HINDUSTAN AERONAUTICS LIMITED Management Academy, Bangalore-17 APPLICATION FOR THE POST OF 1. 2. 3. 4. 5.

. Name (in BLOCK LETTERS) (As it appears in the SSLC/SSC record) Gender Fathers Name Mothers Name Permanent Address: Contact / Mailing Address: Mr. / Mrs. / Ms. Male / Female Photograph

Phone No. (with STD Code) 6. 7. 8. 9. 10. 11. 12. Mobile No. Nearest Railway Station Date of Birth Age as on 01/092009 Nationality State of Domicile Religion (Circle Category) Were you domicile of J&K during the period from 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)

Phone No. (with STD Code) Mobile No.

dd mm yy . Years months days

Hindu / Muslim / Sikh / Christian / Neo Budhist / Zoroastrian / Others YES / NO

13.

SC / ST / OBC / GEN

14.

15.

16.

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 number of years completed in the Rank. Details of Demand Draft

YES /

NO

VD / OD / HD

YES / NO YES / NO DD No dated.. Drawn on ..

17. (a)

Educational Qualification: Basic Degree

Degree Duration of the Course University Class / Division Month and Year of passing.

(b)

Post Graduate Degree/ Diploma / Higher Qualifications (Ph.D/ Fellowship)/ Other Professional Qualification:
Duration of the course Full time / Part time / correspondence University / Institution Class / Division Month and Year of Passing

PG / Higher Qualification with Specialization

18.

No. of years of Post Qualification Experience (completed years as on 01/09/2009)

. years

19.
Sl No.

Post Qualification Experience: (Chronological Order):Designation, Organisation and Nature of Experience Central Govt. /State /Govt. / PSU / Private

Date From (dd/mm/yy) To (dd/mm/yy)

Gross Pay

Reasons for Leaving

19(a) Which among the above do you consider as your best experience in terms of Company, Remuneration and Position.

19(b) Did you leave any of the above listed Companies under the Voluntary Retirement Scheme (VRS)? 20. Sl No Details of Training undergone for more than 3 months, if any Name of the Programme Institute/ Organisation Duration From date To date

21. 1 2 22.

Fields of Specialisation (Applicable only for Senior Faculty / Faculty positions) 3 4 Present Pay (Please attach latest Pay Slip) :

Basic Pay _____________ DA _____________ Gross Pay ______________ 23. 24. Pay Expected: Basic Pay __________ DA __________ Gross Pay____________ How soon can you join if selected? _______________

25. Pen picture of professional experience, achievements and significant contribution in the field, if any (not exceeding 200 words - Attach separate sheet if required)).

I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In the event, the information is found to be false or incorrect, I understand that my candidature / appointment will be terminated without any notice. SIGNATURE Place: Date: