Oil India Limited (Oil) Special Recruitment 2015 Drive For Persons With Disabilities

(Pwds)

APPLICATION FORMAT
1

Post Applied For

Post Code

Name in Full

Paste recent
3cm x 3cm
coloured
photograph

(in Capital Letters)

Gender

MALE

(Please tick)

Date of Birth

(DD/MM/YYYY)

Fathers Name

Mothers Name

State of Domicile

Religion

10

Nationality

11

Caste Category

Marital Status

i. Category of PWD

(Please tick)

14

i. Whether Ex-Serviceman

Educational Qualification
th
Class 10 onwards

VH

HH

YES

NO

(Please tick)

15

SC

ST

MARRIED

(Please tick)

13

GEN

(Please tick)

12

FEMALE

Qualification

UNMARRIED
ii. Percentage of disability :

OH

ii. No. of years of service

in defence etc. with
details:

Board / Institute
/ University

(including any diploma /

OBC (NCL)

Duration
of course
(in years)

Year of
passing

Percentage of
marks obtained
(%)

certification in computer /

shorthand etc.)

16

Experience, if any

Name &

Post /

Address of the
Organization

Designation
held

17

Employment Exchange
Registration Details

: i). Name of Employment

Exchange:

18

Permanent Address

Period of service
From

To

Nature of
dutie
s

Place
of
posting

ii). Registration
No.:

(in Block / Capital Letters)

Pin Code:
19

Present Mailing /
Correspondence Address

(in Block / Capital Letters)

Pin Code:
20

Nearest Police Station &

Railway Station

21

Valid E-mail Address

22

Mobile No.

P.S. ___________________________ R.S. __________________________

I hereby declare that the particulars stated in the above application form are true, correct and complete to the best of

my knowledge and belief and nothing has been concealed or incorrect information has been furnished. In case any of
the information is found to be false, incorrect and misleading at any stage, I shall be fully responsible for the same and
have no claim against the cancellation and/or taking any other legal action as deemed fit by OIL.

Date:

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Signature of Applicant