Aerdc Hal (DC) : Application Format
Aerdc Hal (DC) : Application Format
APPLICATION FORMAT
Paste self attested recent passport size photograph
All fields are mandatory. 1. 2. 3. 4. 5. Name of the Post Name (IN BLOCK LETTERS) (As it appears in the SSLC/SSC record) Gender Fathers/husbands Name Mothers Name Permanent Address:City: State: Phone No. (With STD Code): Email-ID: Nearest Railway Station Date of Birth Age as on Nationality State of Domicile Religion (Circle category) Were you domicile of J & K during the period Form 1.1.1980 to 31.12.1989? If so, please enclose the proof. Circle the Category (Enclose copy of Certificate In case of SC/ST/OBC) Hindu / Muslim / Sikh / Christain / Neo Buddhist / Zoroastrian / Others 13. Yes / No ______Years______Months____Days Contract Mailing Address:Mr. Mrs. Ms. ------------------------------------
6.
14.
-215. Are you a person with Disability (PWD)? If so, Mention the category of Disability (VD / OD / HD). If so, please enclose the proof a) Are you an Ex-serviceman? If yes, mention the last Rank held and the No. of Years served in the Rank. b) Are you a serving officer in the Armed Forces? If yes, mention the Present Rank and the No. of Years Completed in the Rank. 17. EDUCATIONAL QUALIFICATION: (a) BASIC Degree (B.Tech./ Diploma in Engg.) Sl. No. Qualification: Degree________/Diploma_______ (Tick the correct option) i) Name of the Degree / Diploma ii) Branch /Specialization iii) Duration of the Course iv) v) vi) vii) viii) Nature of the Course Name of the Institution / University Class / Division Percentage of Marks secured (Aggregate of all Semesters) Month & Year of Passing Full Time / Part Time / Correspondence Yes / No VD/ OD / HD
16.
Yes / No
Yes / No
(b) POST-GRADUATE DEGREE/DIPLOMA: M.Tech., M.Sc., MBA, PGDBA etc. Sl. No. i) ii) iii) iv) v) vi) vii) viii) Degree / Diploma Name of the PG Degree / Diploma Branch / Specialization Duration of the Course Nature of the Course Name of the Institution / University Class / Division Percentage of Marks secured (Aggregate of all Semesters) Month & Year of Passing Contd..3/Full Time / Part Time / Correspondence
-318 Details of training undergone for more than 3 months, if any Sl. Name of the Programme No. Institution / Organization Duration From date To date
19. Experience: (in chronologica order starting from the current job): Sl. No. Designation Organisation Date Central Govt./State/ From To PSU/Private) (dd/mm/yy) (dd/mm/yy) Pay Gross Reason Scale Pay for leaving
21. Date of Superannuation: 22. Pay Expected: Basic Pay_____________DA______________Gross Pay________________ 23. How soon can you join if selected?_____________________________________________
Contd..4/-
-424. Pen picture of professional experience, achievements, and significant contribution in the Field, if any
Declaration I hereby declare that the above statements are true and complete and to the best of my knowledge and belief. In the event, the information is found to be false or incorrect, my candidature / appointment considered may be terminated without any notice.
Place:______________________
Date:_______________________