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Please affix

APPLICATION FORM FOR THE POST OF your photo here


TRAINEE (OPERATOR – NANO PLANT)
Fields marked with asterix (*) are compulsory
I.PERSONAL DETAILS
Full Name* First name* Middle name Surname*

(dd-mm-yyyy)

Date of Birth*

Father's Name*

Father's Occupation

Mother's Name
Address for
Correspondence* &
Permanent Address

City*

Pin Code*

Mobile No.*

Give only one active e-mail address. Please do not given multiple e-
E-Mail Address* mail address.
Married :
Unmarried :
Marital Status
GEN SC ST OBC

Category
Contd…2
II. EDUCATIONAL DETAILS

Education Main Board/ Year of Marks Total


Degree Subjects University Passing Obtained Marks % of Marks
Matric

Intermediate/HSC

BSC (PCM)
Additional
Qualification(s), if
Any
III. Professional details (experience, if any)
Last Salary
Position(s) Period Drawn
SN Name of Organization held From To Nature of duties (Rs.pm)

Languages Known: (Please Tick) 1. Hindi

IV 2. English
3. Gujarati
Period required to join :
v.

Preferred Period: Immediate

It is certified that the above information is true and correct. I understand that if any of the above
information is found to be false at any time i will be disqualified for employment in IFFCO-NANO.

Date:
Place:
………..…………….
(Signature of the Applicant)
Name:………………………..

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