TRMS

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

1 PERSONAL DETAILS

(Name should be exactly as in your Xth exam Certificate)

First Name*

Middle Name

Last name

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*

City*

State/UT*

Pin Code*

Mobile No*

E-mail (Only one )*

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

Domicile State/UT*

Category*

Ex-Apprentice From IFFCO*

Date Of Birth*

Gender*

Son/Daughter Deceased Ex-Employee Of IFFCO*

Personal No.*

Name Of Employee*

Relation*

Unit*

Post*

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

Course/Degree	MainSubject / Trade	Name Of Board / University	Year Of Passing(YYYY)	Marks Obtained	Total Marks	Percentage
10th (*)
12th
BSc.
ITI
Diploma

3 ATTACHMENTS ( Please attach 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 3 mb )

A) Upload your Signature( jpg, jpeg, png file only ) ( Maximum 3 mb )

B) Upload your Documents in a SINGLE PDF ( Please attach all certificates in Order ( Mark Sheets (Xth,XIIth and Graduation(BSC/Diploma) ), Caste Certificate, Aadhar Card ) and any other relevant documents ( Maximum 10 mb ))

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