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RECRUITMENT OF PROVIDENT FUND INSPECTOR AND LOWER DIVISION CLERK

ON-LINE APPLICATION FOR RECRUITMENT OF PROVIDENT FUND INSPECTOR AND LOWER DIVISION CLERK

0024
Registration # : 2046859

Full Name :

Madhurendra Kumar

Post : Category : Whether availing reservation for persons with disability? : Do you intend to use the services of a scribe? : Are you an Ex-Serviceman ? : Are you an Employee of Coal Mines Provident Fund Organisation ? : Are you an Employee of Central Government ? : Nationality : Centre of Examination of 1st preference: Centre Code : Centre of Examination of 2nd preference: Centre Code : Centre of Examination of 3rd preference: Centre Code : Application Fee / Intimation Charges details: Payment In: Amount: Bank Charges (Rs. 20/-) per transaction as applicable are payable by the candidate Personal Details : Date of Birth : Age completed as on 12-02-2013 : Gender : Marital Status : Father's Name : Mother's Name : Correspondence Address : Address for Correspondence :

Provident Fund Inspector GENERAL NO

NO NO NO Indian Muzaffarpur 16 Dhanbad 29 Patna 15

State Bank of India 500.00

20-02-1991 21 MALE Unmarried Umesh Mishra Sabita Devi

Vill- Madhepura Post- Amma Via- Bochahan

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District State : Pin Code : Permanent Address : Muzaffarpur BIHAR 843103 Vill- Madhepura Post- Amma Via- Bochahan District State : Pin Code : Contact Details : Phone NO: Mobile No : Email ID : Qualification Details(as on 12-02-2013) : Exam Passed Intermediate or equivalent : Graduation : Subject / Stream Science Management Year of Passing 2007 2010 YES Ms office YES % of Marks 58.89 72.25 Class / Grade Second Class First Class +918521343344 madhurendrak23@gmail.com Muzaffarpur BIHAR 843103

Working Knowledge of Computers : Details of Computer Knowledge : Do you have a typing speed of 35 words per minute in English on Computer : Do you have a typing speed of 30 words per minute in Hindi on Computer: Post Qualification work experience details if any :

Name of the Employer & Designation and From(mm/yyyy) To(mm/yyyy) Nature of Reason for Leaving Years of Nature of Employment Rank if any Duties Performed Service (YY/MM) Total Experience (in months) : Other details : Languages Known English Hindi Declaration: I hereby confirm and declare that all the statements made and information provided by me in this Application are true, correct and complete to the best of my knowledge and belief. In the event of any information or the part of it being found false or incorrect before or after the recruitment process, action can be taken against me by the competent authority and my candidature/appointment will automatically be cancelled/terminated. Read YES YES Write YES YES Speak YES YES -

Place:

Date: 21-01-2013

Signature of Applicant

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Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to Coal Mines Provident Fund Organization