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  • 8/2/2014 Indian Ordnance Factory

    https://www.i-register.co.in/ioforeg/frmApplicationPrint.aspx 1/4

    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

    Page 1 of 2

    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.

    Page 2 of 2

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