Food Corporation of India

Regional O ce (J&K), 28-Ob, JDA Complex Railhead

Jammu-180001
Recruitment - 2017
(Please read the Advertisement carefully before applying through ONLINE MODE Only)

ACKNOWLEDGEMENT FORM RECEIVED OFFLINE

User ID :  39563
RECRUITMENT FOR WATCHMAN IN FOOD CORPORATION OF INDIA 2017.
Password :  W_993063

Applicant's No
39563

Applicant's Name SURINDER KUMAR

Father's Name MOTI RAM

Mother's Name POLI DEVI

Email Id surinderk1294@gmail.com

Mobile 7051239224

Gender Date of Birth Category Education Qualifaction

MALE 29-04-1994 Scheduled Caste intermediate

EX-Servicemen? PWD/PH? Post Applied For District of Permanent Residence

No No  WATCHMAN Jammu

Present Address Permanent Address

Village Ghaink Patoli,

Name & complete
Village Ghaink Patoli, PO Gharota, Tehsil & District Jammu Name & complete Mailing Address PO Gharota, Tehsil &
Permanent Address
District Jammu

State Jammu and Kashmir State Jammu and Kashmir

District Jammu District Jammu

Pin Code 181122 Pin Code 181122

Declaration

1) I hereby declare that all statement made in this application are true, complete and correct to the best of my knowledge and belief. In the
event of any information being found false or incorrect, or ineligibility being detected before or after the examination, action can be taken
against me by the Department.

2) I have read the advertisement notice carefully and I hereby undertake to abide by conditions.I further declare that I full ll all conditions of
eligibility regarding age limit, education quali cation Prescribed for recruitment test / examination. Candidate Signature

Date : 10-01-2018

Transaction Id. : 20485, Registration Date & Time : 2018-01-10 12:35:28

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