Application Format

To, The General Manager, Ordnance Factory Khamaria Jabalpur-482005 Subject : Application for the post : Labourer (Semi-Skilled) Reference: Advertisement No._________ Date_________ Published in_________ 1.Name in full (English Block Letter) :........................ (As writeen in SSC certificate) Please paste your recent passport In Hindi :....................... size photograph and sign on it. 2.Father’s/Husband’s:............................... Please do not staple it. Please Name (English Block Letter) enclose two more recent self-signed In Hindi.................. photographs with 3.Nationality: ................................. this application 4.Sex:(male/female): Male Female 5.Date of Birth: In (DD/MM/YYYYFormat) Date Month Year (Atteested copy of school certificate showing date of birth encloseed) 6.Age as on the last date of submission of application: Years..............Months...............Days........................ 7.Category:(GEN/OBC/SC/ST) UR OBC SC ST 8.Present Address for correspondence (English Block Letter) :..................Pin...................... 9.Permanent Address (English Block Letter) :.............................Pin.......................... 10.Nearest Railway Station :.................................. 11.Employment Exchange No.:................................. Registration No. and date,if any 12.Details of Application Fee :...............................Date........................ DD/IPO Number.........................Bank/Post Office.................................... Amount of Fee Paid............................Date of Issue............................. 13.Educational Qualification :..................................... (Attested copies of all mark sheets and certificate to be enclosed) Sl. Name of the Year of Name of Board Subject Percentage of Exam.P asse d Passing University/Institute Studied marks No.

14.If Ex-serviceman (Attested copies of Ex-serviceman issued by competent authority and discharge certificate should be enclosed): Name of Dept./Office Date of Date of Date of Length of enrolment attestation discharge service

15.Whether Departmental candidate/Employed in Govt./PSUs etc,if yes ,give details (No objection certificate should be enclosed.) Name of Designation and Personal No.and Nature of duty Length of Dept/Office pay scale section(if any) performed service

16.For Physically Handicapped candidates: (Mention the type and percentage of disability) (The minimum degree of disability in order for a person to be eligible is 40%.Attested copy of P.H. certificate obtained from Competent Authority should be enclosed) 17.Left hand thumb impression : 18.List of all enclosures : 1.Proof of date of birth and qualification only i.e. Matriculation Certificate 2.Two copies of self signed photographs 3.Caste/PH/Ex-serviceman Certificate wherever applicable. 4.IPO/DD Place :................................. (Signature of Candidate) Date :................................... Name:.............................. Declaration (For all candidates) I hereby declare that all the statements made in this application are true,complete,and correct to the best of my knowledge and belief. In the event of any information being found false/incorrect and/or any document being found dubious/bogus and or my ineligibility being detected any time either before or after Trade test/Written test or during service carrer my candidature will stand automatically cancelled. Place: (Signature of Candidate) Date:....................... Name:............................... Declaration by OBC Candidates only (similar endorsement should be given in the Caste Certificate from the Competent Authority) “I..............................Sno/daughter of Shri................................resident of.......................of village/town/city.....................District..........................State.............................belongs to reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No.36012/22/93-Esst(SCT) dated 08-09-1993 and as amended from time to time. It is also declared that I do not belong to persons/sections (Creamy Layer) mentioned in column 3 of the schedule to the above referred Office Memorandum,date-08-091993 and as amended. Place : (Signature of the Candidate) Date : Name : www.nijuktikhabar.net/ www.ebharatjobs.com/jobs/govt-jobs

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