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C pl t e Appl at i n om e c i o

HINDUSTAN PAPER CORPORATION LIMITED

(A Govt. of India Enterprise)

75-C Park Street, Kolkata - 700016

Welcome Please change the orientation to Portrait and paper size to A4 while taking the print out of your registration slip. Employment Notice No. 1/10/2012

Registration Slip
Applicant's Personal Details:
Post Applied For: Applicant's Registration No : Applicant's Full Name: Father's Name: Mother's Name: Gender: Person with Disabilities: Ex-serviceman: Date Of Birth: Marital Status: Test Centre:

EXECUTIVE TRAINEES
0036714
MR. DILEEP KUMAR LALJI SAWANRI DEVI MALE NO NO 30/10/1989 SINGLE DELHI 975942 GOVIND PURAM GHAZIABAD 100 B.TECH IN MECHANICAL

Discipline:

MECHANICAL

Print Applicant's Photo

Back

Category:

OBC
Applicant's Signature

Nationality:

INDIAN

Applicant's Demand Draft Details:

Demand Draft No: Branch Name: Draft Amount: Bank Name: Date of Issue: MICR Code:

UNION BANK OF INDIA 22/10/2012 110026096

Applicant's Academic Details:

Qualification University / Institution Year of Passing Percentage CGPA/DGPA/OGPA/Letter Grade

GAUTAM BUDDH TECHNICAL UNIVERSITY LUCKNOW UTTAR PRADESH 2012 71.06

Applicant's Communication Details:

Permanent Address: Postal Address: Mobile No: Email ID:

S/O LALJI , VILL & POST- UTRETHU AMBEDKAR NAGAR , UTTAR PRADESH , Pin: 224234 C/O RAM JANAM , G-1, 197, SECTOR-6, VAISHALI GHAZIABAD , UTTAR PRADESH , Pin: 201012 +919999069838 dileepkumar.205@rediffmail.com
Land Line No (if any):

Notes to Candidates:
1. Please note down your Registration Number for future reference. 2. You are advised to take a photocopy of this application form for your record and future reference. 3. General and OBC are required to send a copy of registration form alongwith original Demand Draft of Rs. 100/- after writing your name, registration number at the back of the DD to Sr. Manager (HR&ES), Hindustan Paper Corporation limited, 75-C, Park Street, Kolkata-700016 so as to reach latest by 08.11.2012. 4. Please visit the site on or after 20-11-2012 to download your admit card.

Declaration
I hereby declare that I have carefully read the conditions of eligibility mentioned in the advertisement. These conditions are acceptable to me and I fulfill these conditions. The details mentioned in the application are true and I shall furnish the necessary certificates in proof of the above along with the application. If any information/details found to be incorrect/false at any stage of the selection or if any fact is found to have been concealed by me are detected even after the appointment, my services may be terminated.

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C pl t e Appl at i n om e c i o

(Applicant's Signature)
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