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APPLICATION PROFORMA (Ref: Advertisement No. …

APPLICATION PROFORMA (Ref: Advertisement No. WR-II HQ/Raipur/Lara/AT/2017) ntpc limited Western Region Headquarters II 4th Floor, Magneto Offizo, Magneto the Mall, Road, Labhandi, Raipur -492001 Fill all Details in CAPITAL LETTERS 1 Post Applied For: (Specify Only One) 2 Name: 3 Father s Name 4 Date of Birth* (DD/MM/YYYY) 5 Gender: 6 Nationality: 7 Category:* (UR/SC/ST/OBC-NCL) 8 Whether belong to PWD*: (Yes/ No) 9 Type of Disability:* (OA, OL, BL, HH) 10 Whether Belong to Ex Serviceman*: (Yes/ No) 11 No of Years in Service: (for Ex Serviceman) 12 Whether you are a Land-Oustee of ntpc -LARA (If Yes, Please specify Details) (i) Name of the Land Owner (ii) Relationship with the applicant Khata No.

APPLICATION PROFORMA (Ref: Advertisement No. WR-II HQ/Raipur/Lara/AT/2017) NTPC Limited Western Region Headquarters – II 4th Floor, Magneto Offizo, Magneto the Mall, G.E. Road, Labhandi, Raipur -492001

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