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Character Verification Application Form

The document is an application form for character and antecedents verification for an individual named Magar Bhairu Soudagar, who is applying for a position at Bharat Petroleum Limited. It includes personal details such as addresses, identification numbers, and a declaration of no criminal offenses. The applicant also provides references from two local individuals who can vouch for their character.

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73 views1 page

Character Verification Application Form

The document is an application form for character and antecedents verification for an individual named Magar Bhairu Soudagar, who is applying for a position at Bharat Petroleum Limited. It includes personal details such as addresses, identification numbers, and a declaration of no criminal offenses. The applicant also provides references from two local individuals who can vouch for their character.

Uploaded by

malakarashddisodde
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Dharashiv

Application cum Personal Particulars Form for Character & Antecedents Verification

पतत : वतरषष पपललस तनरलकक , TamalwadiI P. Station पपललस षठणण.

खठललल नममद ममददठदवर अररदठर मगर

Dharashivकदपनलचण Dharashivनठव BHARAT PETROLEUM LIMITED यठदचल चचकशल करन ममळ कठगदपतठदसह

अहवठल पडतठळणल शठखठ, तव. शठखठ,Dharashiv यणथण सठदर करठवठ.

१) अररदठर तदलणलयठ पततयठवर कणवहठपठसमन रठहत आहण ?

२) अररदठरठतवरद आपलण पपतलस षठणयठचण अतभलणखठवर गमनहण , आकणपठहर ननदल आहण त कठ?

असलयठस गमनहठ ननद क., कलम,कपरर ,कपरर कणस क. व गमननठचल सदससथतल कळवठवल.

रठवक क. /तवशठ/पडतठळणल/तद. / /२० पपउप आयमकत, तव.शठ.Dharashiv कतरतठ

Applicant's Name MAGAR BHAIRU SOUDAGAR Application ID DHSH03251000606

ID Name PAN Card ID No DOIPM0319R

Aadhar Card No. Mobile No. 7020510928

Email ID

Present Residential Address


MATOSHRI TULJAPUR SOLAPUR HIGHWAY SANGVI KATISANGVI KATI Sangvi Kati Tuljapur Dharashiv
MAHARASHTRA-413623
Previous Address

Do you need to verify your previous address


Address

Native/ Permanent Address

MATOSHRI TULJAPUR SOLAPUR HIGHWAY SANGVI KATI SANGVI KATI Sangvi Kati Tuljapur Dharashiv
MAHARASHTRA 413623
Company Name and Address where NOC/ Certificate is submitted

Designation Company BHARAT PETROLEUM LIMITED

Address 25 SOLAPUR PUNE HIGHWAY PAKANI PAKANI PAKANI Pakani Solapur North Solapur
MAHARASHTRA 413623
Particulars of places where the Applicant has resides during last 10 years
Sr. No Address From To Pincode

1 SANGVI KATI TA TULJAPUR 11/1968 03/2025 413623

Present Occupation / Service ( Joining date, Post, Office Address & Telephone)
20/03/2025

Visible Identification Mark

Have you been Arrested / Prosecuted? If yes, give case details ( C.R. No. & [Link] )
No

Have you been Active in Politics? If yes, give details of the party / organisation.
No

Is there any Criminal Offence registered against you?


No
Name, Address & Signature of two persons in your locality who knows you.
Name & Address Mobile No.
AMOL SHANKARRAO PATIL SANGVI KATI TA TULJAPUR 7588527556
RAMCHANDRA VAMANRAO PATIL SANGVI KATI TA TULJAPUR 9545446569

I hereby solemnly state that information provided above by me is true and correct.

Place DHARASHIV
Date 20/03/2025 Applicant's Signature

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