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HPCL Application Form

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Bikash Das
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8 views

HPCL Application Form

Uploaded by

Bikash Das
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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APPLICATION FOR MECHANICAL ENGINEER 2023 Advertisement Close Date 18/09/2023

PERSONAL DETAILS

Name * BIKASH DAS

Father's/Spouse Name * Dharmeswar Das

Mother's Name * Junu Bora Das

Actual Category * Scheduled Caste

Applying as Category * Scheduled Caste

Sub Caste/Community Kaibartta

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 * 22/02/1999

Religion * Hindu

PAN No. * EIRPD4581E

Aadhaar No.

Type of ID Proof * Voter ID

ID Proof Number * FSS0283507

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 NIL

CONTACT DETAILS
MAILING ADDRESS MAIN CORRESPONDENCE ADDRESS

Address 1 * Village PO Rangamati

Address 2

Address 3
Pin Code * 781122

District * Kamrup

State * ASSAM

Current City * Guwahati

Current State * Assam

PERMANENT ADDRESS

SAME AS MAILING ADDRESS

Address 1 * Village PO Rangamati

Address 2

Address 3

Pin Code * 781122

District * Kamrup

State * ASSAM

Home City * Guwahati

Home State * Assam

CONTACT DETAILS

Mobile No. * 8638774613

Email ID * [email protected]

Alternate Contact Number 8638774613

PREFERRED CENTER FOR WRITTEN TEST NAME

Centre Name * All

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
HIGHER SECONDARY EXAM 2 66.8 06/2015 06/2017 OTHERS Dakshin kamrup college

SECONDARY EXAM 6 82.67 01/2009 06/2015 OTHERS Rangamati High school

BTECH MECHANICAL OTHERS Assam Science And


4 77.7 07/2018 06/2022
ENGINEERING Technology University

LIST OF ADDITIONAL PROFESSIONAL CERTIFICATIONS, IF ANY. IF YOU ARE A FRESHER MENTION ANY MAJOR PROJECTS

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. * 35187826998

IFSC * SBIN0005242

Bank Name * STATE BANK OF INDIA

Branch Name * MIRZA 05242

UPI Id

SUBMITTED ON 17 SEP 2023

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