1/19/2020 Coal India Limited Form 2019

Applicant Details

Personal Details

Application Sequence No

CIL169139

Candidate's Name

AKHILESH YADAV

Father's Name Mother's Name

KUMAR YADAV MALTI YADAV

Marital Status Aadhaar Number

Unmarried 321216937469
Visible Identification Mark
MOLE IN RIGHT CHEEK Nationality
Indian

Have You ever been arrested,prosecuted,convicted by

court of law?

No

Post Applied Details

Post Applied Post Code

Mining 11

https://cdn.digialm.com/EForms/loginAction.do;jsessionid=3FDB81A85B438E41A5D5CE47F97466AC.g151089j?subAction=DisplayProfileAfterLogin&… 1/6
1/19/2020 Coal India Limited Form 2019

Center Choice 1 Center Choice 2

Bilaspur(CG) Raipur

Center Choice 3 Category

Sambalpur OBC(NCL)

Category Declaration Gender

I confirm that I belong to the Category Male
selected above, and I agree that any
Date of Birth (DD-MM-YYYY) same as Matriculation/
deviation/discrepancy found at a later stage Secondary Certificate
will lead to cancellation of my candidature
29/Sep/1996

Age as on 01.04.2020

23 Years 6 Months 3 Days

Are you Person with disability (PWD) (degree of disability

40% or above)?
No

Are you medically fit, other than the declared disability?

Yes

Are you an Ex-Service man?

No

Were you originally domiciled in the state of Jammu and Are you an employee of Coal India or its subsidiary
Kashmir between 01.01.1980 and 31.12.1989 ? companies ?
No No

Are you a Government / Semi-Govt. / Public Sector

Undertaking / Autonomous body other than coal India
limited and subsidiaries?
No

Contact Details

Mobile Number

9399243178

https://cdn.digialm.com/EForms/loginAction.do;jsessionid=3FDB81A85B438E41A5D5CE47F97466AC.g151089j?subAction=DisplayProfileAfterLogin&… 2/6
1/19/2020 Coal India Limited Form 2019

Email ID

akhilesh.yadav2541@gmail.com

Present Address

Address Line 1
H NO 175 DHARAMPUR GEVRA BASTI ,KUSMUNDA,KORBA

Address Line 2
H NO 175 DHARAMPUR GEVRA BASTI,KUSMUNDA,KORBA

Country
India

State District
Chhattisgarh Korba

Pin Code

495454

Permanent Address

Address Line 1
H NO 175 DHARAMPUR GEVRA BASTI ,KUSMUNDA,KORBA

Address Line 2
H NO 175 DHARAMPUR GEVRA BASTI,KUSMUNDA,KORBA

Country
India

State District

Chhattisgarh Korba

Pin Code

495454

https://cdn.digialm.com/EForms/loginAction.do;jsessionid=3FDB81A85B438E41A5D5CE47F97466AC.g151089j?subAction=DisplayProfileAfterLogin&… 3/6
1/19/2020 Coal India Limited Form 2019

Matriculation (10th) Details

Name of the Board/Council

CBSE

Year Of Passing
2013 Subject Combination

ENGLISH,HINDI,MATHEMATICS,SCIENCE,SOCIA
SCIENCE

Percentage of Marks

64.6

Intermediate (12th) Details

Name of the Board/Council

CBSE

Year Of Passing
2015 Subject Combination

ENGLISH,HINDI,MATHEMATICS,PHYSICS,CHE
MISTRY

Percentage of Marks

57.2

Graduate Degree Details

Please Select status of Qualifying Degree

Passed

Degree Name
B.Tech

Discipline Institute Name

Mining Engineering MALLA REDDY ENGINEERING COLLEGE

AUTONOMOUS

https://cdn.digialm.com/EForms/loginAction.do;jsessionid=3FDB81A85B438E41A5D5CE47F97466AC.g151089j?subAction=DisplayProfileAfterLogin&… 4/6
1/19/2020 Coal India Limited Form 2019

Year of Passing Percentage of Marks

2019 74.29

Payment Details

Amount Payment Status

1000 S

Payment Transaction No.

CPX7680721

Candidate Documents/Images Upload Details

Photo

I Confirm that I have uploaded my Photograph

Signature

I Confirm that I have uploaded my Signature

Declaration

https://cdn.digialm.com/EForms/loginAction.do;jsessionid=3FDB81A85B438E41A5D5CE47F97466AC.g151089j?subAction=DisplayProfileAfterLogin&… 5/6
1/19/2020 Coal India Limited Form 2019

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in the
detailed advertisement of Recruitment of Management Trainees Advt. No. 01/2019 in CIL website. I
further declare that, I have never been debarred from applying for any Government job.

Version 13.07.01

https://cdn.digialm.com/EForms/loginAction.do;jsessionid=3FDB81A85B438E41A5D5CE47F97466AC.g151089j?subAction=DisplayProfileAfterLogin&… 6/6