BHARAT PETROLEUM CORPORATION LTD - DOC by Kp3KD36H

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									                               APPLICATION FORMAT FOR PROCES TECHNICIAN GRADE-7

                                                                                                                                       Affix recent
                                                                                   Application No.
BHARAT PETROLEUM CORPORATION LTD                                                   (For office use)                                   Passport size
                   Mumbai Refinery                                                                                                   Photograph here

                                                      APPLICATION FORMAT

[ Put a tick (  ) mark in the appropriate box ]

1.          Post applied for                            PROCESS TECHNICIAN GR-7
            Name of the candidate
2.
            (In Block letters)
3.          Sex:        Male /      Female              4.      Marital Status:        Married      /         Unmarried
            a) Age (Yrs. Completed)
5.                                                       b)Date Of Birth          DD                    MM                 YYYY
            as on 01/03/2012     :
6.          Father’s name :
7.          a) Domicile Status:                                                    Mother Tongue :
            b) Category (Put a () tick mark in the appropriate box)*
                                 OBC                                                                                               Percentage of
             GEN               (Non-creamy        SC                        ST                          PWD        OH / VH
                                    layer)                                                                                         Disability:
8.          Correspondence Address:                                           9.        Permanent Address:




                                   Pin Code                                                                           Pin Code
10.         Nearest Railway Station
                                                                              11.       Contact No.

                                                                              12        e-mail ID
13. QUALIFICATION

      I.           DIPLOMA- CHEMICAL ENGG : YES /                  NO                ( FULL TIME / PART TIME / CORRESPONDENCE )

      II.          PERCENTAGE: _______________ ( 1ST CLASS / 2ND CLASS )

      III.         INSTITUTE NAME:                                                      UNIVERSITY :

      IV           ANY OTHER CERTIFICATE/QUALIFICATION:

                                             (Please attach photocopies of all Marklists/certificates)
14. YEARS OF EXPERIENCE :
  II.Previous Experience (In chronological order) – (Attach proof )
                                                                    Duration (exact dates to be given)                                 Industry
                                                                                                                      Please specify whether refining/
          Name of Organisation                     Posts held
                                                                                  From                   To          petroleum/ chemical/petrochemical/
                                                                                                                     fertilizer industry etc




I hereby declare that all the statements made in this application are true and complete to the best of my knowledge. If at any stage of the selection
process, the above statements are found to be false or incomplete, I understand that my candidature will stand cancelled.


Date : ____________________                                                                 Signature : ___________________________

             Attach photocopies of certificates mentioned above or any other testimonials in your possessions
             Those employed in Govt. Dept. / Public Sector Undertakings should apply through proper channel.
             Interested candidates may submit their applications by post along with a latest passport size photographs, giving all personal
              details with testimonials and supporting documents, in sealed envelope superscribed with (Post – Process Technicians Gr-7) to;
                         Sr. Manager (HR), Bharat Petroleum Corporation Ltd., Mumbai Refinery, Mahul , Mumbai – 400 074.

                                              Last date for receipt of completed application is 31.03.2012

								
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