ON-LINE APPLICATION FORM

Name Of The Post : Fitter(General)

Preference 1 : Fitter(General)

Preference 2 : Examiner - Fitter(Gen)

Application Submission Date : 27/FEB/2017

Registration ID : OFMK085433

Full Name : Mr. RAKESH KUMAR

Father's Name : VIJAY PRASAD SAW

Date Of Birth : 12/DEC/1988

Sex : Male

Category : OBC

Address For Communication Are You A Person : No

With Disability
ORDNANCE ESTATE, H-TYPE 57/3
Category Of : -
Disability
NEAR MTPF GROUND
Nature Of Disability : -
DISTRICT:-THANE
Percentage Of : -
Disability > 40%

City / Town : AMBERNATH

State / Union : Maharashtra

Territory

Country : INDIA Pincode : 421502

Are You An Ex-Serviceman : No Are You A : Yes

Government
Name Of The Post : - Employee

Name Of The Post : MULTI TASKING STAFF

Year Of Joining : -
Year Of Joining : 2015
Service Rendered : - year(s)
Name Of The : ORDNANCE FACTORY AMBERNATH
Year Of Discharge Department
: -

Are You an Employment Contact Details

: No
Sponsored Candidate
Mobile Number : 9923537408
OFMK Letter Number : -
E-Mail Id : krakesh2156@gmail.com
Year : -

Aadhar Card No : -
(if available)
Educational Qualification Are You A Meritorious : No
Sports Person
Exam Passed : SSC
Name Of The Sport : -
Year Of Passing : 2006

Technical Qualifications In Relevant Trade

Level Of Sport : -

NTC : Yes

Year Of Passing : 2009

NAC : Yes

Year Of Passing : 2013

Upgraded Technician : -
Certificate issued by
services

Name of Trade : -

Year of Issue : -

Are You An Ex-Trade : Yes

Apprentice Of Indian
Ordnance Factories

Name Of The Ordnance : Ordnance Factory Medak

Factory

Year Of Passing : 2013

Duration Of Apprentice : 1 year

Period

Fee Details If Candidate belongs to SC/ST

Name Of The Bank : - Bank Account : -

Number
Branch Name : - IFSC Code : -

Name Of The Bank : -

Amount : -
Nearest Railway : -
Date : - Station

DECLARATION:

I hereby declare that the information furnished above is correct to the best of my knowledge and belief. I have not suppressed any
material fact or factual information in the above statement. I am aware that in case, I have given wrong information or suppressed any
material fact of factual information or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be
rejected / service terminated even after permanent employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of the advised criteria in respect of Age,
Educational Qualification, etc.

SIGNATURE OF APPLICANT LEFT HAND THUMB IMPRESSION OF APPLICANT

The following duly self attested photocopies of documents which have been uploaded will be sent along with the application.

Category Certificate

10th Marksheet

NAC Certificate

NTC Certificate

SIGNATURE OF APPLICANT