Application for Training (Strike out whichever is not applicable) Name :

Registration No

Father’s Name :

Mother’s Name :

Date of Birth :

Correspondence Address :

Email Address :

Mobile Number :

PAN Number :

Adhaar Number :

Education Qualification :

Qualification

Board/Institute/University

Year of Passing

%of Marks

Specialization

12th

Graduation

Professional Qualification(Please provide level wise information) :

Level

Institute

(ICAI/ICMAI)

Month &Year of

Passing

%of Marks

No of

Attempts

CPT/Foundation

Intermediate Group-I

Intermediate Group–II

Intermediate Group I&II

Details of Post :

Post Name

Monthly Salary

Location

Joining date

Training and Joining fees 1550/-INR, Payment Transaction

Choice of Work Centre for training:1 2 3

Are anyofyourparentsworking/workedinONGC (Pl.tick):YES/NO.Ifyes, pleaseprovidefollowing: Name Relation CPF No

I,here by undertake that the particulars given by me are true to the best of my knowledge.

Signature of the applicant Date:

Pl.pasterecentpassportsizephotograph

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