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Mishra Dhatu Nigam Limited: Application For The Post of Mill Hand

This document is an application form for the post of Mill Hand at Mishra Dhatu Nigam Limited (MIDHANI). The form requests information such as the applicant's name, address, date of birth, education details, experience, and whether they have any relatives currently employed at MIDHANI. The applicant must declare that the information provided is correct and acknowledges that incorrect or incomplete information could lead to cancellation of their candidature. Supporting documents such as certificates and a demand draft must be enclosed with the application.

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64 views3 pages

Mishra Dhatu Nigam Limited: Application For The Post of Mill Hand

This document is an application form for the post of Mill Hand at Mishra Dhatu Nigam Limited (MIDHANI). The form requests information such as the applicant's name, address, date of birth, education details, experience, and whether they have any relatives currently employed at MIDHANI. The applicant must declare that the information provided is correct and acknowledges that incorrect or incomplete information could lead to cancellation of their candidature. Supporting documents such as certificates and a demand draft must be enclosed with the application.

Uploaded by

Jeshi
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
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MISHRA DHATU NIGAM LIMITED

APPLICATION FOR THE POST OF MILL HAND


(ALL PARTICULARS ARE TO BE FILLED IN BLOCK/CAPITAL LETTERS ONLY)

1. SURNAME:
NAME

2. ADDRESS

(For correspondence)

STATE:

PIN

3. PHONE NO:
4. FATHERS NAME:
5. MOTHERS NAME:

6. DATE OF BIRTH:

DATE

MONTH

YEAR

(AS PER SSC/10TH CLASS CERTIFICATE)


7. AGE AS ON (31/07/2015) : YEARS
8. SEX

: M/F

MONTHS

9. NATIONALITY:

10. CATEGORY (MENTION ONLY SC / ST/ OBC/ GEN)

IN CASE OF OBC, WHETHER BELONG TO NON CREAMY LAYER Y/N


11. RELIGION

12. STATE OF DOMICILE:

Contd..2..

::2::
13. ARE YOU AN EX-SERVICEMAN: Y/N
IF YES, PLEASE MENTION THE BELOW MENTIONED DETAILS:
NAME OF THE
ARMED FORCES
UNIT

TRADE

DATE OF ENROLLMENT IN
DATE OF DISCHARGE
ARMED FORCES UNIT
( ENCLOSE PROOF)
( ENCLOSE PROOF)
( IN DD/MM/YYYY FORMAT)
( IN DD/MM/YYYY FORMAT)

14. ARE YOU A PERSON WITH DISABILITY: Y/N

TOTAL YEARS OF
SERVICE
RENDERED

LAST RANK/
DESIGNATION
HELD

IF Y, THEN MENTION CATEGORY: VH/OH/HH:

15. NEAREST RAILWAY STATION:


16. EDUCATIONAL QUALIFICATION :( ANY COURSE PRESENTLY CONTINUING IS ALSO TO BE INDICATED)
NAME OF THE BOARD
NAME OF THE INSTITUTION/UNIVERSITY

17.

YEAR OF PASSING

ARE YOU REGISTERED WITH EMPLOYMENT EXCHANGE


IF Y, THEN MENTION REGISTRATION NO.

CLASS/DIVISION/%

: Y/N
STATE OF REGISTRATION

18. EXPERIENCE DETAILS


NAME OF THE
ORGANISATION

CENTRAL GOVT./
STATE GOVT./
PSU/PRIVATE

DESIGNATION

FROM

TO

BASIC/
DA/
OTHERS

Contd..3..

::3::
19. DETAILS OF DEMAND DRAFT/POSTAL ORDER
NAME OF THE BANK/ POST OFFICE

D.D./PO NUMBER

DD/PO DATE

VALUE
Rs. 100

20. WHETHER YOU HAVE ANY RELATIVES IN MIDHANI Y/N


IF Y, THEN MENTION HIS/HER NAME AND
RELATIONSHIP WITH YOU

NAME:
STAFF NO:
RELATIONSHIP:

DECLARATION
I do hereby certify that the above information furnished by me is correct to the best of my knowledge & belief
and no information has been suppressed. In case any information is found to be incorrect or incomplete, my
candidature shall be cancelled at any stage of selection or thereafter and I will have no claim for appointment
in MIDHANI

PLACE:
DATE:

SIGNATURE OF THE APPLICANT

Note:
*Candidates are required to enclose attested copies of certificates, Demand Draft/PO along with the
application.
* Candidates belonging to SC/ST/PWD/Ex Servicemen category are not required to submit Demand Draft/PO.

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