Passport Size Photo

MOIL LIMITED
Formerly MANGANESE ORE (INDIA) LIMITED
Application for the post of ___________________________________

PO/DD No. _________________ date __________

1.Full Name: _________________________________________________

2.Date of Birth: _________________________________________________

3.Age as on advt date (in completed years): ______________________

4.Gender: (M/F) : _______________

5.Category (OBC/SC/ST/Open) : __________________________________

6.Address for Communication: _____________________________________

_____________________________________

_____________________________________

7.E.Mail ID/Phone with STD Code/Mobile No:_______________________

_______________________

_______________________

8.Are you working with Govt./Public Sector : _______________________

9.If yes, are you sending application through

proper channel or enclosing NOC : _____________________
 :2:

10.Qualification:

Degree/Diploma Yr of passing Division Additional Remark

information, if
any.

11.Experience:

S Name of the From To Designation. Scale of pay Remark

N Organisation Date date and Total
emoluments

12. Any other details: ______________________________________________________

Signature____________________

(Name________________________)

Place:______________

Date:______________