(OMCAP)

(A Government of Andhra Pradesh Undertaking) AN ISO 9001: 2008 Certified Company(Registered Overseas Recruiting Agency with PGE, MOIA, New Delhi, Govt. of India

RC No. B-539/Hyd/com/1000+/5/8723/2011 dt: 22.6.2011Commissionerate of Employment and Training, Govt. of Andhra Pradesh

Government ITI Campus, VIJAYAWADA, KRISHNA District, A.P., India-520008Ph/Fax No.: +91 0866 2484948 www.omc.ap.gov.in

OVERSEAS MANPOWER COMPANY ANDHRA PRADESH LTD

PHOTO

TRADE / CATEGORY :

Skill Profile/Grade :

OMCAP Registration No. :

(To given by OMCAP, Hyd.)

REGISTRATION FORM

PERSONAL INFORMATION

NAME:

FATHER’S NAME:

DATE OF BIRTH:

TELEPHONE NO:

CELL NO:

E-MAIL ID:

PASSPORT NO:

EXPIRY DATE:

COMMUNITY:

KNOWN REFERENCES:

EDUCATIONAL QUALIFICATION:

S. No. Course Institution Passed in

1.

2.

3.

4.

S. No. Worked with From - To

1.

2.

3.

4.

EXPERIENCE YEARS

1.

2.

ADDRESS:

SC ST BC OBC

DECLARATION

Certify that the particulars given above by me are correct and I will be responsible for the same.

Signature of Candidate

FOR OFFICE USE ONLY

The details of the Candidate are verified and forwarded here with for information and record.

EMPLOYMENT EXCHANGE

DIST: JEO / EO / DEO