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  • Application Format Hmrbpl270312

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    Suresh Babu
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    This document contains an application format for candidates applying for job posts. The format requires information such as the candidate's name, photo, address, date of birth, age, gender, category, qualifications from Class 10 onwards, details of any employment, application fee details, a declaration that the candidate meets the eligibility criteria, and a note specifying required documents to accompany the application.

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    This document contains an application format for candidates applying for job posts. The format requires information such as the candidate's name, photo, address, date of birth, age, gender, category, qualifications from Class 10 onwards, details of any employment, application fee details, a declaration that the candidate meets the eligibility criteria, and a note specifying required documents to accompany the application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    12 views1 page

    Application Format Hmrbpl270312

    Uploaded by

    Suresh Babu
    This document contains an application format for candidates applying for job posts. The format requires information such as the candidate's name, photo, address, date of birth, age, gender, category, qualifications from Class 10 onwards, details of any employment, application fee details, a declaration that the candidate meets the eligibility criteria, and a note specifying required documents to accompany the application.

    Copyright:

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    of 1

    APPLICATION FORMAT (To be filled by the candidate in his/her own handwriting in capital letters with black pen) I hereby

    apply for the post of __________________(Advertisement No. )

    Candidates to affix recent passport size colour Photograph

    Sign here (in the box)


    1 Name of the Candidate (As recorded in the Matric / Secondary School Certificate) Parents Name

    Postal Address for Communication (with PIN Code No.) P I N Email id Contact No. (Telephone with STD code / Mobile No.) Date of Birth Day Month Year

    4 5

    6 Age as on 01.03.2012 7 8 9 10 Gender (Please Tick) Category (Please Tick) PWD/Ex. Serviceman (Please tick, if applicable) State of Domicile 11 Nationality YEARS . MONTHS MALE FEMALE SC PWD ST OBC GEN

    Ex. Serviceman

    12

    Religion

    13 ALL EDUCATIONAL QUALIFICATION (MATRIC/CLASS 10th ONWARDS): Qualification : (Academic, Technical, Professional & Computer related, if any) Name of Board / Institute Duration of Course (in years) Month and Year Joining the course Passing the course % of Marks Obtained

    14. ITI trade Code for Technical Attendant I (Please refers to website notification): 15. DETAILS OF EMPLOYMENT, IF ANY Name & Address of Employer Post Held Period of Service From To Salary per Month

    16. DETAILS OF APPLICATION FEE, IF APPLICABLE Demand Draft No. Name of Issuing Bank Date of Issue

    I hereby declare that I have read all the conditions mentioned in the advertisement and I fulfill the same. The statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any particular or information given herein being found false or incorrect, my candidature is liable to be cancelled and in the event of any misstatement/discrepancy in the particulars being detected after my appointment, my service is liable to be terminated without any notice to me. Date: . Place: . Signature Note: 1. The application must accompany the following documents (no other certificate to be attached): a. Attested copies of Matric,ITI/Diploma in Engineering Marks sheets b. Provisional Trade Certificate/National Trade Certificate issued by NCVT (for Technical attendant-I post) c. SC/ST/OBC/PWD/Ex-SM certificate issued by Competent Authority in the prescribed format d. Experience certificate (if any) 2. Application received after due date would be summarily rejected.

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