1/21/23, 7:11 AM MCL Form 2023

Eligibility Criteria

Candidate Photo
Application Status Application Number Candidate's Name
SubmittedOffline MCL23021548 BABULU BEHERA
Date of Birth Gender Marital Status
22/Nov/1994 Male Unmarried
Religion Father's Name Mother's Name
Hindu RABINARAYAN BEHER SULOCHANA BEHERA
A
Email ID
babulubehera22@gma
il.com
Mobile Number Alternate Mobile Nu
8658869705 mber
7504022515

Post Details

Post Name Post Code

Jr.Overman, T&S Gr-C 01

Test City Preferences

Preferred Test State Preferred Test City 1 Preferred Test State

1 Sambalpur 2
ODISHA ODISHA
Preferred Test City 2 Preferred Test State Preferred Test City 3
Bhubaneshwar 3 Rourkela
ODISHA

Candidate Domicile and Category Details

Nationality Reservation Category

A citizen of India Scheduled Caste (SC)

Ex Servicemen Details

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1/21/23, 7:11 AM MCL Form 2023

Are you an Ex Service Total Service Period

men (ESM) or child of
ESM?
No

Departmental Employee Details

Are you a departmen

tal candidate (Emplo
yee of CIL and Its Sub
sidiaries)
No

Correspondence Address

Address Line 1 Country State

AT- NEAR MATIA SAHI India Odisha
U.P. SCHOOL , P.O.- H
City/District Pincode/Postal Code
AKIMPADA, P.S.- ANGU
L ,DIST.- ANGUL Anugul 759143
Is Permanent Addres
s Same as Correspon
dence address?
No

Permanent Address

Address Line 1 Country State

AT- SAPAKATA ,P.O.- B India Odisha
ALIPASI , P.S.- KANIHA
City/District Pincode/Postal Code
Anugul 759105

Matriculation (10th) Details

Name of the Board/C Institute Name Subject Combination

ouncil N A C HIGH SCHOOL ALL SUBJECT
B.S.E. ODISHA Please select any of t Marks Obtained
he following 237
Percentage Maximum Marks
600
Percentage of Marks Year of Completion Certificate No.
(%) 03/2010 A110-103181
39.50 Issue Date
05/2011

Essential Qualification Details

Qualification Name Institute passed fro Month and Year of P

Diploma in Mining Engi m assing
neering of 03 years du KALINGA INSTITUTE O 06/2015
ration F MINING ENGG. AND

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1/21/23, 7:11 AM MCL Form 2023

TECH. CHHENDIPADA Certificate No. Issue Date

15/00114 09/2015
Please select any of t Marks Obtained Maximum Marks
he following 2061 3000
Percentage Percentage of Marks
68.70

Statutory Certificate Details

Do You have Valid Ov Certificate No. Issue Date/Signed an

erman Competency C OME/15914 d Sealed date of certi
ertificate(Un-Restrict ficate
ed) issued by Directo 16/04/2018
rate General of Mine
s Safety (DGMS) unde
r Coal Mines Regulati
on 2017 for working i
n both UnderGround
(UG) & OpenCast(OC)
Mines or any other c
ertificate in Mining w
hich entitle to work a
s Overman as per Co
al Mines Regulation 2
017 for working in bo
th UG & OC Mines.
Yes
Do you have Gas Test Issue Date/Signed an Certificate No.
ing Certificate. d Sealed date of certi GT/SEZ/1942
Yes ficate
08/04/2016
Do you have Valid Fir Issue Date/Signed an Certificate No.
st Aid Certificate. d Sealed date of certi RM01059993
Yes ficate
19/12/2015

Previous Work Experience Details

ARE YOU CURRENTLY Do you have working E

WORKING IN ANY GOV xperience?
T./SEMI GOVT./AUTON No
OMOUS BODIES/PSUs
OTHER THAN COAL IN
DIA LTD. OR ITS SUBSI
DIARIES?
No

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1/21/23, 7:11 AM MCL Form 2023

Start d End d Length of servi

Name of Pos Type of Pay Scale/ Job A
ate of ate of ce rendered as
the Orga t h Organi CTC of the ssign
servic servic work experien
nisation eld zation post held ment
e e ce

Payment Details

Amount Payment Mode

0 offline

Documents Upload

Signature

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To view your copy of Matriculation certificate as D.O.B proof: Click here.

To view your copy of Intermediate/Diploma Certificate and M

Click here.
ark sheets:

To view your copy of Essential Qualification Marksheets and

Click here.
Degree:

To view your copy of Diploma certificate: Click here.

To view your copy of Post Graduation degree certificate: Click here.

To view your copy of Additional Qualification Certificate: Click here.

To view your copy of State Domicile Certificate: Click here.

To view your copy of Experience Certificate : Click here.

To view your copy of other Higher qualification degree detail

Click here.
s certificate:

To view your copy of NOC Certificate (For Haryana Govt. emp

Click here.
loyee):

To view your copy of Caste/Category Certificate: Click here.

To view your copy of ESM Certificate: Click here.

To view your copy of EWS Certificate: Click here.

To view your copy of Disability Certificate: Click here.

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1/21/23, 7:11 AM MCL Form 2023

To view your copy of J & K Certificate: Click here.

To view your copy of Statutory Certification: Click here.

To view your copy of First Aid Certification: Click here.

To view your copy of Gas Testing Certification: Click here.

Declaration

I hereby certify that the information given by me in this Application Form is tru
e to the best my knowledge. I certify that I fulfill the eligibility criteria and under
take to produce original documents whenever necessary and I will not demand
any reschedule of exam. I agree to abide by the declaration of the authorities r
egarding the eligibility of my application and understand that any misrepresent
ation or omission of facts in my application may justify cancellation of my appli
cation & scores. I understand that all disputes will be subject to the territorial j
urisdiction of city of Sambalpur only.

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