Application Form

Application Number IOCL124599

Post applied for TRADE APPRENTICE (MACHINIST)

Name of Applicant SURAJ SATISH WAGHACHOURE

Date of Birth 21-03-2004 (Age as on 30-06-2023 : 19Year 8Month 10Days)

Region : Southern Region Applied State : MAHARASHTRA Preference Location : SHOLAPUR DIVISIONAL OFFICE
Aadhar Number : 325802895848 PAN Number : AIWPW3910D NAPS : A102273314
Mobile Number : 8208849249 Email Id : WS3730312@GMAIL.COM Religion : HINDU
Gender : Male Marital Status : Single Nationality : INDIAN
Category : UR Caste Certificate No.: Date of Issue :
PwBD : NO PwBD Type : PwBD % :
Father's/Husband Name: SATISH Mother's Name: UMA

Address Details :
Communication Address AT POST DONGAON SOLAPUR NORTH SOLAPUR MAHARASHTRA 413002
Permanent Address AT POST DONGAON SOLAPUR NORTH SOLAPUR MAHARASHTRA 413002

Bank Details :
Bank Name Bank Account No. IFSC Code
BANK OF INDIA 072118210007460 BKID0000705

Educational and Professional Qualifications :

Year of % of
Examination Passed Name of Board/University Stream
Passing Marks
MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY
10th 31/05/2020 83.20
EDUCATION PUNE
ITI GOVERNMENT INDUSTRIAL TRAINING INSTITUTE SOLAPUR MACHINIST 07/09/2022 86.67
12th
Diploma
Graduation / Equivalent Degree
Post Graduation / Equivalent
Degree

Declarations :

1. I, have carefully read and understood the notification viz. Advertisement number IOCL/MKTG/APPR/2023-24 and agree to abide by all the terms and
conditions mentioned in it. Any deviation/hiding/misleading information shall result in rejection of my application/candidature at any stage during
apprenticeship training and shall lead to legal action as deemed fit by the Corporation.
2. I, have not undergone training or job experience for a period of one year or more after the attainment of the diploma qualification.
3. I, do not possess higher professional qualification such as BE/B. Tech., MA, MBA, MCA, CA/ICWA, LLB or any such equivalent or pursuing higher
qualification acquired through part time or correspondence/distance learning mode shall render me ineligible.
4. I, have not undergone apprenticeship earlier or pursuing apprenticeship Training as per the Apprentices Act, 1961/1973 as amended from time to time.
5. I, have registered in the NAPS/NATS portal and my profile is complete in NAPS/NATS portal and the registration number given above is true to the best
of my knowledge.

I accept the above mentioned declaration : Yes

Date : 31-12-2023

Place :SOLAPUR

( SURAJ SATISH WAGHACHOURE )

Aadhar Number : IOCL124599

PAN Number : IOCL124599

Cancelled Cheque/Passbook : IOCL124599
10th Board Certificate : IOCL124599
ITI Certificate : IOCL124599
NAPS Certificate : IOCL124599

NATS Certificate : IOCL124599