F-HR-01:01/00

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,u ,p Mh lh fyfeVsM

¼,u,pihlh fyfeVsM ,oa e/; Áns'k 'kklu dk la;Dq r m|e½
vkbZ- ,l- vks- 9001&2008 izekf.kr dEiuh

fuxe eq[;ky;] ,u,pMhlh ifjlj] ‘;keyk fgYl]] Hkksiky ¼e0iz0½&462013

NHDC Limited
(A Joint Venture of NHPC Limited & Govt. of M.P.)
ISO 9001-2008 Certified Company

Corporate Office, NHDC Parisar, Shamla Hills, Bhopal (MP) -462013.

vkosnu izi=@ Application Format

1.

foKkiu la[;k@Advertisement No………

vkosfnr in@ Post Applied……………….

xzMs @ Grade ……………………..

osrueku@Pay Scale……………………

vkosnd dk izFke uke@ Applicant’s First Name

e/;uke@Middle Name

vafre uke@ Last Name

firk@ifr dk uke@Father’s/Husband’s Name

2.

3.

tUefrfFk ¼fnu@ekg@o”kZ½@Date of Birth (dd/mm/yyyy)

4.

------------------- dks vk;q@Age as on .------------------o”kZ@ Year

5.

ekg@ Month

fnu@Days

i=kpkj dk irk@ Postal Address
laidZ irk@ Communication Address
‘kgj@City
fiu dksM@ Pin code

ftyk@ District

jkT;@State

,lVhMh@{ks= dksM@STD/Area Code

nwj nwjHkk”k@Phone
Øekad@Number

fudVre jsyos LVs’ku@
Nearest Railway Station
6.

LFkk;h irk@ Permanent Address

‘kgj@ City
fiudksM@Pin code
eksckby u0@ Mobile No.
fudVre jsyos LVs’ku@
Nearest Railway Station

ftyk@ District

jkT;@State

,lVhMh@{ks= dksM@ STD/Area Code
esy vkbZMh@ Mail-Id

nwjHkk”k@ Phone
Øekad@Number

Kkr Hkk”kk. izek.No.a@ EDUCATIONAL / TECHNICAL/ PROFESSIONAL QUALIFICATIONS ¼vafre mRrh. vU.lh@./Inst.@fof’k”VRkk @ Subjects/ Js.kZ o”kZ@ vof/k@ S. Exam Passed Passed Year 9. lwpuk@ Other Information oSokfgd fLFkfr@Marital Status /keZ@Religion fyax@ Gender Js.fn vko’.ksX.F-HR-01:01/00 Page 2 of 3 7.k@ Certificate No.a@LANGUAGE KNOWN ¼d`i.k fpfUg~r djsa½@¼Please put tick mark) Hkk”kk@Language i<+uk@Read fy[kuk@ Write cksyuk@Speak .lVh½@ Category (SC/ST) mitkfr@Sub Caste fodykax dk izdkj@ Nature of PH vf/kokl@Domicile HkwriwoZ lsU. Attach separate sheet if needed) Ø-la-@ mRrh.drk gks vyx ls ‘khV yxk.d .kh ¼.ki= la[.kZ ijh{kk@ mRrh. oS?krk@ Validity ‘kSf{kd@rduhdh@O. Duration fo”k.sa½ (Start with the last examination passed.lsok dk fooj.rk.kolkf.kZ ijh{kk ls izkjEHk djsa A .k@Details of Ex-serviceman tkjhdÙkkZ izkf/kdkjh@ Issuing Authority 8.kh@ izfr’kr@ Division Percentage Specialisation cksMZ@fo-fo@laLFkku@ Board / Uni.

s@ I hereby declare that the particulars furnished by me are true.@Minimum Joining time required ¼p. fu/kkZfjr frfFk dks .-@ D.] ‘kq) . my candidature and /or my appointment may be terminated without notice.kZZ gSa A eSa fcuk fdlh iwokZxzg ds bl ckr dh lgefr o Lohd`fr nsrk gw¡ fd fdlh Hkh le. jkstxkj fooj.@ TRAINING/SEMINARS/COURSES ATTENDED 11- Ø-la-@ S. lwpuk@ Any other Information tkjhdrkZ ‘kk[kk dk uke@ Address of Issuing Branch ?kks”k.rk i'pkr vuqHko dh vof/k@ dk.qfDr fcuk fdlh lwpuk ds fujLr dj nh tk. dqy osru@ Total Pay izf’k{k.k¼. orZeku osru¼ewy osru½@ Present Salary (Basic Pay) Mh-. 13.No.kk djrk gw¡ fd esjs }kjk nh x.qZDr lHkh tkudkjh lR. layXuksa dh lwph@ List of Enclosures:- vH.fn ykxw gks½@ Details of Application Fee :.rn~ }kjk ?kks”k.Øe ftles lfEefyr gq.drk gks vyx ls ‘khV yxk. correct and complete in all respects. .oa lHkh n`f”V.ZHkkj xzg.oa @vFkok esjh fu.k vlR.Z dh izd`fr@ dqy vuqHko@ inuke@ osrueku@ Total Experience Designation Pay Scale o"kZ@ Year ekg@ Month Nature of Duties fnol@Days Length of Post Q ualification experience as on due date: c.fn vko’. if any of the particulars is found to be incorrect.F-HR-01:01/00 Page 3 of 3 10. dksbZ vU. ljdkj@futh@ PSU/ Central / State Govt / PVT laxBu dk uke . ik.h mi.k@laxks”Bh@lsehukj@ikB~.fn dksbZ Hkh fooj.k@ EMPLOYMENT PARTICULARS ¼orZeku fLFkfr ls ihNs dh vksj vojksgh Øekuqlkj] .oa irk@ Name of Organization & Address lsok dh vof/k@ Period of Service ls@From rd@ To b. pkgk x.ksX. HkRrs@Other Allowance.wure dk.FkhZ ds gLrk{kj@ fnukad@ Date:LFkku@ Place:- Signature of the Candidate . I agree & accept without any reservation that at any time. 12.kk@Declaration:eSa . Attach separate sheet if needed) lk-{ks-m-@ dsUnz@jkT. ¼vafre ls izkjaHk djs½a @ (Start with the last one) ikB~.sa½ (In Chronological Order starting from present position backward.A vU.u dh fLFkfr esa½@ (In the event of selection) 14.(If Applicable) MhMh@cSadj dk psd u-@ DD / Banker’s Cheque No tkjh frfFk jkf’k :0@ Issue Date Amount Rs.Øe lsehukj dk uke@ vof/k@ Name of the Course/Seminar Duration laLFkku dk uke@ Name of Institution vkosnu ‘kqYd dk fooj.k U.k djus dk le.ksa ls iw.k tkrk gS rks esjh mEehnokjh .