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  • Application Form-08.01.21

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    This document is an application form for the post of Administrative Officer/Section Officer/Accounts Officer at the Indian Council of Medical Research. It requests information such as the applicant's name, gender, date of birth, age, date of retirement, educational and professional qualifications, experience, current position, and contact details. The form also requires certification from the applicant's current department confirming details like integrity, vigilance clearance, and no objection to relieving the applicant if selected.

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    12th History Vol-2 EM[

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    This document is an application form for the post of Administrative Officer/Section Officer/Accounts Officer at the Indian Council of Medical Research. It requests information such as the applicant's name, gender, date of birth, age, date of retirement, educational and professional qualifications, experience, current position, and contact details. The form also requires certification from the applicant's current department confirming details like integrity, vigilance clearance, and no objection to relieving the applicant if selected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views3 pages

    Application Form-08.01.21

    Uploaded by

    niit cts
    This document is an application form for the post of Administrative Officer/Section Officer/Accounts Officer at the Indian Council of Medical Research. It requests information such as the applicant's name, gender, date of birth, age, date of retirement, educational and professional qualifications, experience, current position, and contact details. The form also requires certification from the applicant's current department confirming details like integrity, vigilance clearance, and no objection to relieving the applicant if selected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    INDIAN COUNCI- OF MEDICAT R3ESCARCH

    v. Ramalintaswami Bhawan. Ansari Nasar. New Oelhi-110029

    FORM OF APPTICATION FOR THE POST OF ADMIN. OFFICCR/SECTION OFFICER/ACCOUNTS OFFICER &
    aee9uxl5effleE8l-!8.GB aE)

    Part-l
    To be filled by the Applicant (No column should be left blank)
    1 Name of the Post:

    Affix recent
    passport size Photo

    s
    Gender

    (a)
    I

    mm
    Date of Birth I-T-loo [-T1,,
    (b) Age as on last date for receipt of application: [Ioo [-f-l w
    (c) Date of Retirem"nt J--f-loo [--T-l w
    Datedjoininsin
    l-T1," [-T1,,
    oetails of posting in last 10 years, starting with present post held: ( use separate pa8e, if required)
    st DesiSnation Name of O.tanlration/ whether post held scale of Pay/Pay Period Duration
    Department/oftlce on regular/adhoc/ Band + Grade From To
    otficiatln&/ Pay + Pey Level
    deputation basis

    Current post held on regular basis


    (a) Name of the post
    (b) Whether Group A/B Gazetted: erouo-rI Groun-a I
    (c) Scale of PaylPay Band + Grade Pay

    (d) Date of appointment on regular basis in Group'A' ( Gazetted)/Group'B'(Gazetted post

    f]f]oo l-T-l"a, l-T-T--f-lww


    9 Present Basic Pay + Grade Pay Basic Pay l-----l crade eay

    10 (a)

    (b) Professional Qualifications, if any

    11 Experience, particularly relating to


    Health Sector/Finance/Accounts

    12 Date of return from last ex-cadre post, [--Foo l-T-lw


    if any date of completin of cooling off
    period, if applicable [-T-]oo [T-lw
    13 Whether all eligibility conditions are fulfilled :

    74 Postal address for communictin with Pin Code

    Telephone No. Mobile No.

    Fax Number:

    E-mail lD

    (b) Postal address of Parent Department with PIN Code and Telephone/Fax Number/E-mail lD

    Certified that the informatin furnished above by me is correct

    Signatutre of the applicant with date


    3
    Part-ll
    (To be filled by the Cadre Controlling Authority of the aPplicant)

    Certified that the particulars given above by the applicant are correct as per the records available in
    the Depanment/Office of

    It is also Shri/M
    certified that isclearfrom
    Vigilance Angle and no discipli /h"l.

    It is also certified that integrity of Shri/Ms. ts

    The attested copies of the Annual Confidential Reports ( AcRs/Annual Performance Appraisal
    Reports ( APARS for the last 5 years, i.e. 2015 -2016, 2016-2017,2017-2018 ,
    2018-2019 and
    2OL9-2O2O I and are enclosed along with for the period
    NRC
    (if ACR/APAR for period of more than 3 months is not
    available/recorded then ACRS/APARS prior to 2019-2020 for the matching period needed to be
    forwarded along with No Report Certificate (NRC)

    S tt is hereby certified further that this Department/Office shall have no objection to the relieving of said
    officer in case Shri/Ms- is selected for the post of Assistant

    Director General (Admn.)

    (Name, Signature & Telephone No.


    Place: of officer with official stamp)
    Date:

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