Annex I

Application Form
To:
Director (HR),
Unique Identification Authority of India (UIDAI),
Regional Office, Mumbai
7th Floor, MTNL Telephone Exchange,
GD Somani Marg, Cuffe Parade,
Colaba, Mumbai - 400 005.

Subject: Application for appointment to the post referred to in UIDAI circular no.
____________/_____, dated___ December, 2024.

Sir/Madam,
I hereby apply for the post(s) in UIDAI, for which applications have been
invited by UIDAI vide its circular no._____/____, dated____ December 2024, and furnish
details as under:

1. Post and location applied for (in order of preference):

S. no. Post Location

1.1 Section Officer Unique Identification Authority of India
(UIDAI), Regional Office, Mumbai

2. Basic details:

2.1 Name of applicant:

(in BLOCK letters)
2.2 Gender: Male Female Third Recent passport
gender size photograph
Tickas applicable: (to be pasted)
2.3 Date of birth:
D D M M Y Y Y Y
2.4 Date of superannuation:
D D M M Y Y Y Y
2.5 Contact details: (a) Correspondence
address:

(b) Mobile number:

(ii) Email:
(in BLOCK
letters)
2.6 Education qualification (graduation/diploma level and above):
Qualification Year Name of university, Percentage of Discipline / branch /
 (degree,
institution or other
diploma, marks /Grade
qualification-awarding specialisation
certificate Point Average
body
etc.)

2.7 If applicant is
a member of
an organised
service, full
name of the
service:
2.8 Details of employment:
(in reverse chronological order, for preceding 10 years; enclose a separate self-
authenticated sheet, if required)
Period
Position Scale of Brief description of
Organisation (month and year)
held pay nature of duties
From To

2.9 Present post

Regular basis Deputation basis
held on:
Tick as
applicable:
2.10 If present post (a) Level/scale of pay:
is held on
regular basis,
name of the (b) Date of appointment:
post, details
of the same:
 2.11 If present (a) Date of appointment:
employment (b) Approved period of
is on deputation:
deputation (c ) Parent
basis, details Organisation :
of the same:
2.12 Training/
courses
attended:

2.13 Details of
awards,
honours,
appreciation
etc.:
2.14 Details of (a) Name:
application (b) Full
forwarding designation:
authority: I Full office
address:
(d) Office
telephone
number:

3. Details regarding eligibility for post(s)applied for (see part 1 of this form):

i. For post(s) listed at serial number(s) 1.1: Section Officer

Details regarding meeting of the eligibility

Eligibility criteria
criteria
Essential:
i) Officers from the Central Government
holding analogous posts on regular basis
in the parent cadre/department,
or
with three years of regular service in the
Pay Matrix Level 7 of the 7th Central Pay
Commission (₹ 44,900 – ₹ 1,42,400)

or
With five years of regular service in the
Pay Matrix Level-6 of the 7th Central Pay
Commission (₹ 35,400 – ₹ 1,12,400).
 or
Officers from State/ UT
Government/Public Sector Undertaking
(PSU) or Autonomous Organisation,
holding regular post in corresponding
grades with requisite experience.
Desirable:
(i) Experience of work in
Administration/Legal/Establishment/
HumanResource/Finance/Accounts/
Budgeting/Vigilance/Procurement/
Planning and Policy/Project
implementation and monitoring/E-
Governance etc.

(ii) Basic skills for working in a

computerized office environment.
Additional information, if any, in support
of the applicant’s suitability for the post:
(attach separate sheet, if required)

Date:

Place:

Signature of applicant

Certified that the service particulars given by the applicant above have been verified from
his/her service records and found to be correct.

Signature with stamp of office of the forwarding authority

 Annex II

Certificate from forwarding authority

(on the letter head of the organisation)

No. __________________ Date: _______________

1. Dr/Mr/Ms _________________________, if selected for appointment on deputation in

the Unique Authority of India, will be relieved for a period of ___________1years.

2. The information furnished by the said officer has been checked against his/her service
records and is correct.

3. Integrity of the officer is certified.

4. No vigilance case is either pending or being contemplated against the officer.

5. It is certified that no penalty has been imposed on the officer during the last10 years.
Or
The details of penalties imposed on the officer during the last 10 years are given in the
duly signed and stamped enclosedstatement.2
6. Photocopies of ACRs/APARs for the last five years are enclosed herewith, duly attested
on each page by an officer not below the rank of Under Secretary to the Government of
India or an officer of equivalent rank.

Encls.: as above
Signature
Name:
Designation:
Telephone:
Email:
[Stamp of office]

Date:____________

Place:____________

1
Period for which the officer shall be relieved should not be less than three years. In
respect of officers borne on any cadre of services or posts of the Central Government or
a State Government, this confirmation regarding the relieving of the applicant officer in
the event he/she of she is selected should be made only with the requisite approval or no
objection or “cadre clearance” from the relevant cadre controlling authority. In case no
authority is specified as such in respect of the parent organisation, such authority as is
competent to approve the relieving of the officer on deputation is to be considered as the
cadre controlling authority for the purposes of this circular.
2
Please strike out whichever is not applicable.