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ONLINE APPLICATION FORM FOR ACT APPRENTICE AT PARADEEP UNIT

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> For any issue please contact Mr. K.Mohan Rao - 06722224028/ Mr. Bijaya Kumar Parida - 06722224716/ Mr. Manoranjan Mohapatra - 06722224758

1PERSONAL DETAILS

First Name*

Middle Name

Last name

[ Name should be exactly as in your Xth exam Certificate ]

Qualification*

Name Of Employement Exchange

Reg.No of Employment Exchange

Aadhaar Number*

Father's Name (Mr.)*

Father's Occupation

Mother's Name (Ms.)*

Address for Correspondence*

State/UT*

City*

Pin Code*

Mobile No*

Enter OTP

Mobile No Verified

E-mail (Only one )*

(All correspondence will be made through e-mail only)

Domicile State/UT*

Category*

Date Of Birth*

Gender*

2 EDUCATIONAL DETAILS (Starting from 10th).Please attach all Certificates in Attachment section

Course/Degree	Main Subject / Trade	Name Of Board / University	Year Of Passing(YYYY)	Marks Obtained	Total Marks	Percentage
10th (*)
12th

3 ATTACHMENTS ( Please attach as a single file with your Certificates, ID'S and Marks Sheets(Xth,XIIth, Graduation, Experience if any) in respect of your qualification and Experience ).*

A) Upload your latest Photograph ( jpg, jpeg, png file only ) ( Maximum 1 mb )

A) Upload your Signature ( jpg, jpeg, png file only ) ( Maximum 1 mb )

B) Upload all your Documents in a SINGLE PDF ( Please scan all certificates in this order ( Mark Sheets (Xth,XIIth and Graduation(B.Sc,Diploma,...etc) ), Caste Certificate, Aadhar Card ) and any other relevant documents ( Maximum 2 mb )

S No.	Document Name	File Name	File Type	Remarks	Action

4 DECLARATION*

It is certified that the above information is true and correct. If any of the above information is found to be false at any time,I will be disqualified for employment in IFFCO.

Date

Place

Please check the Application for any errors before Clicking on Submit