Scribd Logo
Upload

Welcome to Scribd!

  • 81 views

    Mridl Application Form PDF

    Uploaded by

    info
    The document appears to be an application form for a senior executive position, as it requests information such as the applicant's name, father's name, date of birth, educational qualifications, employment history, references, and a declaration signed by the applicant. Photographs submitted with the application should be self-attested. The applicant provides their personal details including current employment and pay, and additional information they feel supports their suitability for the position.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Mridl Application Form PDF

    Uploaded by

    info
    81 views6 pages
    The document appears to be an application form for a senior executive position, as it requests information such as the applicant's name, father's name, date of birth, educational qualifications, employment history, references, and a declaration signed by the applicant. Photographs submitted with the application should be self-attested. The applicant provides their personal details including current employment and pay, and additional information they feel supports their suitability for the position.

    Original Title

    MRIDL-APPLICATION-FORM.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document appears to be an application form for a senior executive position, as it requests information such as the applicant's name, father's name, date of birth, educational qualifications, employment history, references, and a declaration signed by the applicant. Photographs submitted with the application should be self-attested. The applicant provides their personal details including current employment and pay, and additional information they feel supports their suitability for the position.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    81 views6 pages

    Mridl Application Form PDF

    Uploaded by

    info
    The document appears to be an application form for a senior executive position, as it requests information such as the applicant's name, father's name, date of birth, educational qualifications, employment history, references, and a declaration signed by the applicant. Photographs submitted with the application should be self-attested. The applicant provides their personal details including current employment and pay, and additional information they feel supports their suitability for the position.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 6

    APPLICATION FORM

    Photographs

    should be

    self attested

    1. Name of the Post applied for : Sr. Executive

    2. Applying for Deputation /Absorption / On contract basis (Tick whichever is


    applicable) :

    3. Name of the Present AEROTECH ENERGY PVT LTD


    Organisation:

    4. Present Designation: Sr. Executive

    5. Candidate’s Name (in capital letters) (Please keep one box blank between
    name, middle name & s urname) :

    PA R E S H V I TH A LD A S BHA T I A

    6. Father’s / Husband’s name (in capital letters) (Please keep one box blank
    between name, middle name & surname) :

    V I T HA L DAS R AMD A S BHA T I A

    7. Date of Birth : Day Month Year


    21 AUGUST 1976

    8. Date of Day Month Year


    Retirement : 21 AUGUST 2036
    9. Educational Qualification (Academic & Professional) possessed by the
    officer:

    Degree Institute Board / Maximum Year of Marks %age of


    University Marks Passing Obtained marks
    (up to 2
    decimal)
    M.COM MKU

    10. Details of employme nt # in chronological order. Enclose a separate sheet duly


    authenticated by your signature, if the s pace be low is insufficient.

    Name and Designation Scale Period of Total Clearly indicate


    address of of Pay Service Experience the nature of
    employer in years experience. Also
    From To mention the
    name of the
    project / unit
    where worked

    # T he e mployment s hould be s upported by way o f do cume ntary e vidence i .e work


    certificate from employer, appointment letter from organisations, pay slips etc

    11. APAR / ACR gradings f or last 3 years (Please attach c opies):

    2017 2016 2015

    12. Nature of present employment i.e., Ad-hoc / Temporary / Contractual /


    Regular (Tick whichever is applicable)
    13. Additional details about present e mployment:

    a) Central Govt. / State Govt.

    b) Central P SU / State PSU / Joint Sector / SPV

    c) Metro Railway

    (c) Pvt Sector Aerotech energy pvt ltd

    (d) Any other sector

    14. Details of pay particulars ( Copy o f last S alary S lip d uly s elf-attested t o be
    attached):

    a) Are you in CDA or IDA pay:


    b) If in CDA, please indicate the Pay, Pay Band and Level:
    c) The Pay, Pay band and level held under MACP, if applicable:
    d) If in IDA, please indicate the new pay scale w.e.f.01.01.2017 :
    e) Whether in pre revised or revised scale of Pay (CDA / IDA):
    f) If i n P re-revised s cale o f pa y i n I DA t hen i ndicate t he p re-revised s cale
    and the corresponding revised scale of pay in New IDA scale
    w.e.f.01.01.2017 :

    15. Total emolument per month : 20000

    (Give break up)

    16. Additional information, if any, which you would like to mention in s upport
    of your suitability for the post. Amongst other things may provide
    information with regard to (i) Additional academic qualifications (ii)
    Professional t raining a nd ( iii) Work e xperience w ith respect t o j ob
    description of the post advertised) (The details should not be in more than
    200 words. Enclose a separate sheet, if the space is insufficient) :
    17. Community :
    SC ST OBC GEN OTHERS
    genral

    18. Present Address (in capital letters)

    19. Permanent Address (in capital Letters) :

    B-303,VAMA, SANGAVI NAGAR ,


    MIRA BHAYNDER ROAD ,
    MIRA ROAD EAST
    THANE -401107
    MAHARASTRA

    20. Mobile No : 9869137105

    21. Email id :

    22. References (Of 2 Senior Office rs with whom you have worked for a minimum of
    2 years or more) :
    I II

    Name
    Design.
    Organisation
    Mob
    email

    DECLARATION TO BE SIGNED BY THE CANDIDATE

    I he reby c ertify a nd declare t hat ( i) I h ave c arefully go ne t hrough t he vac ancy


    circular / adve rtisement a nd I a m well a ware t hat the C urriculum Vitae d uly
    supported by docume nts submitted by me will also be assessed by the selection
    Committee a t the time of selection for the post, (ii) All statements made and
    information given by me i n t his ap plication a re t rue, c omplete and correct t o t he
    best of my knowledge and belief. In the event of any information or part of it being
    found f alse o r i ncorrect before o r a fter the i nte rvie w or a ppointment, c riminal
    action c an be i nitiated a gainst me by MRIDL and my c andidature / appointment
    shall a utomatically s tand t erminated, (iii) I further declare t hat I f ulfil a ll t he
    conditions o f e ligibility prescribed for t he po st a pplied f or. ( iv) In case m y
    application is not received by MRIDL within the stipulated date due to postal delay
    or otherwise, MRIDL will not be responsible for such delay.

    23. List of Enclosures: (i) (ii)


    (iii) (iv)
    (v) (vi)

    Place: MIRA ROAD EAST

    Date: 19-01-2020 (Signature of the Applicant)

    24. Declaration about D A / VIG / SPE / CBI / CRIMINAL CASEs

    For C andidates a pplying on absorption basis / Deputation / On Contract Basis*

    I hereby certify that I do not have any Disciplinary case / Vigilance Case / Any case
    arising o ut of S PE / CBI pending aga inst m e. I d o not h ave an y Criminal
    Proceedings pending against me.
    I f urther c ertify that I a m n ot undergoing a ny punishme nt a s o n t he date o f this
    application.

    (Signature of the Applicant)


    *Candidates applying on deputation have t o provide an additional D A / Vig / SPE
    clearance certificate from their employe rs, while sending the second copy of the
    application through proper channel.

    You might also like