Annexure 1-Application Format

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Annexure 1-Application Format

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> ADVT. No.: 6/2025 (R&P) Annexure 1 Oil & Natural Gas Corporation Limited APPLICATION Affix passport size Photograph (FILL IN CAPITAL LETTERS ONLY) 1 Post applied for 2 Sector Central 3 Interview Center Agartala 4 Name of the candidate 5 Nationality Indian 6 Father’s Name 7 Mother’s Name 8 Date of Birth 9 Category : 10 Gender – Male / Female / Other 11 a) Whether PWBD (Yes /No) b) If yes , Type of Disability 12 Mailing address : House No. & Street Area City / Town with Pin Code District 13 Telephone No. 14 Mobile No. 15 E-mail address 16 Qualification: Sl No Exam Passed University/ College/ Institute Year of passing Class Percentage of Marks M.B.B.S MD /MS MCh/ DM Any other Certificates 17 Medical Council Registration No. & Place : 18 EXPERIENCE: Sl No Organisation Post Held Period Last Pay Nature of duties From To Declaration: I hereby declare that the particulars furnished above are true and correct to best of my knowledge and belief. I also declare that I am fulfilling the requisite criteria of qualifications for

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