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  • Application Form 39 2019

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    Vagesh Datta
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    This document is an application form for a position with Electronics Corporation of India Limited (ECIL), a Government of India enterprise. The form requests personal details of the applicant such as name, father's name, date of birth, contact information, qualifications, experience, and references. The applicant is required to declare that the information provided is true and correct and that they have never been prosecuted or involved in a criminal case. The applicant also acknowledges that any employment would be on a contractual basis only.

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    This document is an application form for a position with Electronics Corporation of India Limited (ECIL), a Government of India enterprise. The form requests personal details of the applicant such as name, father's name, date of birth, contact information, qualifications, experience, and references. The applicant is required to declare that the information provided is true and correct and that they have never been prosecuted or involved in a criminal case. The applicant also acknowledges that any employment would be on a contractual basis only.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    16 views1 page

    Application Form 39 2019

    Uploaded by

    Vagesh Datta
    This document is an application form for a position with Electronics Corporation of India Limited (ECIL), a Government of India enterprise. The form requests personal details of the applicant such as name, father's name, date of birth, contact information, qualifications, experience, and references. The applicant is required to declare that the information provided is true and correct and that they have never been prosecuted or involved in a criminal case. The applicant also acknowledges that any employment would be on a contractual basis only.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    इलेक्ट्रोनिक्ट्स कार्पोरे शि ऑफ़ इं निया नलनिटेि

    Electronics Corporation of India Limited


    भारतसरकार (र्पररिाणुउर्ाानिभाग) काउर्पक्रि
    A Government of India [DAE] Enterprise
    कार्मिक िगा / PERSONNEL GROUP
    भती अिुभाग का.ि./Rectt.PG

    ADVERTISEMENT NO.:39/2019 Name of the post:______________________


    Place of Posting:_______________________

    FULL NAME IN CAPITALS:


    (As per Matriculation certificate)
    FATHER’S NAME :

    SEX : MALE / FEMALE

    DATE OF BIRTH & AGE (as on 31.08.2019):


    Affix Recent
    CATEGORY (GEN/OBC/SC/ST/PWD/EWS): Passport size
    photograph
    NATIONALITY: RELIGION:

    TELEPHONE No. (With STD Code) :____________________ MOBILE NO.:_________________

    Mail id: _______________________________________________________________________

    ADDRESS FOR COMMUNICATION : --------------------------------

    QUALIFICATIONS( Matriculation onwards):


    Yr. Of Class & % of
    Examination Board/ University Specialization/Branch
    Passing marks

    EXPERIENCE (in chronological order):


    Period Present basic/
    Post Scale of pay/ Reasons for
    Name of the Nature of work done
    From To held Total Salary leaving
    Organization
    drawn

    REFERENCES OF PERSONS IN RESPONSIBLE POSITIONS (NAME, ADDRESS & MOBILE NO.)

    1. 2.

    DECLARATION
    I certify that the above information is correct and true to the best of my knowledge and belief. In the event of any
    information being found false or incorrect, action can be taken against me. Further declare that I have never been
    arrested/prosecuted and convicted by a Criminal Court or involved in any other case registered by the police. I am also
    aware of the fact that this is purely contractual basis and I will not raise any issue for regular employment in ECIL.

    DATE: SIGNATURE OF THE APPLICANT

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