Scribd
Upload
87 views5 pages

Technical Officer/ - : 08. Height: Cms Weight: Kgs

This document contains an application form for the post of Technical Officer. The 27-item form requests information such as personal details, educational qualifications, work experience, languages known, references, and a checklist of documents to attach. It asks for details like name, date of birth, address, employment history, educational transcripts, languages, and references to support the application for the advertised position.

Uploaded by

mnj_gautam
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
87 views5 pages

Technical Officer/ - : 08. Height: Cms Weight: Kgs

This document contains an application form for the post of Technical Officer. The 27-item form requests information such as personal details, educational qualifications, work experience, languages known, references, and a checklist of documents to attach. It asks for details like name, date of birth, address, employment history, educational transcripts, languages, and references to support the application for the advertised position.

Uploaded by

mnj_gautam
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 5

---------------------------------------------- Proforma for application --------------------------------------------APPLICATION FOR THE POST OF ADVERTISEMENT NO.

Technical Officer/____ (

: __________________________________

LAST DATE FOR RECEIPT OF APPLICATION : __________________________________ FOR OFFICIAL USE ONLY: SL. NO. _________________________________ DATE OF RECEIPT: ______________________ PASSPORT SIZE PHOTO DULY SIGNED BY THE CANDIDATE (not more than 6 months old)

01. 02.

NAME IN FULL : ___________________________________________________ (IN BLOCK LETTERS) (SURNAME) (NAME) DATE OF BIRTH (In Christian era) Age as on 01.07.12 YEARS MONTHS FEMALE DAYS : (DATE) (MONTH) (YEAR)

03. 04. 05. 06. 07.

SEX PARENT'S NAME NATIONALITY RELIGION

MALE

: ___________________________________________________ : ___________________________________________________ : ___________________________________________________ UN-MARRIED

MARITAL STATUS : MARRIED

08.

HEIGHT

Cms

WEIGHT :

Kgs

MARKS OF IDENTIFICATION: 1. _______________________________________________________ ______________ 2. _______________________________________________________ ______________ 9. 10. EMPLOYMENT EXCHANGE REGN. NO. ____________________________________ ARE YOU A MEMBER OF SC/ST/ OBC : SC ST OBC

Sub-Caste/Tribe 11 WHETHER BELONGS TO MINORITY COMMUNITY ( MUSLIM / CHRISTIAN / SIKH / ANY OTHER ) ( PLEASE SPECIFY ) ___________________________________ DO YOU HAVE ANY PHYSICAL DISABILITY ? (IN CASE YES, PL. ENCLOSE RELEVANT CERTIFICATES) OH ARE YOU AN EX SERVICEMEN? (IN CASE YES, PL. ENCLOSE THE CONCERNED CERTIFICATE) YES YES VH NO NO HH

12.

13.

Cont 2

:: 2 :: 14. ADDRESS (IN BLOCK LETTERS) I) FOR CORRESPONDENCE: (WITH PIN CODE) PIN E-Mail

Tel. No. ii) PERMANENT ADDRESS : (WITH PIN CODE)

PIN Tel. No. E-Mail 15. EDUCATIONAL QUALIFICATIONS: (PLEASE FURNISH THE INFORMATION IN A SEPARATE SHEET IN THE PRESCRIBED FORMAT AT GIVEN BELOW FORMAT AS GIVEN BELOW SEMESTER/YEAR-WISE TOTAL MARKS OBTAINED. TOTAL MAXIMUM MARKS AND PERCENTAGE OF MARKS TO BE FILLED IN CLEARLY )

EXAMINATI ON PASSEDSSC ONWARDS INCL. TECH QUALIFICAT ION

BOARD/ UNIVER SITY

YEAR/ SEMEST ER

SUBJE CTS

TOTAL MARKS OBTAIN ED

TOTAL MAXIM UM MARK S

% OF MAR KS SECU RED

AVG. OF MARK S FOR DEGR EE

YEAR OF PASS ING

*CLASS/ DISTNC.

ACADEMIC
TECHNICAL

COURSES BEING TAKEN UP FOR STUDYING IF ANY

IF FINAL GRADING IS INDICATED IN ALPHABETS LIKE A, B, C, D ETC., THE APPLICANT SHOULD INVARIABLY INDICATE THE EQUIVALENT PERCENTAGE OF MARKS DULY SUPPORTED BY A LETTER ISSUED BY THE REGISTRAR OF THE UNIVERSITY CONCERNED.

16. ARE YOU UNDER ANY CONTRACTUAL OBLIGATION TO SERVE THE CENTRAL / STATE GOVT. / ANY OTHER PUBLIC SECTOR UNDERTAKING? IF SO, PLEASE FURNISH FULL DETAILS. __________________________________ Contd..3

-317.EXPERIENCE (FROM REPUTED ORGANISATION INCL. SERVICE IN DEFENCE) DETAILS OF POST HELD NATURE OF WORK DONE IN BRIEF PAY & SCALE OF PAY TO NAME & ADDRESS OF EMPLOYER OF THE ORGANISATI ON IF IN GOVT. SERVICE, WHETHER TEMP/PER MANENT REASO N FOR LEAVIN G

PERIOD FROM

18.

WHETHER EXPERIENCE CERTIFICATE ENCLOSED ?____________________

19. IF APPLICANT IS IN RECEIPT OF ANY PENSION GRATUITY OR EMPLOYER'S SHARE OF CONTRIBUTORY PF FROM THE CENTRAL / STATE GOVT. OR ANY PUBLIC SECTOR UNDERTAKINGS PARTICULARS THEREOF : _____________________ 20 DETAILS OF RELATIVES ALREADY EMPLOYED IN NFC OR ANY OTHER CONSTITUENT UNIT OF DEPARTMENT OF ATOMIC ENERGY : SL. NO. NAME OF RELATIVE RELATION UNIT POST HELD

21. PLEASE FURNISH LANGUAGES KNOWN : Language Read Speak Write Details of Exam. Passed

22.PLEASE FURNISH REFERENCES OF TWO PERSONS (NOT RELATIVES) : S.NO. 01. Name Occupation Address

02.

23.PLEASE INDICATE YOUR HOBBIES/ EXTRA CURRICULAR ACTIVITIES : __________________________________ CONTD.4

-424.ANY INFORMATION THE CANDIDATE MAY WISH TO ADD IN SUPPORT OF HIS/HER APPLICATION : __________________________________ 25. LIST OF DOCUMENTS (As per checklist to be attached to the applications): _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 26. DEMAND DRAFT/I.P.O. NO. & DATE: ________________________________________ 27. I CERTIFY THAT ALL THE INFORMATION GIVEN ABOVE IS CORRECT. I UNDERSTAND THAT FURNISHING FALSE INFORMATION MAKES THE SERVICE/TRAINING LIABLE FOR TERMINATION. IF APPOINTED, I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE ORGANISATIONS PLACE : ______________ DATE : ______________ _________________________________ SIGNATURE OF THE CANDIDATE # # # # ## # # # ## # # # ## # # # ## # # # ## # # # ## # # # ## # # # ## # # # ## # # # ## # # # CHECKLIST FOR CANDIDATES (TO BE ATTACHED TO THE APPLICATION)

01. 02. 03.

PHOTOGRAPH AFFIXED APPLICATION IN PRESCRIBED FORMAT & DULY SIGNED ATTESTED COPIES OF CERTIFICATES ATTACHED : A) B) C) D) E) F) G) H) I) DATE OF BIRTH SC/ST/OBC (IF APPLICABLE) PHYSICALLY CHALLENGED CERTIFICATE (IF APPLICABLE) EDUCATIONAL QUALIFICATIONS SEMESTER / YEAR-WISE MARKS LISTS EXPERIENCE DISCHARGE CERTIFICATE FROM DEFENCE SERVICE (IF APPLICABLE) DEMAND DRAFT/I.P.O. NO. & DATE: ________________________ CHECKLIST ATTACHED.

SIGNATURE _______________________________

You might also like