Application Form
Application Form
Application Format for Management Trainees /Graduate Engineer Trainees & Diploma Engineer Trainees Advertisement No. OHPC: HQ: HRD: RECTT: 02/2010 [Application to be submitted in A4 size paper only] FILL IN CAPITAL LETTERS AND SIGN AT THE BOTTOM OF EACH PAGE
1. Post Applied For: 2. Name (in Capital Block Letters) : First Name: Middle Name: Last Name: 3. (A) Address: (Do not mention your name) Address for Correspondence: Permanent Address: Paste one recent passport size colour photograph signed on the front. Do not staple or pin.
Mobile No.
(B) Nearest Railway Station/Bus Stand from mailing address mentioned above: State: 4. Date of Birth: (as recorded in Matriculation or equivalent certificate) Date 5. Age as on 1.05.2011: 6. Sex () : Male Years Month Month (s) Year Day (s)
Female
(Candidates belong to SC/ST/SEBC/PH categories must attach the attested copies of relevant certificate issued by the Competent Authority) 9. Additional Information: (Please put a mark in the appropriate box) (A) Ex-Serviceman 10. Nationality: (Use mark) (Use mark) (B) Sports person
YES YES
NO NO
Examination Passed/Appeared
Discipline/Subject
Course Duration
In case of CGPA/Grades please give equivalent percentage (attach photocopies of the certificate and mark sheet towards proof of essential qualification) 13. Educational Qualifications: Examination Passed/Appeared
10th/HSC
Discipline/Subject
Course Duration
In case of CGPA/Grades please give equivalent percentage (attach photocopies of the certificate and mark sheet towards proof of educational qualification) (Full Signature of the Candidate) ________________________________
Post held
From
To
15. Particulars of Demand Draft: (SC, ST and PH candidates are exempted from the payment of fees)
Name and Address of Issuing Bank Date of Issue Amount (Rs.) Demand Draft No.
DECLARATION: I hereby declare that all statements made by me in the application are true and complete to the best of my knowledge and belief. In the event of any information being found to be false or incorrect, my candidature/appointment may be cancelled / terminated without any notice. I also declare that I am a citizen of India by birth/domicile.
Place: Date: Enclosures: 1. 2. 3. 4. 5. 6. 7. (Full Signature of the Candidate) ______________________________ (Full Signature of the Candidate)