Recruitment of Engineers in Electrical Discipline On Fixed Tenure Basis
Recruitment of Engineers in Electrical Discipline On Fixed Tenure Basis
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Advt. No. Rectt./03/2011
01. 02. Name of Post applied for :_______________________________ Name (In Block Letters) First name Middle name Surname
03.
Fathers/Husbands Name :
04.
Date of Birth*
Date
:Male
Month Year
Female
age as on 31.08.2011
Year
Month Days
Unmarried OBC
GEN
State yes/no (Y/N) for following:1. PH* If yes, mention sub-category and % age of Disability) Sub. Cat.______%age*__________ Ex-serviceman* No. of years of service.
9.
Pin * Phone No. (With STD Code E-Mail ID* 10. Permanent Address (In Capital letters) *
Pin * 11. 12. Nearest Railway Station (from Correspondence Address mentioned above * Qualifying Professional Qualification*: Qualification Duration of Course Institute/University Year of Passing %age of Marks Remarks
Part Time
b)
Educational/Professional Qualifications (Matriculation onwards)* Duration of Course Institute/University Year of Passing % age of Marks Remarks
Qualification
13.
Experience in chronological order starting from the present position to backward*. Period Name of Employer Post Scale of pay Nature of duties held IDA/CDA/any performed From To other pattern
15. 16.
DECLARATION
I hereby declare that all statements in the application are true, complete and correct to the best of my knowledge and belief. In the event of information being found false or innocent, my candidature for appointment may be considered terminated without any notice. I also declare that I am citizen of India by Birth/domicile. Place*: ______________ Note: *Mandatory Information Date*:__________________Signature of Candidate*_____________________