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Indian Ordnance Factories
Advertisement No. 10201/11/0567/1415Direct Recruitment Chargeman
APPLICATION FORM
Registration No. : 14IT125067
Registration Date & Time : 01-08-2014 07:42:09
Trade : Information Technology
Center Choice 1 : Jabalpur Center Choice 2 : Nagpur
Unit Choice 1 Unit Choice 2 Unit Choice 3
Ordnance Factory Itarsi Ordnance Factory Kanpur Ordnance Equipment Factory Kanpur
Applicant's Name :(First Name) (Middle Name) (Last Name)
NILESH SINGH LODHI
Father's Name : RAMSURESH SINGH LODHI
Mother's Name : PHOOLMATI SINGH LODHI
Spouse's Name :
Date of Birth : 08-04-1987
Gender : Male
Nationality : Indian
Category : OBC
Whether Departmental Candidate : No
Whether Ex-Servicemen : No
Physically Handicapped : No
Candidates who had ordinarily been domiciled in theState of Jammu & Kashmir during period from 1st Jan1980 to 31st Dec 1989
: No
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Whether belong to Minority Community : No
Medium of Examination : English
Educational Qualification (General) :
Educational Qualification School / Inst. Year of Passing
SSLC/10th SAINT MICHEALS HR. SEC. SCHOOL SATNA MP 2003
HSC/12th SAINT MICHEALS HR. SEC.. SCHOOL SATNA MP 2005
Technical/Non Technical Qualification (General) :
Qualification Trade/Discipline Institutions Year of Passing
B.E. Information Technology LNCT INDORE MP 2009
M.TECH Computer Science LNCT INDORE MP 2014
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Address For Correspondence
City/Town/Village District State Tel No.
::::::::
C/O RAMNARESH LODHI TEACHERNORTH PATERI, BEHIND TATA MOTARSINFRONT OF HILAUNDHA SARPANCH
SATNASATNAMADHYA PRADESH - 485001-
Email ID : [email protected]
Mobile No. : 9926373716
Nearest Railway Station : SATNA
Payment Details :
Bank Name Branch Code Challan No. Deposit Date Deposit Amount
STATE BANK OF INDIA 30412 11958377 02-08-2014 100
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
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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 foradmission to the examination. I understand that in the event of ineligibility being detected at any point (before or after the examination), maycandidature/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 nocharge 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 beenterminated 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 inDeptt. 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(creamylayer) 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 Iam 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 eventof any information being found suppressed/false or incorrect ot ineligibility being detected before or after the examination, my candidature/appointment is liableto be cancelled.
Please Paste your ColorPhotograph 3.5 x 3.5 cmnot older than 3 months.
Registration No. : ______14IT125067________
Name : _________________________
Date : _________________________
Place : _________________________
________________________________________________
Signature of the Candidate
Note To Candidates :
* Please keep one photocopy of the Acknowledgement Slip for future reference.
* OBC Candidates MUST ENCLOSE the Photo Copy of Non CREAMY LAYER CERTIFICATE as prescribed in Annexure III given in Full Notice.
* UR/OBC Candidates, who are eligible to pay fees MUST ENCLOSE Original Bank PAY IN SLIP alongwith the Registration Slip duly signed and
Photo affixed.
* The Envelope must be sent by Ordinary Post to the below address.
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* Do not write 'Indian Ordnance Factories' in the Postal Address.
Post Box No. 2091 Chennai 600020.
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