DMRC Application Form 2015-2016 For Engineer Post Download PDF

DMRC APPLICATION FORMAT

(TO BE FILLED IN CAPITAL LETTERS BY THE APPLICANT IN HIS/HER OWN HANDWRITING)
S.No. DETAILS
PARTICULARS
1A
B
2
3
4
5
6
7
8
9
10
11

POST NAME
POST CODE
APPLICANT NAME (Sh./Smt./Ms.)
FATHER / HUSBAND NAME (Sh.)
DATE OF BIRTH (dd/mm/yyyy)
AGE as on 01/07/2015 (max 45 years)

B.E./B.Tech

POST
GRADUATION

M.E./M.Tech

OTHER

A
B

MONTHS

STATE:
PINCODE:
CONTACT NUMBER WITH STD
CODE
MOBILE NUMBER
EMAIL ID
CATEGORY (SC/ST/OBC/GENERAL)
EDUCATIONAL QUALIFICATIONS
Institute /
% or
Qualification
Particulars
Specialization
CGP
University
A
GRADUATION

YEARS

DAYS

CORROSPONDENCE ADDRESS

12

Deputy General Manager / Design

Dy. CE / Design

WORK EXPERIENCE (AS ON LAST DATE OF APPLICATION)

(FILL ONLY THE APPLICABLE COLUMN)
TOTAL EXECUTIVE EXPERIENCE
YEARS
MONTHS
DAYS
DATE OF LAST PASSED REGULAR
EXAMINATION (DD/MM/YY)
DATE OF JOINING FIRST REGULAR
JOB (DD/MM/YY)

Passing
Year

II

IF YES, DETAILS OF EXPERIENCE

FOR GOVT. SECTOR/PSU APPLICANT in CDA SCALE (Complete details of executive
service / position held since joining) (separate sheet may be attached)
Period (To From)
Executive Post Held
Organization Name Pay Scale (CDA) Dd/mm/yy dd/mm/yy

A
B
C
D
E
III

FOR GOVT. SECTOR/PSU APPLICANT in IDA SCALE (Complete details of executive

service / position held since joining) (separate sheet may be attached)
Period (To From)
Executive Post Held
Organization Name Pay Scale (CDA) Dd/mm/yy dd/mm/yy

A
B
C
D
E
IV

FOR PRIVATE SECTOR APPLICANT (separate sheet may be attached)

Gross
Period (To From)
Executive Post Held
Organization Name Salary/CTC pm
Dd/mm/yy dd/mm/yy

A
B
C
D
E
V

VI
A
B

ESSENTIAL WORK EXPERIENCE

EXPERIENCE IN STRUCTURAL DESIGN OF
BUILDINGS,
VIADUCTS, FLYOVERS ETC
WITH SUPERSTRUCTURE COMPRISING OF
STEEL STRUCTURES; I GIRDERS, BOX
GIRDERS INCLUDING DESIGN OF PRE STRESSED AND RCC SPANS FOR RAIL /
ROAD BRIDGES
DESIRABLE WORK EXPERIENCE
WORKING
EXPERIENCE ON DESIGN
SOFTWARE LIKE STAAD, E-TAB, STRAP
ETC.
SOUND KNOWLEDGE OF IS, IRS AND OTHER
RELEVANT CODES RELATED TO DESIGN

YES / NO

YES / NO
YES / NO

VII

BREIF DESCRIPTION OF THE WORK EXPERIENCE

13

WHETHER
ANY PUNISHMENT WAS
AWARDED TO APPLICANT
IN LAST 10
YEARS

YES / NO

IF YES, DETAILS OF CASE

14

WHETHER ANY ACTION OR INQUIRY IS

GOING ON AGAINST APPLICANT

YES / NO

IF YES, DETAILS OF INQUIRY

15

NOC FROM
ENCLOSED

CURRENT

EMPLOYER

16

ANNUAL
PERFORMANCE
APPRAISAL
REPORT FOR LAST 5 YEARS ENCLOSED (IN
CASE OF GOVT. OR PSU APPLICANT)

YES / NO

I hereby declare that the particulars furnished above are true. I understand that my candidature
will be cancelled if any information is found to be incorrect or false at any point in time.
Date: _______________
Place: _______________

Signature of Candidate
Name:
_____________________
Mobile No. : ______________________

Email ID: ______________________

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