Registered Online Application Form for LOWER DIVISIONAL CLERK

To
DGM, HR
HUMAN RESOURCE
ELECTRONICS CORPORATION OF INDIA LIMITED
ECIL - Post
HYDERABAD - 500 062
Telangana State.

With reference to your advertisement, I hereby submit my Application Form on : 22.06.2022 21:22:54

Document Verifiation
Advertisement No. 09/2022 Post Name LDC Not Applicable
Centre

Application No 11033818 Category OBC(OBC) Qualification GRADUATE DEGREE-NA

Personal Details :

Name : JAGDISH KUMAR VERMA

Father's Name : DUKHAN MAHTO

Gender : MALE Marital Status : MARRIED

If Person with Disability: NO

Date of Birth : 01-05-1997 Age as on 25-06-2022 : 25 Yrs 01 Mths 26 Days

Nationality : Indian Religion : Hindu

State of Domicile : JHARKHAND Nearest Raliway Station : KWAR

Mother Tongue : HINDI Ex-Seviceman/ Serving Defence personal : NO

Mobile Number : 7033887376 Email Id : JKVIHMKOL@GMAIL.COM

PAN No. : Aadhaa/VoterID/Driving
674889975432
License/Passport No. :

Whether Ordinally domiciled (resided) in the State of Jammu & Kashmir between 01/01/1980 and 31/12/1989 : NO
Fixed Tenure Employee/Contract Labour / Internal Employee in ECIL NO
Have you ever applied for ECIL earlier: NO

Are you Associated with any DAE Units :NO

Address for
01,POST LEDA DIST GIRIDIH,GHOSASINGHA,JHARKHAND,815316
Correspondence :

Phone Number(With STD Code) : -

Permanent Address : 01,POST LEDA DIST GIRIDIH,GHOSASINGHA,JHARKHAND,815316

Phone Number(With STD Code) : -

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Educational Qualifications :

Month &
Qualification & Name of the School/ College/ Name of the Board / Class % of
SNo Year of Status
Branch Institution University Secured Marks
Passing

GRADUATE IGNOU AND IHM

1 IHM KOLKATA JUN 2016 1st or Equ 62.31 Completed
DEGREE-NA KOLKATA

SSC SCIENCE MOTHER KHAZANI CONVENT

2 CBSE MAY 2014 2nd Equiv 55.20 Completed
WITH MATHS SCHOOL MUNGESPUR NEWDELHI

3 MATRIC SSVM BARGANDA GIRIDIH JH CBSE MAY 2012 Distinction 74.10 Completed

CERTIFICATE IN PC OPERATIONS:Yes

Experience particulars of previous and present employment: As on 25-06-2022 - 1 Days

Nature of duties/ Reasons for Scale of

SNo Post Held Period Name of Company/Org. Experience
Work Leaving pay
Last
From To with address
Drawn

1 1D

Summary of the Skill Set / any other relevant information:

Languages Known Speak(Y/N) Read (Y/N) Write(Y/N)

HINDI Y Y Y
ENGLISH Y Y Y

Payment details of SBI collect :

Branch Code: 002714 Name of the Branch: ECIL

SBI Reference No: DUJ2247049 Date, Amount: 22.06.2022, 500.00

Reference Details:
Reference Name Relationship Mobile No. Post Held

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 DECLARATION
1. I hereby declare that the above information is factually correct to the best of my knowledge and belief.
2. I am aware that my application is liable for rejection if the information is incomplete/ found to be incorrect.
3. I understand that in the event of any information being found false or incorrect at any stage or not
satisfying the eligibility conditions according to the requirements mentioned in the advertisement, my
candidature / appointment is liable to be cancelled / terminated.
4. I undertake to abide by all the conditions specified in the advertisement.

Place :

Date :
Signature of the Applicant

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