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Indian Oil Corporation Limited (A Government of India Undertaking)

Application form (Personal & Confidential)


Please take the print out of the application form in A4 size portrait format only GATE Reg. # IndianOil Reg. # Date Name Father's Name EMail Id Date of Birth Mobile No. Category Departmental State of Origin Disc Applied Qualification Marks (%): ResultAwaited(RA) Passing Year: Exserviceman Phy. Handicap Interview Centre Address : No : No : : 07/2012 J&K Domicile Delhi D-7 , SHASTRI NAGAR , JWALAPUR ,HARIDWAR -Uttarakhand (249407 ) All the information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect, my candidature may be cancelled. Date : Signature : : No : EE8192077 : 218556 : 24/01/2012 : Ms. TISHA KHURANA : RAVINDER KHURANA : tishakhurana75@yahoo.com : 26/05/1989 : 7669329767 : SC SC : No : Uttarakhand : EE-Electrical : Electrical Engineering (Duration : 4Yr00Mn)

Paste your recent self attested Passport size photograph and it should be the same as submitted along with GATE Application form.

CANDIDATE TO PLEASE NOTE: 1. Please note your Registration Number for future reference. . 2. Please sign and paste latest good quality recent color photograph at the place provided. You are advised to retain an identical photograph for future use. 3. You are advised to take a photocopy of this application form for your record and future reference. 4. Write your Email Id & Contact No.(preferably Mobile) here, and you are requested to retain this Email id and Mobile No. for atleast 6 months. :

Email Id:

Telephone/Mobile No.:

5. Please visit our website www.iocl.com regularly for further information.

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