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Recruitment of Office Assistant Gr-III (Contract) Batch 2017
Fields marked with * are mandatory
Company Name MP Poorv Kshetra Vidyut Vitaran Company Ltd. Jabalpur
Exam City*
Personal Details
Applicant's First Name* Applicant's Middle Name Applicant's Last Name
Father's First Name* Father's Middle Name Father's Last Name
Mother's First Name* Mother's Middle Name Mother's Last Name
Category:* Nationality:* Domicile of MP:*
Gender* Marital Status:* Are You an Ex Serviceman*
No. of Children Last child birth date (In DD/MM/YYYY) Is Your Last Child Born Twins
Date of Birth(dd/mm/yyyy)* (In DD/MM/YYYY) Age as on 01/02/2017    - -(yy-mm-dd)
Are You Physically Handicapped ?(Minimum percentage of disability shall be 40%)* Type Of Physically Handicapped
Educational Qualification
Have you completed your graduation with minimum second division*
Qualification Name of the Degree Stream Passing Year University/Board Institute/College Name Obtained Percent (In 00.00 Format)
10th* High School  
12th* Higher Secondary
Degree*
Do you have passed a Computer Examination(Any One)*





Do you have Valid and qualified CPCT Score Card as on 20.06.2017*
Date of CPCT Exam* (In DD/MM/YYYY) Qualified in all sections (Computer Proficiency, Hindi typing and English typing)*
* In case your University/Institute does not award marks, please convert grades(CGPA) to Percentage marks and fill.
*Candidate must ensure that educational details filled are as per Clause 1 of the advertisement and corrigendum dated 29.05.2017.
* Write % of marks with two digits after the decimal. The second digit after the decimal should be rounded off. e.g., if Marks is 60%, then write 60.00%. If marks are 68.938% then write 68.94%.
Other Details
Whether Employee of Govt./Corporation/Board/Autonomous Institutes and Home Guards*
* If yes, NOC from the organization will need to be produced at the time of Joining.
Communication Address
Address*
State* City/Town* Pin No.*
Email id* Mobile No.*   Phone No.  
Permanent Address(Same as Communication Address)
Address*
State* City/Town* Pin No.*
Mobile No.* Phone No.
Bank Details
Account Number * Bank Name *
Account Holder Name * IFSC Code *
Attach Photo with Signature*
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Attachments* Fields marked with * are mandatory
 
I hereby declare that all the information given in the aforementioned application format is true to the best of my knowledge. I undertake and accept that if any of the information given by me is found to be Incorrect, then my application will be rejected and if appointed, then my Appointment will be terminated & action may be taken accordingly.