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Npcil Personal Details Format

This document contains a personal details format for applicants to Nuclear Power Corporation of India Limited (NPCIL). The format requests information such as name, date of birth, address, contact details, employment history, and references. Applicants are required to provide details of relatives employed at NPCIL or Department of Atomic Energy. They must also declare that the information provided is true and complete.

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Priyanka Basu
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519 views2 pages

Npcil Personal Details Format

This document contains a personal details format for applicants to Nuclear Power Corporation of India Limited (NPCIL). The format requests information such as name, date of birth, address, contact details, employment history, and references. Applicants are required to provide details of relatives employed at NPCIL or Department of Atomic Energy. They must also declare that the information provided is true and complete.

Uploaded by

Priyanka Basu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Personal Details Format

NUCLEAR POWER CORPORATION OF INDIA LIMITED


(A Government of India Enterprise)

Application No. : __________________

GATE-2017 Reg. No. : __________________

Discipline : __________________

Ref: Advt. No.: NPCIL/HRM/ET/2017/01


Affix recent
Passport
size
Photograph

1. Name in full : ____________________________________________


(in Block Letters)

2. Date of Birth : _______________________

3. Marital Status : Single/Married

4. Nationality : _______________________________

5. Address (If any change) :

(a) Present Address (b) Permanent Address

____________________________ ___________________________

____________________________ ___________________________

____________________________ ___________________________

(b) Tel. No. (R) : ________________ (O) ___________________________

Mobile No.: _________________

E-Mail ID : ______________________

6. Details of relatives employed in NPCIL/Department of Atomic Energy or its


constituent Units.

Name of Relative (S) Relationship Unit in which Post Held


Employed
7. (a) Whether the candidate has ever served in the Central/State
Government/PSU or any other organization? Yes/No
(b) If yes please furnish the following details:-

Name of the Post Held From To Responsibilities


Organization

8. Please furnish the below details of two responsible persons of your locality or
two references to whom you are known : -

(a) Name _________________________ (b) Name _______________________

Occupation ___________________ Occupation __________________

Off. Address __________________ Off. Address _________________

_______________________________ ______________________________

_______________________________ ______________________________

Res. Address __________________ Res. Address _________________

_______________________________ ______________________________

_______________________________ ______________________________

Tel No. ________________________ Tel No. _______________________

Mob. No. ______________________ Mob. No. _____________________

Declaration

1. I hereby declare that all the above statements are true to the best of my
knowledge and belief.

2. I am aware that my candidature is liable to be rejected at any stage if the


information given above is incomplete or incorrect.

Date : ________________________ Signature : _____________________

Place : ________________________ Name : _____________________

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