Академический Документы
Профессиональный Документы
Культура Документы
Paste your
Recent
passport size
self attested
colour Photo
Interview particulars
(This should be filled up in candidates own handwriting)
1.
2.
: Operator-Cum-Technician Trainee
:
3.
4.
Address:
a) Present:
b) Permanent:
..
5. Date of birth:
Days
Age in:
Years
Month
6.
Identification marks:
i)
ii)
8.
Religion:
Mothers name:
9. Nationality:
Regular/
Correspondence
Name of the
institution
Date of
Passing
Discipline
Duration
Class /
division
Percentage
of Marks
Matriculation
Diploma in
Engineering
*Diploma Engineering Discipline & Duration must be mentioned.
*Those who do not belong to (OBC/Non Creamy Layer) will be treated as general candidate.
12.
Marital Status:
13.
2.
3.
4.
14.
2.
3.
4.
15.
16.
Particulars of experience:
SL. No.
17.
Joining
Date
Leaving
Date
Last Designation
& Salary drawn
YES
YES
Duties &
Responsibilities
NO
NO
18.
19.
YES
NO
20.
Have you ever been convicted by a Court of Law for any offence: YES
NO
21.
22.
References :-
23.
Name
Occupation
Address
1) .
.........
2) .
.........
Enclosures: I.
III.
II.
IV.
1.Mobile No.
2.Email Id:
Self attested copies of all certificates regarding Age, Qualification, (SC/ST/OBC/PH/Ex-S) category, Training, Experience Etc. are to be attached
with the application.
I do hereby declare that, I agree to all the terms & conditions given in the aforesaid advertisement and all the information given by me in this
application form and its enclosures are true and correct to the best of my knowledge. In case any of my declaration and documents attached
herewith are found to be false and if I am unable to enclose relevant documents in support of the eligibility condition, my candidature may be
cancelled at any stage of the recruitment process. In the event that wrong statement is detected after my appointment then my services are liable
to be terminated without notice.
Date: _____________
Signature of candidate
Page 2 of 2