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,+|| || + +:| :|| | : ,
|; | s:::-z::s +||-| -+|
| | || +| || |r- ||+| ,:+:,---z:::
NHDC Limited
(A Joint Venture of NHPC Limited & Govt. of M.P.)
ISO 9001-2008 Certified Company
Corporate Office, NHDC Parisar, Shayamla Hills, Bhopal (MP) -462013.

|+ ++-/Application Format

|+z|+ |/Advertisement No |+| +/Post Applied.
/Grade .. +|/Pay Scale


1. |+ | +| |/Applicants First Name |/Middle Name | |/Last Name


2. |+|/+| | |/Fathers/Husbands Name


3. ||| ,|/|r/+|,/Date of Birth (dd/mm/yyyy)

4. :::zz::- | |/Age as on 01.02.2014
+|/Year |r/Month |/Days


5. +-|| | +|/Postal Address

+ +|/Communication Address


|r/City ||/District |/State


|+ |/Pin code ||/|- |/STD/Area Code |||/Phone
z| /Number

| + |/
Nearest Railway Station

6. ||| +|/Permanent Address



|r/City ||/District |/State


|+|/Pin code ||/|- |/STD/Area Code |||/Phone
z| /Number

|+|; :/Mobile No. ; |;|/Email-Id

| + |/
Nearest Railway Station
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7. |/Other Information


++||r |||/Marital Status |/Religion |/Gender


-|| ,|/|/|+|| ,NCL,/||,/Category (SC/ST/OBC(NCL)/GEN)


|+| | +|/Nature of PH ||+|/Domicile

|++ +| | |++-|/Details of Ex-serviceman

||-|| +|||||/Issuing Authority +|-|+- |/Certificate No. +||/Validity


8. |||/||/|+|| ||/EDUCATIONAL / TECHNICAL/ PROFESSIONAL
QUALIFICATIONS
,| |-| +||| +|-| | |+| r| || |,
(Start with the last examination passed. Attach separate sheet if needed)

z /
S.No.
|-| +|||/
Exam Passed
+|/|+|+
/||/
Board /
Uni./Inst.
|-| +|/
Passed
Year
+||/
Duration
|+|/|+||||
/Subjects/
Specialisation
-||/
Division
+||/
Percentage
















9. z| ||||/LANGUAGE KNOWN
,+| ||r ,/,Please put tick mark)

||||/Language +|/Read |||/Write +||/Speak








F-HR-01:01/00
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10. || |++-|/EMPLOYMENT PARTICULARS
,+| ||| +|a | | +|r| z|| | |+| r| || |,
(In Chronological Order starting from present position backward. Attach separate sheet if needed)
||/
/|
|/||/
PSU/ Central /
State Govt / PVT
| | +
+|/
Name of
Organization &
Address
+| | +||/Period of Service
+|/
Designation
+|/
Pay Scale
| | +|/
Nature of
Duties
/From
/
To
|+/
Total
Experience


























b. |||| ||| | || +:| |+ | +||/ +|/Year |r/Month |+/Days
Length of Post Qualification experience as on due date:

c. +| +, +,/Present Salary (Basic Pay) |/D.A |/Other Allowance.

+/Total Pay

11 +|||-|/||/||/+|z | |-| r/TRAINING/SEMINARS/COURSES ATTENDED
,| +|| ,/ (Start with the last one)
z /
S.No.
+|z || | |/
Name of the Course/Seminar
+||/
Duration
|| | |/
Name of Institution





12. |+ |- | |++-|,| | r|,/Details of Application Fee :- (If Applicable)
||/+ | / || ||| / ||| :/ ||| |||| | |/
DD / Bankers Cheque No Issue Date Amount Rs. Address of Issuing Branch



13. |r| | ||| r-| | /Minimum J oining time required
, | ||| ,/ (In the event of selection)

14. |; |/Any other Information

|||-||/Declaration:-

;|| |||-|| | r | ;|| | | +: || ||| |, + || || +-| r |+| || ++|r
; +| | r| + +|| | r | || || | |; || |++-| +|| || r | | -|+|| + /|+| |
||: |+| || | | | |/ I hereby declare that the particulars furnished by me are true, correct and
complete in all respects. I agree & accept without any reservation that at any time, if any of the particulars is found to
be incorrect, my candidature and /or my appointment may be terminated without notice.

| | |/List of Enclosures:-
||| r||/
Signature of the Candidate
||/Date: -
||/Place: -