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Application PA

The document is an application form for the position of Project Assistant at the National Environmental Engineering Research Institute (NEERI). It requests basic personal information such as name, date of birth, category, qualifications, experience, and contact details. It also notes that the engagement would be contractual and temporary in nature, without a claim to regularization or permanent absorption. The applicant declares that the information provided is correct to the best of their knowledge.

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0% found this document useful (0 votes)
45 views1 page

Application PA

The document is an application form for the position of Project Assistant at the National Environmental Engineering Research Institute (NEERI). It requests basic personal information such as name, date of birth, category, qualifications, experience, and contact details. It also notes that the engagement would be contractual and temporary in nature, without a claim to regularization or permanent absorption. The applicant declares that the information provided is correct to the best of their knowledge.

Uploaded by

MAX PAYNE
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 PDF, TXT or read online on Scribd
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ANNEXURE II

APPLICATION FOR ENGAGEMENT AS PROJECT ASSISTANT AT NEERI


Ref : Notice No. ________________________dated _____________
Post applied for ________________ Project No. ________________
Photo
Title of Project ____________________________________________
___________________________________________________________________

1.

Name

Mr./Ms./Mrs

2.

Fathers Name

: _______________________________
: ______________________________

3.
4.
5.
6.

Date of Birth
: _______________________________
Age as on closing date of the application: Year_____ Month _____ Days _____
Category
:
SC___ ST____ OBC____ General _____
Communication Address
: ________________________________________
_______________________________________
_______________________________________
Phone No. ___________________STD _________
Email, if any _______________________________
7.
Qualifications
Degree
Discipline / Subject University
Year
of Division and Percentage
Passing

8.

Experience

: __________________________________________
__________________________________________

9.

Name of the close relative(s)}* Name___________________________________


in NEERI/CSIR (If any)
} Relationship______________________________
I understand that it is a contractual engagement on purely temporary basis on the
Project. It would, therefore, not confer any right/claim implicit or explicit for
consideration of regularization / absorption against any CSIR/NEERI post.
I declare that the above particulars are correct to the best of my knowledge and
belief. I understand that action can be taken against me if these are found to be
incorrect.
Place : ______________
Dated : ______________

SIGNATURE OF CANDIDATE

* Relations would include wife/husband/sons/daughters/brothers/sisters/sons-inlaw/daughters-in-law and those who could be termed as blood relations

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