Indian Oil Corporation Limited

(A Government Of India Undertaking)

Application form (Personal & Confidential)
Please take the print out of the application form in A4 size portrait format only

GATE Reg. No. # : ME-504103180
Indianoil Reg. No.# : 494041
Paste your recent self
attested Passport size
photograph and it should
be the same as
submitted along with
GATE Application form
Date : 12-01-2014
Post Applied : Both(Officer/ Engg & Asst Officer/ Asst Engg)
Preference1 : Officers
Preference2 : Asst. Officers
Candidate's Name : Mr.PRIYANSHU MOHAN ANAND
Father's / Husband's Name : MOOL CHANDRA
Relationship : Father
Date of Birth :23-03-1993
Gender : Male
Choice for Interview Centre : Delhi
Contact No : 7508679799 , 0-9453138159
Email Id : priyanshumohan@gmail.com
Are You presently in Employment with IOCL : No
Category : SC
Name of Caste/Community SC
Date of Issuing Caste cert. 10-03-2010
Caste cert. issuing authority SARPANCH
State of Origin / Domicile : UTTAR PRADESH
Religion : Hindu
Whether belong persons with Disabilities(PWD)? : No
Whether Ex-Serviceman : No
Domiciled in JK (between 01.01.1980 and
31.12.1989)
: No
Marital Status : Unmarried
Discipline Applied For : Mechanical Engineering
Discipline Code : ME
Educational Qualification Details
Name of Degree : B.E.
Branch / Name of the Course : Mechanical Engineering
Month & Year of Passing : -
Course Duration : 4 Y - 0M
Whether Full time Regular Course : Yes
whether Completed : No
If Result Awaited expected to be announce
in Month of result
: 6
% of Marks : 0
College / Institution Name : UNIVERSITY INSTITUTE OF ENGINEERING AND TECHNOLOGY
Name of Affiliate University : PANJAB UNIVERSITY
Course Approved by AICTE : Yes
Address for Correspondence
Address1 : PLOT NO- 205 MANAS CITY
Address2 : CHANDAN INDIRA NAGAR
City / Town : LUCKNOW
State : UTTAR PRADESH
Pincode : 226016
Permanent Address if different from above
Address1 : PLOT NO- 205 MANAS CITY
Address1 : CHANDAN INDIRA NAGAR
City / Town : LUCKNOW
State : UTTAR PRADESH
Pincode : 226016
Nearest Railway station : CHARBAGH RAILWAY STATION
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.
Date: Signature:
CANDIDATE TO PLEASE NOTE:
1. Please note your IOCL registration no. for future reference
2. Please visit our website after about 3 weeks of declaration of GATE 2014 result for further information.
3. Please retain the photograph uploaded for GATE 2014 application. If you are shortlisted for further selection process. Same photograph may be required to be uploaded.
4. Mobile no. and email ID mention in this application form should remain valid for at least next one year.
5. If you are shortlisted for interview you will be required to produce this application form.
6. You may contact our helpline number 1860 354 0112 or write to us at recruit2014@indianoil.in
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