DECLARATION FORM

From

REG. ID . 21511147 . . . . . . . . . . . . . .

To
The Registrar
National Institute of Technology
Tiruchirappalli-620019

Sir / Madam,
Sub: Application for the Post of . . .JUNIOR ENGINEER . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....

1. I have carefully read and understood the Instructions to the applicants and the notification issued
for this recruitment.
2. The Information furnished by me in this application and the details available in the PREVIEW page
are found correct.
3. I am aware of the fact that the information furnished in this application cannot be edited after
submission of this application.
4. I will not make any request to the Institute to change any details in the application on later dates.
5. am also aware that my application / candidature is liable for rejection at any stage of the selection
process, if any of the details is found to be wrong in this application.
6. I hereby declare that all the particulars furnished in this application are true, correct and complete
to the best of my knowledge and belief. In the event of any information being found false or incorrect
or ineligibility being detected before or after the examination or at any stage, any action can be
taken against me by the Institute including rejection of my application.
7. I hereby declare that I will not be a party to any kind of canvassing on my behalf.
8. I further declare that I fulfil all the eligibility conditions prescribed for admission to this examination.
9. I have informed my employer in writing that I am applying for this Examination.
10. I have gone through the Instructions notification for this Recruitment before filling up the
application form.
11. I declare that I possess the Physical standards required for the post(s) which I am now applying for.
12. I certify that I have not been debarred / disqualified by any recruiting agency.
13. I am not a dismissed Government Employee.
14. I hereby declare that there is no Departmental disciplinary action is initiated against me.
15. I hereby declare that there is no criminal case has been registered against me.
16. I am fully aware that no individual communication regarding the date and time of subsequently
selection process including, certificate verification and counselling (wherever applicable) will be
sent to me. I am also aware that the schedule of written test/skill test/certificate verification will be
made available on the Institute website and I have to know the above details on from the website to
this effect.
17. I have checked all the details furnished in this application at various stages. I have furnished all
information in this application correctly, without any careless / typographical error.

Date:14.01.2021 Signature of the Applicant