8/8/2019 Application Form of Nalco
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APPLICATION FORM FOR NALCO GET/MT-2010
Personal Details
Registration No: 2028218
Post applied for GET Please affixyour selfattested
passport size
photoName of the test city Bangalore
Language for written test English
Name of the Discipline Metallurgy
Indicate Category to which youbelong
OBCIndicate if you belong to PWD
No
No Percentage of DisabilityDate of Birth Saturday, February 18, 1984
Age relaxation claimed
NoOBC
Name ofCaste/Communit
yDate ofIssuing
Caste Cert.State of
Origin/Domicle
Caste Cert.Issuing
AuthorityBANIYA 21/7/2010 BIHAR S.D.O..
Details if domiciled in KashmirDivision during the period from01/01/1980 to 31/12/1989
No
Nationality INDIANSex Male
Marital Status UnMarried
Name (in Block Letters) KRISHNA KUMAR
Address for Communication
Address E-BLOCK, ROOM NO:47, STUDENTS HOSTEL,
INDIAN INSTITUTE OF SCIENCE
BANGALORE
State KarnatakaPin 560012
Father's Name RAMANAND GUPTA
Nearest Railway Station (frommailing address mentionedabove)
YESHWANTPUR
Contact Details
Contact No 9608533262 (Mobile)
(Land Line with STD code)
Email Id (All information will be
in this id) [email protected] Email Id (Optional)
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Qualification Information
ONLY FOR GRADUATE ENGINEER TRAINEES(GETs)Educational Qualification: (Mention only the prescribed Qualification which makes you eligible i.e. BachelorDegree in Engineering/Technology)
ExaminationPassed/ Appeared/
AppearingName of the
UniversityDisciplinerelevant to
GETType of
CourseMonth of
passingYear of
passingPercentage of Marksupto 2 decimal places in
aggregate of allyears/semesters
Passed V.B.UHAZARIBAGH
Metallurgy BTech June 2010 74
Management Degree if any (GETs): No
Mtech Degree if any (GETs): No
DeclarationI hereby declare that all statements made in the application are true, complete and correct to the
best of my knowledge and belief. In the event of any information being found false or incorrect at any
point of time, my candidature/appointment may be cancelled/terminated without any notice. I also declarethat I am a citizen of India by birth/domicile.I understand that my application will be provisionally considered if and if this application form dulycompleted along with self attested photograph and requisite NALCOs copy of pay-in-slip in original withbank seal is received at Post Box No. 12026, Cossipore Post Office, Kolkata-700002 on or before07/09/2010 . Additionally if I belong to SC/ST/OBC(non-creamy layer)/PWD/J&K Domicile candidate; then I
am also enclosing a self attested copy of relevant certificate along with above-mentioned items.Place............................
________________________________Signature of the Candidate
Date.............................
Advt.No
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