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0% found this document useful (0 votes)
151 views

Application Form Get

Uploaded by

rinkeshmbehera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ODISHA HYDRO POWER CORPORATION LIMITED

Application Form for Graduate Engineer Trainees


Advertisement No. OHPC: HQ: HRD: RECTT: 01/2023
[Application to be submitted in A4 size paper only]

FILL IN CAPITAL LETTERS AND SIGN AT THE BOTTOM OF EACH PAGE

1. Post Applied For: Paste one recent


passport size colour
2. Name (in Capital Block Letters) : photograph signed
on the front.
First Name:
Do not staple or pin.
Middle Name:

Last Name:

3. (A) Address for Correspondence: (Do not mention your name)

POST- POLICE STATION-

DISTRICT- STATE- PIN-

Contact Telephone No. Mobile No.

E-mail :
(Active for the next 06 months)

(B) Nearest Railway Station/Bus Stand from mailing address mentioned above:

State:

4. Date of Birth: (as recorded in Matriculation or equivalent certificate)

Date Month Year

5. Age as on 01.07.2023: Years Month (s) Day (s)

6. Sex (‘√’) : Male Female 7. Marital Status (‘√’):- Unmarried Married

8. Father’s/Husband’s Name:

(Full Signature of the Candidate)


9. Category: (Please put a ‘√’ mark in the appropriate box)

General SC ST SEBC

(Candidates belong to SC/ST/SEBC categories must attach the attested copies of relevant certificate
issued by the Competent Authority)

10. State of Domicile:

11. Additional Information: (Please put a ‘√’ mark in the appropriate box)

(A) Ex-Serviceman (B) Sports person (C) PwD

12. Nationality:

13. (A) Age Relaxation claimed: YES NO (Use ‘√’ mark)

(B) Exemption in fee claimed: YES NO (Use ‘√’ mark)

14. Essential Qualification: (As per the detailed advertisement)

Percentage
of marks up-to
Year &
Examination Name of the Course two decimal
Discipline/Subject Month of
Passed/Appeared Institute & University Duration points in
Passing aggregate

(In case of CGPA/Grades please give equivalent percentage (attach photocopies of the certificate and mark sheet
towards proof of essential qualification)
15. Educational Qualifications:

Year & Percentage of


Examination Name of the Course Month marks up-to two
Discipline/Subject
Passed Institute &University Duration of decimal points in
Passing aggregate

10th/HSC

(In case of CGPA/Grades please give equivalent percentage (attach photocopies of the certificate and mark sheet
towards proof of educational qualification)

(Full Signature of the Candidate)


16. DETAILS OF GATE SCORE-2023
GATE REGISTRATION NO EXAM PAPER GATE SCORE MARKS OUT ALL INDIA RANK IN THE
OF 100 PAPER

17. Work Experience (if any):

Duration Gross
Sl. Employers Name & (DD/MM/YYYY) Post Held/ Nature of Duties/ Work Annual Pay
No. Address Designation Details Emoluments Scale
From To (in Lacs)
Date Date

18. Particulars of Demand Draft: (SC, ST and PwD candidates are exempted from the payment of fees)

Name and Address of Issuing Bank Date of Issue Amount (Rs.) Demand Draft No.

19. Additional Details:


(i) Tick from the following activities to indicate in which one/ all you can perform in Odia language:
(a) Speak Odia
(b) Read Odia
(c) Write Odia
(ii) Tick from the following Odia language eligibility standard (s) applicable:
a. Passed Middle School Examination with Odia as a Language Subject.
b. Passed HSC or Equivalent Examination with Odia as medium of examination in Non-
language subject.
c. Passed in Odia as Language subject in the Final Examination of Class VII from a School or
Educational institution recognized by the Government of Odisha or the Central Government.
d. Passed a Test in Odia in Middle English School Standard conducted by the School and
Mass Education Department of the Govt. of Odisha.

(Full Signature of the Candidate)


20. DECLARATION:

I hereby declare that I have carefully r ead t he condit ion s of eligibility ment ioned in the
advertis ement. T hese conditions are acceptable to me & I f ulfil the se con d itio ns. I hereby
declare that a ll statements made in this applicat ion are true, co mplete and correct t o t he
best of my knowledge and be lief and nothing has been con cealed there in. I shall fur nis h
the necessary cert ifi cate s in proof of t he above along wit h t he applicat ion . I understan d
that in the event of any informat ion bein g fo un d f alse at any st age or not sat isfy ing t he
elig ib ility criter ia accord ing to th e requirement s of the post , my can dida ture/
appoint ment is liable to be cancelle d/terminated .

Place:

Date: (Full Signature of the Candidate)

List of Supporting documents: (As per the detailed advertisement)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

(Full Signature of the Candidate)

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