Gujarat Fibre Grid Network Limited

Block No:6, 5th Floor, Udhyog Bhavan, Sector-11, Gandhinagar-382010, Gujarat

Name of the Position Applied for (please tick any one for each application):
Affix latest
1. DGM-NOC Monitoring/Chief Info Security Officer/ DOT Compliance Officer
passport size
2. Senior Manager (Complaint Management) Photograph
3. Manager, NOC duly self-
attested
4. IT Officer, NOC
5. Consultant – Cyber Security

1. Candidate Personal Information:

Name:
First Name Middle Name Last Name

Address:

Pin code :
City: District : State :

E-mail ID :

Contact No. :

2. Date of Birth: Age as on date of Advertisement:

DD MM YYYY Year Months Days

3. (a) Gender: Male:  Female:

(b) Marital Status: Married: Unmarried:

(Please (√) tick whichever is applicable)

4. Educational Qualification:
Year of Full Time/Part
Qualification Degree Name of University Percentage
Passing Time/ Distance
Master /
Post-
Graduation

Graduation

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Other, if any

5. Job Experience: Total in Years: _______________________ Months: ______________________

(Experience as on date of Advertisement)
a)
Name of Organization
Designation
Period From Date To Date
DD/MM/YYY DD/MM/YYY

Work Profile

b)
Name of Organization
Designation
Period From Date To Date
DD/MM/YYY DD/MM/YYY

Work Profile

Enclosed separate sheet for more Job Experience details.

6. Language Known: (Please (√) tick whichever is applicable)

Gujarati Hindi English

Read
Write
Speak
7. Additional information:

8. List of Enclosures: (Please attach detailed Resume, copies of educational & experience certificates,
training, workshop attended, research papers submitted etc.)

9. Other information, if any:

I reconfirm that I have thoroughly checked that above information is correct.

(Signature of Candidate)

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