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Applications are invited for filling up of various posts in the District Panchayat, Dadra
& Nagar Haveli as under:
Desirable:
Knowledge of
Gujarati, Hindi and
English languages.
5 Extension 05 1. Bachelors Degree / For Direct OBC – 1
Officer Graduate in any Recruitment (One)
faculty from a Not exceeding 30 UR – 4
PB-2 Rs. 9300- Govt.recognized years. (Four)
34800 + GP University. Relaxable for
4200/- 2. English Typing @ SC/ST 5 years
35 Wpm or Hindi and OBC 3 years
Group ‘B’ Typing @30 wpm in accordance
(Non Gazetted (Time allowed 10 with the
Ministerial) minutes) (35 wpm and instructions or
30 wpm Correspond orders issued by
to 10500 Central
KDPH/9000 KDPH Government from
on an average of 5 key time to time .
depressions for each
word.
Desirable:
Knowledge of
Gujarati, Hindi and
English languages.
Sl. Name of Post No. Educational Age Limit Reser-
No. and Pay Scale of Qualifications vation
Posts
6 Investigator 01 B. Sc. / B. Com. / B.A. Between 18 and UR – 1
PB-1 Rs. 5200- with Statistics as major 25 years. (One)
20200 + GP subjects. (Relaxable for
2400/- Govt. Servants
Group ‘C’ up to 5 years in
(Non Gazetted accordance with
Non Ministerial) the instructions
or orders issued
by the Central
Government.
7 Mukhya Sevika 01 Degree of a recognized Not exceeding UR – 1
university with Home 30 years. (One)
PB-1 Rs. 5200- Science / Sociology The upper age
20200 + GP OR limit relaxable
2800/- Diploma in Child for departmental
Development candidate.
Group ‘C’ OR SC/ST/OBC and
(Non Gazetted Diploma in Nutrition other special
Non Ministerial) categories of
candidates as per
orders issued by
Central Govt.
from time to
time.
8 Surveyor 01 Essential: Between 18 and UR – 1
th
1. Std. 10 pass from 27 years. (One)
PB-1 Rs. 5200- recognized Board.
20200 + GP 2. Three year Diploma Note:
1900/- in Civil Engineering The upper age
from any Govt. limit relaxable
Group ‘C’ recognized university / for departmental
(Non Gazetted Board. candidates up to
Non Ministerial) OR 40 years.
Two years course in
Land Surveying from
ITI.
Desirable :-
1. Knowledge of
Computer application.
2. Knowledge of
Gujarati language.
9 Draught’s Man 02 Essential: Upto 30 Years UR – 2
Grade - III i) HSC or Equivalent (Relaxable for (Two)
PB-1 Rs. 5200- ii) Certificate/Diploma Govt. Servant
20200 + GP in Draughtsman course upto 5 years in
2400/- of a recognized accordance with
Group ‘C’ Institute. the instructions
(Non Gazetted Desirable: or orders issued
Non Ministerial) i) Professional by the Central
Experience Government.
ii) Knowledge of
Gujarati/Hindi/English
Sl. Name of Post No. Educational Age Limit Reservation
No. and Pay Scale of Qualifications
Posts
10 Hindi 01 Master’s degree of a Not exceeding UR – 1
Translator recognized university in 30 years. (One)
Hindi / English with The upper age
PB-2 Rs. 9300- English / Hindi as a limit relaxable
34800 + GP Compulsory / Elective for departmental
4200/- subject or as Medium of candidates up to
Examination at degree 40 years & 45
Group ‘B’ level. years in case of
(Non Gazetted OR SC/ST.
Ministerial) Master’s degree of a
recognized university in
any subject other than
Hindi/English, with
Hindi and English as
Compulsory / Elective
subject or either of the
two as medium of
examination and the
other as a Compulsory /
Elective subject at
degree level.
OR
Master’s degree of a
recognized university in
any subject other than
Hindi / English, with
Hindi / English medium
and English / Hindi as a
Compulsory / Elective
subject or as Medium of
examination at degree
level.
OR
Two years experience
of translation work from
Hindi to English and
vice-versa in
Central/State
Government Offices
including Government
of India undertakings.
Experience :
Diploma Course of
Computer Application
(At least of 6 months).
…6
Sl. Name of Post No. Educational Age Limit Reser-
No. and Pay Scale of Qualifications vation
Posts
11 Hindi Typist 01 Essential : Not exceeding UR – 1
S.S.C. or equivalent 30 years. (One)
PB-1 Rs. 5200- with Hindi & Hindi The upper age
20200 + GP Typewriting of 30 wpm limit relaxable
1900/- speed from Govt. for departmental
Institution. candidates up to
Group ‘C’ Desirable : 40 years & 45
(Non Gazetted H.S.C. with Hindi & years in case of
Ministerial) Hindi Typewriting of 30 SC/ST.
wpm speed from Govt.
Institution.
Experience :
Adequate knowledge of
Computer Operation.
12 Gram Sevak 14 SSC who have passed 18 to 25 Years ST-6 (Six)
PB-1 Rs. 5200- Diploma in Agriculture. UR-8
20200 + GP Selected Candidates to (Eight)
1900/- undergo training
Group C
Non-Gazetted,
Non-Ministerial
13 LDC 20 Essential : Between 18 and OBC – 1
12th Class or equivalent 27 years. (One)
PB-1 Rs. 5200- qualification from (Relaxable for ST – 8
20200 + GP recognized Board or Government (Eight)
University. Servant up to 40 UR–11
1900/-
Skill Test Norms on
years in (Eleven)
Computer :
Group ‘C’ English Typing @ 35 accordance with
(Non Gazetted wpm OR Hindi Typing @ the instructions
Ministerial) 30 wpm (Time allowed 10 or orders issued
mts) (35 wpm and 30 by the Central
wpm correspond to 10500 Government).
KDPH / 9000 KDPH on
an average of 5 key
depression for each word).
14 Driver 07 Essential : Between 18 and ST –
1. Std. 12th Pass from 25 years. 3(Seven)
PB-1 Rs. 5200- recognized Board. UR – 4
20200 + GP 2. Driving Licence of Upper age limit (Four)
1900/- Heavy Motor Vehicle / relaxable for
Light Motor Vehicle / departmental
Group ‘C’ Heavy Passenger candidates up to
(Non Gazetted Vehicle, as the case 40 years.
Non may be. (The Driving
Ministerial) Licence must have been
issued at least 3 years
before the date of
advertisement).
3. Experience of two
years.
Desirable :
Knowledge of Hindi
and Gujarati.
Sl. Name of Post No. Educational Age Limit Reser-
No. and of Qualifications vation
Pay Scale Posts
15 Multipurpose 08 Matriculation (Std. 10th Between 18 and ST – 3
Worker Pass) OR Equivalent 30 years. (Three)
(Relaxable for UR – 5
PB-1 Rs. 5200- ITI Pass* SC/ST 5 years and (Five)
3 years for OBC)
20200 + GP
Note :
1800/- 1* May be adopted as In the case of
per the special recruitment made
Group ‘C’ recruitment of the post, through the
(Non Gazetted if any. Employment
Non Exchange, the
Ministerial) 2. Experience to be crucial date for
specified as per the determining the
special recruitment of age limit shall be
the post, if any. the last date up to
which the
Employment
Exchange is asked
to submit the
names.
16 Panchayat 11 Essential : Between 18 and ST – 4
Secretary 12th Class or equivalent 27 years (Four)
qualification from (Relaxable for UR – 7
PB-1 Rs. 5200- recognized Board or Government (Seven)
20200 + GP University. Servant upto 40
1900/- Skill Test Norms on years in
Computer : accordance with
Group ‘C’ English Typing @ 35 the instructions
(Non Gazetted wpm OR Hindi Typing or orders issued
Ministerial) @ 30 wpm (Time by the Central
allowed 10 mts) (35 Government.
wpm and 30 wpm
correspond to 10500
KDPH / 9000 KDPH on
an average of 5 key
depression for each
word).
17 Accounts cum 11 Essential : Between 18 and ST – 4
Computer Degree from a 27 years. (Four)
Operator / Data recognized University (Relaxable for UR – 7
Entry Operator or equivalent. Government (Seven)
Skill Test Norms on Servant up to 40
PB-1 Rs. 5200- Computer : years in
20200 + GP English Typing @ 35 accordance with
2800/- wpm OR Hindi Typing the instructions
@ 30 wpm (Time or orders issued
Group ‘C’ allowed 10 mts) (35 by the Central
(Non Gazetted wpm and 30 wpm Government).
Ministerial) correspond to 10500
KDPH / 9000 KDPH on
an average of 5 key
depression for each
word).
Sl. Name of Post No. Educational Age Limit Reser-
No. and of Qualifications vation
Pay Scale Posts
18 Lineman 11 S.S.C. with National Between 18 and ST – 4
PB-1 Rs. 5200 - Trade Certificate in 25 years. (Four)
20200 + GP Electrician Course. UR – 7
1800/- (Seven)
Group ‘C’
(Non Gazetted
Non Ministerial)
2. Posts listed at Sr. No.1, 3, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17 and 18, falls in the Category of
Group C. For those posts Domicile Certificate issued by Mamlatdar, Silvassa/Khanvel is mandatory,
failing which the application will be rejected automatically.
3. The candidates should submit downloaded application accompanied with self attested copies
of each certificate so as to reach the Office of the Chief Executive Officer (District Panchayat), Dadra
& Nagar Haveli, Silvassa within a period of (45) Forty Five days from the date of publication of this
Advertisement in Employment News. (The application form can be downloaded from
www.dnh.nic.in). The candidates claiming SC/ST/OBC shall be required to furnish a self attested
copy of certificate issued by Competent Authority that he/she belongs to SC/ST/OBC community
along with his/her application.
4. For Group ‘B’ (Non Gazetted) posts, any Indian citizen can apply for the post. However,
applicant having Domicile of Dadra & Nagar Haveli shall be given weightage in accordance with
O.M. No.1-12(B-54)/2012-ADM/1261 dated 26-12-2013 subject to him / her producing Domicile
Certificate issued by Mamlatdar, Silvassa / Khanvel. Applications received in the prescribed
proforma with requisite documents as stated above shall only be taken into consideration if
received within the stipulated time. No correspondence will be entertained as regards incomplete /
time barred applications. The application format can be downloaded from www.dnh.nic.in.
Sd//
(Nitin Jindal)
Chief Executive Officer,
District Panchayat
Dadra & Nagar Haveli,
Silvassa
To
The Director (IT), DNH, Silvassa for uploading the application on official website.
जिल्ऱा पंचायत
दादरा एवं नगर हवेली,
मझख्य काययकारी अधिकारी का कायायऱय
सिऱिािा
नं. डीऩी/सीईओ/ऩोस्ट/2015/ ददन ंक: /07/2016
विज्ञापन
जिल्र ऩंच मत , द दय एवं नगय हवेरी के अंतगगत ननम्न लरखित ववलबन्न ऩदों को बयने के
लरए आवेदन आभंत्रित कयते है ।
7. भख्
ु म सेववक 01 भ न्मत प्र प्त संस्थ न 30 वषग से अचधक स भ न्म – 1
PB-1 Rs. 5200- से होभ स मन्स/सभ ि नहीं। ववब गीम (एक)
20200 + ग्रेड ऩे श स्ि भें स्न तक डडग्री उम्भीदव यों के
उऩरी वम भें
2800/- अथव
िूट, केंद्र सयक य
ग्रऩ
ु -सी फ र ववक स डडप्रोभ
के सभम सभम
(अय िऩत्रित, अथव
ऩय ि यी
गैय भंिीस्तयीम) ऩोषि डडप्रोभ आदे श नुस य
अ.ि.ि /अ.ि ./
अ.ऩी.ि के लरए
ऊऩरी वम भम गद
भें िूट
8. सवेऺक (सवेमय) 01 1. भ न्मत प्र प्त फोडग से 18 से 30 वषग स भ न्म – 1
PB-1 Rs. 5200- 10 वी ऩ स के फीच (एक)
20200 + ग्रेड ऩे 2.सयक य भ न्म ववब गीम
1900/- मूननवलसगटी/फोडग से लसववर उम्भीदव यों के
इंिीनीयींग भें तीन स र
ग्रऩ
ु -सी लरए ऊऩयी वम
क डडप्रोभ अथव रें ड
(अय िऩत्रित, भम गद भें 40
सवे भें दो स र क
गैय भंिीस्तयीम) वषग तक आमु भे
आई.टी.आई. कोषग
िांछित :
िुट)
1. कंप्मट
ू य क ऻन
2.गुिय ती ब ष क ऻ न
9. ड्र फ्टभेन ग्रेड – III 02 आिश्यक 30 वषग तक स भ न्म – 2
PB-1 Rs. 5200- 1. 12 वी म सभकऺ। (केंद्र सयक य के (दो)
20200 + ग्रेड ऩे 2.भ न्मत प्र प्त संस्थ से आदे श नस
ु य
ड्र फ्टभेन क
2400/- सयक यी
सदटग कपकेट/डडप्रोभ कोषग
ग्रऩ
ु -सी कभगच रयमों के
िांछित :
(अय िऩत्रित, लरए आमु भें 5
1. प्रोपेशनर अनुबव
गैय भंिीस्तयीम) 2. गि
वषग की िूट)
ु य ती/दहन्दी/अंग्रेिी
बष क ऻन
क्रभ ंक ऩद क न भ एवं रयजतत शैऺखिक मोग्मत वम भम गद आयऺि
वेतनभ न संख्म
10. दहन्दी अनव
ु दक 01 भ न्मत प्र प्त संस्थ न से 30 वषग से ऊऩय स भ न्म – 1
PB-2 Rs. 9300- दहन्दी अथव अंग्रेिी नहीं । (एक)
34800 + ग्रेड ऩे वैकजल्ऩक ववषम के स थ ववब गीम
अनुस्न तक डडग्री अथव
4200/- उम्भीदव यों के
स्न तक स्तय ऩय ऩयीऺ
ग्रऩ
ु -फी लरए 40 वषग की
क भ ध्मभ दहन्दी म
(अय िऩत्रित, आमु तक औय
अंग्रेिी
भंिीस्तयीम) म
अ.ि /अ.ि.ि .
के लरए 5 की डडप्रेसन
सये य श ऩय 10500
केडीऩीएच/9000 केडीऩीएच
ऩि च य कयते है ।
क्रभ ंक ऩद क न भ एवं रयजतत शैऺखिक मोग्मत वम भम गद आयऺि
वेतनभ न संख्म
18 र इनभेन 11 एस.एस.सी. के स थ 18 औय 25 वषग अनस
ु चू चत
PB-1 Rs. 5200- नेशनर ट्रे ड सदटग कपकेट के फीच िनि नत –
20200 + ग्रेड ऩे से इरेजतट्रलशमन क 4 (च य)
1800/- कोसग स भ न्म – 7
ग्रऩ
ु -सी (स त)
(अय िऩत्रित)
गैय भंिीस्तयीम)
3 उम्भीदव यो को अऩने आवेदन के स थ हये क प्रभ िऩि की स्वमं सत्म वऩत प्रनतम ं के स थ
योिग य सभ च य भें इस ववऻ ऩन प्रक लशत हो ने के फ द के ददन )४५(ऩैत लरश के अवचध के बीतय
भख्
ु म क मगक यी अचधक यी , जिल्र ऩंच मत , द दय एवं नगय हवेरी , लसरव स भे अऩन आवेदन
बेिन होग । (आवेदन पोभग www.dnh.gov.in से ड उनरोड ककम ि सकत है ( िो र गू
उम्भीदव यों अनस
ु चू चत ि नत / अनस
ु चू चत िनि नत/ अन्म वऩिडे वगग भे होने क द व कय यहे हैं वो
उम्भीदव यों को सऺभ प्र चधक यी द्व य ि यी ककए गए प्रभ ि ऩि की स्वप्रभ खित प्रभ िऩि प्रस्तत
ु
कयन आवश्मक होग ।
Sd//
(छनछतन जिंदऱ)
भख्
ु म क मगक यी अचधक यी,
जिल्र ऩंच मत ,
द दय एवं नगय हवेरी ,
लसरव स
प्रनत:
1 ननदे शक (आईटी) , द दय एवं नगय हवेरी, लसरव स को ऑकपलसमर वैफस इट ऩे अऩरोड
कयने हे त।ु
જજલ્ા પંચાયત
દાદરા અને નગર હવેી,
મખ્ય કાયાકારી અધિકારી ની કચેરી,
સેવાસ
જાશેયાત
જજલ્રા ંચામત , દાદયા અને નગય શલેરી નીચે દળાાલેર જુદા જુદા દોની કામભી ધોયણ ની
જગ્મા બયલા ભાટે આલેદન આભંત્રિત કયે છે :
PB-1
યુત્રનલત્રવિટીભાં થી લચ્ચે (વયકાયી
Rs. 5200-
20200 + GP B.Com રડગ્રી કભાચારયમો ભાટે
(બફન
35 લા સુધી લમ-
યાજત્રિત,
ભમાાદાભાં છૂટછાટ
બફન દના)
આલાભાં આલળે)
ITI કોવા
ઇચ્છનીય
1. કમ્પ્યુટય નુ ં જ્ઞાન.
2. ગુજયાતી બાા નુ ં
જ્ઞાન.
ગુજયાતી/રશન્દ્દી/અંગ્રેજી
બાા નુ ં જ્ઞાન.
ક્રમ પદ ન ં નામ પદ શૈક્ષણિક યોગ્યતા વય મયાા દા આરક્ષિ
સં અને વેતન ની
સંખ્યા
કમ્પ્યુટય અન્સ્રકેવન નો
રડ્રોભા કોવા (ન્દ્ય ૂનતભ
6 ભરશના)
ક્રમ પદ ન ં નામ પદ શૈક્ષણિક યોગ્યતા વય મયાા દા આરક્ષિ
સં અને વેતન ની
સંખ્યા
2. ક્રભ નં .1, 3, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17 અને 18 જાયી કયે ર ોસ્નવ ગ્રુ વી
લગાભાં ડે છે . તે ોસ્ટ્ ભાટે ભાભરતદાય , ત્રવરલાવા/ખાનલેર દ્વાયા જાયી કયે ર અત્રધલાવ પ્રભાણિ
પયજજમાત છે , જો ન શોમ તો અયજી આોઆ સ્લીકાયલાભાં આલળે નશીં.
૩. ઉભેદલાયો એ તેભની અયજી વાથે દયે ક પ્રભાણિ ની સ્લપ્રભાબણત નકરો વાથે જોડી
યોજગાય વભાચાય ભાં જાશેયખફય પ્રકાળન થમેથી (45) રદલવના વભમગાા ની અંદય મુખ્મ
કામાકાયી અત્રધકાયી , જજલ્રા ંચામત , દાદયા અને નગય શલેરી , ત્રવરલાવા ભાં શોચાડલાની યશેળે.
(અયજી પોભા www.dnh.nic.in. યથી ડાઉનરોડ કયી ળકો છો). જે ઉભેદલાયો SC/ST/OBCનાં
દાલો કયતાં શોમ તેલા ઉભેદલાયોએ વક્ષભ અત્રધકાયી દ્વાયા જાયી કયે ર પ્રભાણિની સ્લપ્રભાબણત નકર
અયજી વાથે જોડલાની યશેળે.
4. ગ્રુ ‘ફ’, (બફન દના) દ ભાટે , કોઈ ણ બાયતીમ નાગરયક ઉય ના દ ભાટે આલેદન
કયી ળકે છે . ણ જે આલેદક દાદયા અને નગય શલેરી ના સ્થામી ત્રનલાવી છે એભને કામાારમ જ્ઞાન વં
૧-૧૨(ફી-૫૪)/૨૦૧૨-એડીએભ/૧૨૬૧ તા ૨૬/૧૨/૨૦૧૩ ના મુજફ પ્રાથત્રભકતા આલાભાં
આલળે, જો તેઓ ભાભરતદાય , (ત્રવરલાવા/ખાનલેર) , દાદયા અને નગય શલેરી દ્વાયા જાયી સ્થામી
ત્રનલાવી પ્રભાણિ પ્રસ્તુત કયળે. ઉય ઉલ્રેખ અનુવાય ત્રનધાારયત વભમ ના અંદય ત્રનધાારયત પ્રિ ભાં
જણાલેર દસ્તાલેજ વાથે ભે ર આલેદન ભાન્દ્મ યાખલાભા આલળે. અધ ૂયી અને ત્રનધાારયત વભમ છી
ભે ર આલેદન િો ધ્માન ભાં રેલાભાં આલળે નશીં. આલેદન નુ ં પ્રારૂ www.dnh.nic.in ની
લેફવાઇટ ય થી ડાઉનરોડ કયી ળકામ છે .
Sd//
(ધનધતન જજિંદ)
મુખ્મ કામાકાયી અત્રધકાયી ,
જજલ્રા ંચામત ,
દાદયા અને નગય શલેરી ,
ત્રવરલાવા
પ્રત્રત:
1. ત્રનદે ળક (આઈટી) , દાદયા અને નગય શલેરી, ત્રવરલાવાને ઓપળીમર લેફવાઇટ ય અરોડ
કયલા ભાટે.
Paste recent
APPLICATION FOR THE POST OF Passport size
(PA/Stenographer Grade - III) Photograph
District Panchayat duly self
Dadra & Nagar Haveli Attested
Silvassa
1 Applicant’s Name (in Block
Letters) ___________________________________________
(FIRST NAME) (SURNAME)
2 Father’s/Husband’s Name (in
Block Letters) ___________________________________________
(FIRST NAME) (SURNAME)
3 Residential Address for ____________________________________________
correspondence(in Block Letters) ____________________________________________
____________________________________________
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
i) Bachelors Degree /
Graduate in any faculty from
a Govt. recognized
University.
ii) English Typing @ 35 Wpm
or Hindi Typing @30 wpm
(Time allowed 10 minutes)
(35 wpm and 30 wpm
Correspond to 10500
KDPH/9000 KDPH on an
average of 5 key depressions
for each word.
13 (a) Information /documents regarding Educational and other Qualifications: (√ as appropriate)
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
i) Bachelors Degree /
Graduate in any faculty from
a Govt. recognized
University.
ii) English Typing @ 35 Wpm
or Hindi Typing @30 wpm
(Time allowed 10 minutes)
(35 wpm and 30 wpm
Correspond to 10500
KDPH/9000 KDPH on an
average of 5 key depressions
for each word.
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
Note: Attach self attested copy of Birth/Educational/Experience Certificate/Caste
Certificate (if relevant), Domicile Certificate (if of Dadra & Nagar Haveli),
Physically Handicapped Certificate (if relevant) failing which the application
will be summarily rejected.
Paste recent
APPLICATION FOR THE POST OF Passport size
(Hindi Typist) Photograph
District Panchayat duly self
Dadra & Nagar Haveli Attested
Silvassa
1 Applicant’s Name (in Block
Letters) ___________________________________________
(FIRST NAME) (SURNAME)
2 Father’s/Husband’s Name (in
Block Letters) ___________________________________________
(FIRST NAME) (SURNAME)
3 Residential Address for ____________________________________________
correspondence(in Block Letters) ____________________________________________
____________________________________________
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
ii) ITI
13 (b) Information regarding Knowledge of Information & Communication Technology
Qualification:-
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016
i. Essential i) SSC
10 Experiences, if any
Declaration:
I, declare that I fulfill all the conditions of eligibility regarding age limit and Education
Qualification and Other Qualification for the post of ___________________________________.
I declare that all statements made in this application form are true, complete and correct to the
best of my knowledge and belief. I understand that in the event of any information being found
suppressed /false or incorrect or ineligibility being detected before or after the examination, my
candidature /appointment is liable to be cancelled.
(Signature of Candidate)
Unsigned application will be rejected
Dated:___/___/2016