Yes
: 68.00
: SYED AMMAL ENGINEERING COLLEGE
: ANNA UNIVERSITY
: Yes
Permanent Address if different from above
Address1
: 1/362 MANGUDI C.K. MANGALAM POST
Address1
: TIRUVADANAI TALUK RAMANATHAPURAM DT
City / Town
: TIRUVADANAI
State
: TAMILNADU
Pincode
: 623402
: DEVAKOTTAI RASTHA DKO

All the information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect, my candidature may be cancelled.
Date:
Signature:
CANDIDATE TO PLEASE NOTE:
1. Please note your IOCL registration no. for future reference
2. Please visit our website after about 3 weeks of declaration of GATE 2015 result for further information.
3. Please retain the photograph uploaded for GATE 2015 application. If you are shortlisted for further selection process. Same photograph may be required to be uploaded.
4. Mobile no. and email ID mention in this application form should remain valid for at least next one year.
5. If you are shortlisted for interview you will be required to produce this application form.
6. You may contact our helpline number 1860 354 0112 or write to us at [email protected]

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