BRAHMAPUTRA VALLEY FERTILIZER CORPORATION LIMITED
(A Government of India Undertaking)
Namrup, P.O. Parbatpur, Dist. Dibrugarh, Assam: PIN - 786623
FAX - 0374 2500317: e-mail: bvfclnam@bsnl.in

Online Application Management System

Friday, May 18, 2012

Application Form for -

       

Basic Information

*Discipline

*Examination Centre

*Name

*Father's Name

*Date of Birth (DD/MM/YYYY)

*Age as on 30/12/1899

*Sex

*Nationality

*Address for Communication

*Permanent Address

*Email Address

*Mobile No.

*Caste Status

Whether Physically Handicapped

%age of disability

Type of disability

Othopedically Handicapped (OL, OA) and Visually Handicapped (PB) candidate may indicate whether assistance of scribe is required during the written test
       

Professional Qualification

  *Please Ensure that the Required qualification matches with your qualification. Mismatch in qualification may result in rejection of your application
Name of the institution / University Duration of Course Year of passing Class or Division Percentage of marks, In case of Grade point system equivalent percentage of marks to be mentioned Main field of Study
* * * * * *

Academic Qualification (HSLC Onwards)
Qualification Acquired Name of the institution / University Duration of Course Year of passing Class or Division Percentage of marks, In case of Grade point system equivalent percentage of marks to be mentioned Main field of Study
* * * * * * *
* * * * * *  
             
             
             

Training & Attainments
Name of the course Period/duration Name of Institution Field of Study

Professional Experience (in case of employed personnel)-Starting from present position: (Photocopy of appointment/promotion letter for each post to be attached)
Employer's name & address & type of business Period of employment Post held & Scale Nature of duties No. of persons working under
From To
           

Details of demand draft:

D. D. No.

D. D. Date

D. D. Amount

Name of the Bank

       

Application Date

   
       

 

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