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Application Form 39 2019

This document is an application form for a position with Electronics Corporation of India Limited (ECIL), a Government of India enterprise. The form requests personal details of the applicant such as name, father's name, date of birth, contact information, qualifications, experience, and references. The applicant is required to declare that the information provided is true and correct and that they have never been prosecuted or involved in a criminal case. The applicant also acknowledges that any employment would be on a contractual basis only.

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Vagesh Datta
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57 views1 page

Application Form 39 2019

This document is an application form for a position with Electronics Corporation of India Limited (ECIL), a Government of India enterprise. The form requests personal details of the applicant such as name, father's name, date of birth, contact information, qualifications, experience, and references. The applicant is required to declare that the information provided is true and correct and that they have never been prosecuted or involved in a criminal case. The applicant also acknowledges that any employment would be on a contractual basis only.

Uploaded by

Vagesh Datta
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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इलेक्ट्रोनिक्ट्स कार्पोरे शि ऑफ़ इं निया नलनिटेि

Electronics Corporation of India Limited


भारतसरकार (र्पररिाणुउर्ाानिभाग) काउर्पक्रि
A Government of India [DAE] Enterprise
कार्मिक िगा / PERSONNEL GROUP
भती अिुभाग का.ि./Rectt.PG

ADVERTISEMENT NO.:39/2019 Name of the post:______________________


Place of Posting:_______________________

FULL NAME IN CAPITALS:


(As per Matriculation certificate)
FATHER’S NAME :

SEX : MALE / FEMALE

DATE OF BIRTH & AGE (as on 31.08.2019):


Affix Recent
CATEGORY (GEN/OBC/SC/ST/PWD/EWS): Passport size
photograph
NATIONALITY: RELIGION:

TELEPHONE No. (With STD Code) :____________________ MOBILE NO.:_________________

Mail id: _______________________________________________________________________

ADDRESS FOR COMMUNICATION : --------------------------------

QUALIFICATIONS( Matriculation onwards):


Yr. Of Class & % of
Examination Board/ University Specialization/Branch
Passing marks

EXPERIENCE (in chronological order):


Period Present basic/
Post Scale of pay/ Reasons for
Name of the Nature of work done
From To held Total Salary leaving
Organization
drawn

REFERENCES OF PERSONS IN RESPONSIBLE POSITIONS (NAME, ADDRESS & MOBILE NO.)

1. 2.

DECLARATION
I certify that the above information is correct and true to the best of my knowledge and belief. In the event of any
information being found false or incorrect, action can be taken against me. Further declare that I have never been
arrested/prosecuted and convicted by a Criminal Court or involved in any other case registered by the police. I am also
aware of the fact that this is purely contractual basis and I will not raise any issue for regular employment in ECIL.

DATE: SIGNATURE OF THE APPLICANT

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