No. 11.73.4.

F - 01

MECON LIMITED
PO: DORANDA; RANCHI-834002

APPLICATION FORMAT Affix Self-Attested

Photograph

Application for the Post of MANAGEMENT TRAINEE (TECHNICAL)

Date and Venue of Interview ……………………………………..

PERSONAL DETAILS:
Full name in block letters
Surname First name Second name

Age Date of birth Place of birth with state Father’s Name

Nationality Category Gender Marital Status Physically

Challenged
M/F YES / NO

Address for correspondence:

(in block letters )

Phone No: E-mail:

ACADEMIC DETAILS:
Qualification College, University, Examination Passed Year of Division, Percentage
Institution / Appeared passing of Marks etc.

Matriculation
(10th std.)
Higher (+2)
Secondary
Graduation
PG
Other
Qualification

FOR OFFICE USE ONLY

Date of Educational Work Caste Signature of
birth certificate(s) Experience certificate Remarks verifying
verified checked verified verified, if any. Officer

Page 1 of 2
 No. 11.73.4.F - 01

Year/Semester wise Marks of BE / B.Sc/ B.Tech. / Graduation :

1st 2nd 3rd 4th 5th 6th 7th 8th Aggreg

Sem./ Sem./ Sem./ Sem./ Sem. Sem. Sem. Sem. ate %
Year Year Year Year marks

VOCATIONAL TRAINING:
Name of Organisation & Topic of Project Period
Location

WORK EXPERIENCE (if any): Total Length of Service

Years : Months:

Date Name and Address of Detail of position/grade/ Reason of

From To Organisation responsibilities etc Leaving

Time required for joining, if selected:

Any other relevant details:

I hereby certify that the information provided above is true to the best of my knowledge and in case
any information as above is found to be false or in-correct or suppressed at any stage, I
understand that I am liable to be terminated from the services of MECON Limited forthwith without
prejudice to any other legal and disciplinary action as deemed fit by the Management.

Place :………………..

Date:…………………. (Signature of Applicant)

Page 2 of 2