उत्तरॉखण्ड पूर्व सैनिक कल्याण निगम लि0(UPNL)

Uttarakhand Purv Sainik Kalyan Nigam Ltd.[UPNL]

(Undertaking of Uttarakhand Government & Empanelled with DGR))

Online Enrolment Form for ESM Dependents Only (केवल पूर्व सैनिक आश्रितों के लिए नामांकन फॉर्म)

पूछताछ हेतु डायल करें-
0135-2752178/ rpo@upnl.co.in (देहरादून)
07088834030 (हल्द्धानी)
upnl_haldwani@rediffmail.com (हल्द्धानी)

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All fields marked with ( * ) are mandatory.

Applicant Category

Nearest RPO*	Type of Service*	Applicant Type*	Enr. Date*

Applicant Personal Details

Relation with ESM*	Applicant Name*				Marital Status*
Mobile No*	Applicant Aadhar No*		Applicant DOB*	.	Reservation*
Email Id		Address*

ESM Official Details
Service Number*		Rank*		Name of ESM*
Enrolled Date (Defence) *	.	Date of Discharge *	.	Medical Category*	Trade of ESM*
ZSK I Card No*		ZSK Office*

PPO No*	Upload PPO (Only JPEG images or pdf)*	Only JPEG images or pdf file is allowed

Upload Discharge Book Family Details (Only JPEG images or pdf up to 1MB)*		Only JPEG images or pdf file is allowed

Applicant Qualifications Details
Educational Qualification *		Security Course Attended (If any)
Professional Qualification

Applicant Job Experience & Preference
Job Preference*		Job Related Remarks
Job location Preference*		Location Remarks

Earlier Service in UPNL
Earlier Service		Dept Location (UPNL)
Earlier Service Period (In UPNL)	Example : Jan/2017 To : Apr/2019	Reason of Left Job

Declaration (घोषणा)

मै यह घोषणा करता/करती हूॅॅ कि मेरे द्वारा इस नामांकन फार्म में दिये गये विवरण एवं सूचनॉए सत्य एवं सही है। यदि कोई सूचना या विवरण असत्य या गलत पाया गया तो मेरा नामंकन उपनल द्वारा निरस्त करने पर मुझे कोई आपत्ति नहीं होगी।