Food Corporation Of India Application Form

FOOD CORPORATION OF INDIA Application Form (Please fill the form in Capital Letters only) 1.

Serial No.

:

2.

(to be given by the office) (i) Code in of the post applied for

:

3.

(ii) ……… of Centre, Kolkata, Pune, Bhubaneswae, Ranchi: Name of the applicant :

4.

Father/Husband Name

:

5.

Date of Birth

:

6.

……as on 01-01-2009 ………. Yrs…………Months………….Days…………to be enclosed

7.

Sex

: (Male/Female)

8.

Category Code: (SC/ST/OBC/PH)

:

Demand Draft …………. Date for

: ………………………………

No. 9.

DT.

Amount

Mailing address : (With Pin Code)

10 Professional Qualifications SI

Academic/Professional Qualification

Name of University

Year of Passing

11. Experience (Start from the current position) SI Name and Address of Post held Period of work the Employer From To

% age of Marks obtained

Class/Division

Basic Pay & Total emolument

12. List of document attached: 1. Proof of Age 2. Proof of Educational Qualification 3. Proof of Caste Status 4. Proof of Experience 5. A Separate passport size photograph as affixed in the application form 6. Demand Draft

Remarks if any

Remarks if any

Certified that the information furnished above are the correct to the best of my knowledge Place: Date: Signature of the Applicant