Steel Industrials Kerala LTD

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STEEL INDUSTRIALS KERALA LTD.

(A Govt. of Kerala Undertaking)


ATHANI PO., THRISSUR – 680 581, KERALA
Ph.0487- 2201268, 2201421, 2206111

APPLICATION FORMAT
Please Affix your
Position Applied For :
Latest passport
PERSONAL INFORMATION size photograph

1. Name (in Block letters) :

2. Present Address :

Contact No. : Email address:

3. Permanent Address :

Contact No. : Email address:

4. Father’s name :
5. Age as on 31.08.2019 :
6. Date of birth :
7. Religion & Caste :
8. Category :
9. Sex :
10. Marital Status :
11. Govt. ID proof No. Any :
(Aadhar/PAN/Driving License/Passport)
12. Identification Marks :
I.
II.
13. ACADEMIC QUALIFICATIONS: (Start from Matriculation)

Month &
Sl. Qualification University Year of Class Percentage
No Passing

14. OTHER QUALIFICATIONS

Sl.No Courses Attended Month & Year Awards Attained


of Passing
15 . EMPLOYMENT HISTORY (Start From Current Employer)

Name of Experience in From To


Sl.No Organisation years (dd/mm/yyyy) (dd/mm/yyyy)

REFERENCES:

1. Name:
Address:

Contact No.: Email Address:


2. Name:
Address:

Contact No.: Email Address:


DECLARATION

I hereby declare that the above furnished details are true and correct to the best of my
knowledge and belief. I am aware that in the event of my furnishing any false information
the management reserves the right to disqualify my candidature without any notice.

Date: Name & Signature

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