FOOD CORPORATION OF INDIA Application Form (Please fill the form in Capital Letters only) 1 2 Serial No (to be given by the office) (i) Code in of the post applied for : : 3 (ii) ……… of Centre, Kolkata, Pune, Bhubaneswae, Ranchi: Name of the applicant : 4 Father/Husband Name : 5 6 7 8 No 9 Date of Birth Sex Category Code: (SC/ST/OBC/PH) Demand Draft ………… Date for DT Mailing address : (With Pin Code) Amount : : (Male/Female) : : ……………………………… ……as on 01-01-2009 ……… Yrs…………Months…………Days…………to be enclosed 10 Professional Qualifications SI Academic/Professional Qualification Name of University Year of Passing % age of Marks obtained Class/Division Remarks if any 11 Experience (Start from the current position) SI Name and Address of Post held Period of work the Employer From To Basic Pay & Total emolument Remarks if any 12 List of document attached: 1 Proof of Age 2 Proof of Educational Qualification 3 Proof of Caste Status 4 Proof of Experience 5 A Separate passport size photograph as affixed in the application form 6 Demand Draft Certified that the information furnished above are the correct to the best of my knowledge Place: Date: Signature of the Applicant