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NATIONAL TEXTILE CORPORATION LTD.

( A Government of India Undertaking ) Registration Slip (Please take Print out in A4 size Paper) Registration #: Date: Post Applied: Name: Email ID: Date of Birth: Category: Domicile of J&K: Name of Degree: Specialization: Year & Month of Passing: 106076 26/04/2013 Management Trainees(Engineering) Gudimetla Venkata Vinod VENKATAVINOD317@GMAIL.COM Mobile/Telephone 9573202100 19/12/1990 General No Graduate Engineers in Mechanical MECHANICAL ENGINEERING 05 (Month) 2012 (Year) Age:22 Year 3 Month 12 Day

Paste your recent passport size colored photograph (3.5 cm X 3.5 cm)

Name of Affiliated JNTUH University/Body/Institutes: PWD: Permanent Address: No H NO: 3-1-69/1B , T T D ROAD, NEAR CO-OPERATIVE BANK , BHADRACHALAM , ANDHRA PRADESH - 507111 H NO HIG 28-A , NEAR SANTHOSH NAGAR POLICE STATION, NEW SANTHOSH NAGAR , HYDERABAD , ANDHRA PRADESH - 500059 G. KRISHNA MURTHY, H NO: 3-1-69/1B, T.T.D ROAD, BHADRACHALAM , KHAMMAM DISTRICT, PIN: 507111, ANDHRA PRADESH, CONTACT NO: 9959575729 K. SANDEEP, NEAR ST.PAULS SCHOOL, OPPOSITE TO ITDA, BHADRACHALAM,KHAMMAM DISTRICT, PIN- 507111, ANDHRA PRADESH, CONTACT NO- 8106715108 Dated: 26/04/2013 Amount: 300

Correspondance Address:

Reference-1st: Reference-2nd:

DD No.:

588096

Details of Experience: Total Experience: 0 (Year) 0 (Month)

All the information given in this application form are true to the best of my knowledge and belief. If any of the information is found incorrect, my candidature may be cancelled.and Please do not change or overwrite the details printed on this registration slip which is submitted by you . In case of overwritting , the details printed on registration slip will be treated as final. It may also lead to the rejection of your application. Date: Signature: CANDIDATE TO PLEASE NOTE: 1. Please note your Registration Number for future reference. 2. Please sign and paste latest good quality recent color photograph at the place provided. You are advised to retain an identical photograph for future use. You are advised to keep a photocopy of this Registration slip for your record and 3. future reference. 4. Please send this original Registration Slip along with following documents a) Demand draft (for General & OBC Category candidates only)b) Candidates belonging to SC/ST/OBC/PWD/Ex-servicemen category should enclose a copy of the certificate issued by the Competent Authority to that effect. c) Candidates belonging to OBC category are required to produce the recently obtained OBC Certificate (Non-creamy layer) (not older than 6 months as on the date of advertisement) in the format prescribed by the Government of India, issued by Competent Authority. d) Candidates belonging to PWD/Ex-Servicemen are required to furnish attested copies of certificates in support of their claim. At the following address : National Textile Corporation Ltd, Post Bag No: 7, Lodi Road HPO, Jor Bagh, New Delhi, Pin 110003 so as to reach us latest by 02.05.2013. 5. Please keep checking your email id for latest information and keep visiting our website http://www.ntcltd.co.in/ for further updates.

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