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NTPC LimitedRegistration Slip

Executive Trainee 2014

Discipline: Date ofRegistration:

Name: Gender:

Date of Birth:PhysicallyChallenged:

Category: Type of disability:

NTPC Employee: J&K Domicile:

Ex-Serviceman: GATE-2014 Registration No:

Email Id:Qualification

(as required for the post)% of Marks Passing Year

Branch: Payment Details

J. No:

Branch Code:

Branch Name:

Mailing Address:

Date ofPayment:

I hereby declare that the particulars stated in this slip and submitted through on-line application are true, correctand complete to the best of my knowledge and belief and nothing has been concealed. Further, I state that I meetthe eligibility criteria as specified in the detailed advertisement available on the website www.ntpccareers.net. Incase any of the information is found to be false, incorrect or misleading at any stage, I shall have no claim againstcancellation of my candidature and/or taking other legal action as deemed fit by NTPC.

NTPC Registration Number

Signature of the candidate

Note: Please keep the photocopy of this slip for your future reference. You may need this slip at the timeof Group Discussion and Interview, if shortlisted for.

Affix your latestpassport size goodquality Photograph

(self attested)

Mechanical 12-Jan-201408:32:38

SIBASISH SAHU Male

23-Jan-1991 No

OBC (Non-Creamy) -

No No

No

sibasish1991@gmail.com ME604006231

B-Tech 84.87% 2013

Mechanical Engineering

17819124SIBASISH SAHUC/O-BHABAGRAHI SAHUAT/PO-HAKIMPADADistrict: ANGUL

Orissa, Pin: 759143

0007

ANGUL

10-Jan-2014

215481