APPLICATION FOR THE POST OF WAREHOUSING

ASSISTANT GRADE-II
IN CENTRAL
CORPORATION, CHENNAI

WAREHOUSING
REGION

For office use only;

1.

Name of Applicant

2.

Father`s/Husband Name

3.

Gender

4.

Date of Birth

5.

Age as on 04.02.06

6.

a) Category :

7.

Marital Status :

8.
9.

Whether Physically
handicapped
Postal Address

Male:

Year

Female:

Month

Days

b) Nationality :
Single :

Married :

10.

11.
12.

Permanent address

a) Mobile No:

b) Email-Id :

DD Details:

DD No :
Date of issue :
Name of the Bank :
Amount:

Educational Qualifications : (starting from 10th onwards

13.
S.N
Examinatio
o
n
passed

14.

Name of
Board/
University

Subjec
passin t
g
(s)

% of
marks
obtained

Class/
Divisi
on

List of documents attached :

i) Proof of age

15.

Year of

ii) Proof of educational iii) Caste certificate

qualification

Experience :
Post
Organisatio held
n

Declaration

Period

Present pay
scale

Nature of
duties

I hereby declare that the information furnished above are

true and correct
to the best of my knowledge belief and in
case the same is found to be false or
Incorrect, my candidature / appointment may be cancelled /
terminated at the point of time.

Date: _________________
Place: _________________

Signature of the Applicant