2/14/25, 10:33 PM                                                                            HPCL Application Form
APPLICATION FOR : JUNIOR EXECUTIVE MECHANICAL 2025 (Last Date to submit application is Today, 14th
  Feb 2025 23:59 Hrs. Date to submit the application will not be extended) (Advertisement Close Date :
  14/02/2025)
        PERSONAL DETAILS
         Name *                                                VELLANKI DINESH KUMAR
         Father's/Spouse Name *                                KRISHNA
         Mother's Name *                                       LAKSHMI
         Actual Category *                                      Other Backward class(Non-Creamy)
         Applying as Category *                                 Other Backward class(Non-Creamy)
         Sub Caste/Community                                    BC-D (TURPUKAPU)
         Gender *                                               Male
         Person with Benchmarked Disability
         Specify disability %
         Are you an Ex Servicemen *                             No
         Domiciled in Jammu & Kashmir between
                                                                No
         01.10.1980 and 31.12.1989 *
         Date of Birth *                                        05/02/1999
         Religion *                                             Hindu
         PAN No. *                                              BNNPV0226J
         Aadhaar No.                                            746371731591
         Type of ID Proof *                                     Govt ID Proof
         ID Proof Number *                                      746371731591
         Citizenship *                                          Indian
         Marital Status *                                       Unmarried
         Are you an existing employee of HPCL *                 No
         If yes, share employee number
         Have you worked with HPCL as a GAT *                   No
         If yes, share GAT number
         Duration of apprenticeship
        APPLICATION FEE/INTIMATION CHARGES
         Amount                                                  1180
        CONTACT DETAILS
        MAILING ADDRESS (MAIN CORRESPONDENCE ADDRESS)
         Address 1 *                                            13-24-39/1A,BHANOJI COLONY
         Address 2
https://jobs.hpcl.co.in/Recruit_New/Report_det_print_new.jsp                                                         1/3
2/14/25, 10:33 PM                                                                               HPCL Application Form
         Address 3
         Pin Code *                                                530026
         District *                                                Visakhapatnam
         State *                                                   ANDHRA PRADESH
         Current City *                                            VISAKHAPATNAM
         Current State *                                           Andhra Pradesh
        PERMANENT ADDRESS
            SAME AS MAILING ADDRESS
         Address 1 *                                               13-24-39/1A,BHANOJI COLONY
         Address 2
         Address 3
         Pin Code *                                                530026
         District *                                                Visakhapatnam
         State *                                                   ANDHRA PRADESH
         Home City *                                               VISAKHAPATNAM
         Home State *                                              Andhra Pradesh
        CONTACT DETAILS
         Mobile No. *                                              9100635216
         Email ID *                                                vellankidinesh@gmail.com
         Alternate Contact Number                                  7997009896
        PREFERRED CENTER FOR WRITTEN TEST NAME
         Centre Name *                                             NA
     Qualification Details
        EDUCATIONAL QUALIFICATION
        Start with Qualifying degree/diploma/certificate
                                                      Duration(In                               Month & year of Month & year of
                      Degree                                                % of Marks                                          University/Institute
                                                        years)                                     joining         passing
                                                                                                                                   OTHERS-STATE BOARD OF
              DIPLOMA-MECHANICAL
                                                               3                    68.31               06/2015         10/2018   TECHNICAL EDUCATION AND
                  ENGINEERING
                                                                                                                                         TRAINING
                                                                                                                                   OTHERS-STATE BOARD OF
                 MATRICULATE-SSC                               1                    85.00               06/2014         05/2015
                                                                                                                                   SECOUNDRY EDUCATION
                                                                                                                                   OTHERS-STATE BOARD OF
                 MATRICULATE-SSC                               1                    85.00               06/2014         05/2015
                                                                                                                                   SECOUNDRY EDUCATION
        LIST OF ADDITIONAL PROFESSIONAL CERTIFICATIONS, IF ANY. IF YOU ARE A FRESHER MENTION ANY MAJOR PROJECTS
https://jobs.hpcl.co.in/Recruit_New/Report_det_print_new.jsp                                                                                                2/3
2/14/25, 10:33 PM                                                                    HPCL Application Form
        BANKING DETAILS
            I declare that Bank account details given below are correct and HPCL will not be liable in case wrong details are furnished by me
         Bank Act No. *                                        35131382253
         IFSC *                                                SBIN0002716
         Bank Name *                                           STATE BANK OF INDIA
         Branch Name *                                         GAJUWAKA-02716
         UPI Id
        SUBMITTED ON : 14-FEB-2025
                                                                                                             Support and Best Displayed in Edge, Mozilla Firefox, Google Chrome
https://jobs.hpcl.co.in/Recruit_New/Report_det_print_new.jsp                                                                                                                  3/3