PART – I

(To be completed by the applicant)

Post Applied for
Pay Scale of the Post
Last date by which the
application is required
to reach the employer
(i) : Aeronautical Officer,(Vacancy No. 18010202627)
Directorate General of Civil Aviation, Ministry of Civil Aviation
(ii) Airworthiness Officer, (Vacancy No. 18061104609)
Directorate General of Civil Aviation, Ministry of Civil Aviation
Both are through UPSC Post.
: (i) Level-10 of the Pay Matrix of 7th CPC
(ii) Rs. 56100/- (Basic Pay) in Level-10, of the Pay Matrix
(for both post as above)
:For Sl No. (i) 16-02-2018 and Sl No. (ii) 28-06-2018

1. Name of the Officer : Murugesh.S

2. Date of birth : 10/05/1988
3. Rank/Designation of the present appointment : Senior Scientific Assistant
Showing whether Offg./Temporary or :
Permanent and date of holding such rank. : On Probation from 26 March 2018
4. Establishment : OADG, DGAQA, Sunabeda-2
5. Permanent/QP appointment held if any : On Probation
6. Date from which in continuous Government : 26 March 2018
Service.
7. Present pay and scale of pay : As per 7th CPC Level 7
(Basic Pay: Rs. 44900/-)
8. Number of applications : 02 Nos.
Submitted/forwarded/withheld Submitted by online in UPSC
During the current year
9. Whether the post applied is for
(a) Within DGAQA Organisation. : NIL
(b) Within the Govt. of India; : Within the Govt. of India
(c) Outside Govt. of India. :
(d) In the Public Sector Undertaking. :
10. Whether the undertaking as per the : YES
Instructions issued from time to time on
the subject is attached.
11. Was the officer had undergone any training in : NIL
DGAQA Organization at Govt. expense? If so,
When and in what capacity and for what period.

12. Whether any study leave/leave for study : NIL

Purpose has been availed. If so, state the
Period and the authority.
13. Whether any bond executed for service with the
The Govt. of India is still current. If so, up to what date. : NIL

14. Whether the officer belongs to SC or ST community? : NO

Contd...2/-
 -2 -

15. When did you join DGAQA and in what : Through UPSC &
Capacity and what subsequent appointments joined on 26March 2018
Were held with dates.

16. Whether the advance copy of the application

has been sent. If so quote the postal order No. : Submitted through online

17. Whether there are any outstanding dues against:

the officer, such as motor cycle advance, house
building advance etc. If so, give full details. : NIL

18. Whether you have stood surety for any officer? : NO

If so give full details (i.e. Amount of surety, Name
of Officer and full address).

Date: Signature of the officer

PART - II
(To be completed by the Admin Officer of the establishment)
(a) Whether the officer is still, on normal probation
of two years, if so, up to what date? : Yes, 25-March-2020

(b) Certified that the details furnished by the officer in Part I are correct
and meet requirements of the orders/instructions.

Date : Signature of Admin Officer

PART – III
(Specific recommendations of the Head of the Establishment)

(a) The role of the Officer in his present project/ :

Commitments in trend. :
(b) Whether the officer will be relieved if selected? :
(c) Whether replacement is absolutely necessary :
before the officer can be relieved? If so, maximum
period that can be managed without substitution.
(d) If it is recommended to withhold the application,
give reasons.

Date: Signature of Head of Establishment

 UNDERTAKING

* I Murugesh S Designation: Senior Scientific Assistant (SSA) (Ty) hereby

undertake that in the event of my selection to the any of the following post of :-

(a) Aeronautical Officer, DGCA, Ministry of Civil Aviation

(b) Airworthiness Officer, DGCA, Ministry of Civil Aviation

I shall resign from my present Ty. Post of Senior Scientific Assistant (SSA) in DGAQA.

@ 2. I __________ is working on Pmt. Position in _____________________________

______________in DGAQA hereby Under take that in the event of my selection to the
post of ___________________.

I shall on the expiry of stipulated period of the years either resign from the post
held by me in to the parent organization, # failing which I will be deemed to have
resigned from and served all connections with DGAQA.

3. I shall agree to pay the leave salary and pension contribution my self in case my
new employer does not agree to pay the same during the period of my lien in the parent
organization.

Station: Sunabeda – 2 Signatures :__________________

Name :__________________
Date : ___________ Designation : __________________

*Applicable to only temporary Government Servant.

@To be delited in case of Permanent Government Servant.

# Applicable to Quasi Permanent /Permanent Government Servant.