Steel and Industrial Forgings Ltd (SIFL)

Application For The Post Of Engineer Trainees

Registration No.67275 1. Name 2. Father's name/Husband's name 3. Mother's Maiden name 4. Date of Birth 5. Sex 6. Religion 7. Reservation Category a. Caste Category b. Sub Caste Category ARSHAD K V ABDUL RAHIMAN M AFSA 10-02-1986 MALE Muslim RESERVATION OBC Muslim or Mappila

8. If applied under Physically Challenged category NO

9. If applied under EX-Service category 10. Do you possess the qualification as mentioned in the notification

NO YES

Qualification Sl No 1 Qualification BTECH Board/University CALICUT UNIVERSITY Year of Passing 2009 % of Mark 68.6

11. Do you possess the experience as mentioned in NO the notification 12. Have you worked in PSU 13. Additional Information 14. Address Current Address Address : K B VILLA JOLLY NAGAR BEKAL FORT KASARAGOD KERALA-671316 BEKAL FORT Kasargode Kerala 671316 98475 68343 Address : Permanent Address K B VILLA JOLLY NAGAR BEKAL FORT KASARAGOD KERALA-671316 BEKAL FORT Kasargode Kerala 671316 98475 68343 NO

PostOffice: City : State : Pin-Code : Phone No: 15.E-mail 16.Nationality

PostOffice: City : State : Pin-Code : Phone No: kv.arshad@gmail.com Indian 08-07-2012 117.207.180.71

17.Date of Registration 18.Client IP Address

67275 I do hereby declare that the facts and information given by me in the above application are true, complete and correct to the best of my knowledge and belief. In the event of any discrepancy in the particulars being detected at any stage, my candidature/ service may be cancelled/ terminated without any notice. Place Date : : Name Signature : :

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