,

AIlIx recent passport SIZS

photographs duly aliesled
bv Gazetted Officer
Rl/cords the Garhwal Ritle
Lansdowne (Uttrakhand)
t . Name of appncant (in blo
2 am
-
Countersigned
ser Name 01 post Category of disability
suitable for the job
(a) Instrument Mechanic HS Gd II OL,OA,BL
Direct recruitment of Group'C' Vacancies In the
Corps of Electronics and Mechanical Engineers
(Stn Wo p EME, Barellly) .
. Corr igendum
The recruitment advertisemenl inviting applications for vacancy on behalf of
Station Wksp EME, Sareilly appeared in Employment News dated 28 January.
03 February 2012 (Advertisement No. EN 44120) in S.No.7. Last date of
receipt of application is 21 days from th e date of publlcatlon of this
corrigendum.Add : Ser No. 19 - Candidates with disabilities against the
under mentioned posts .can also apply for the said posts
(b) Chowkidar OL,BL,HH
Nole: Abbreviations used : OL- one leg affected, OA- one arm affected, BL-
both legs affected but not arms, HH- hearing handicapped.
davp 101031111012311112 EN 50138
(d) Government Undertall1ng
. (e) Universities
(f) Others' (Please specify)
11. Please stale whether you are working in the lame Departmenl and are in
the leeder grade or feeder 10 feeder grade.
12. Are you in Revised Scale of Pay? If yes, give the date from which the
revision took placo and abo indicate tha pre-revised scaJe
13. Total emoluments per month now drawn
_14. Additionallnlormallon, II any, which you would like 10mentlon In suppoll
of your sultabiHlY of the post
(ThIs among other things may provide infonnallon with lllgard to (I) addItional
academic qualifications (U) professiOnal !ralnlnlJ and (iii) work lIllpenence
over and abova prascrIbed In the Vacancy Cln:o.llal1Advertioemont) (Hole:
EncIo8e a leperate Sheet " !he space Ia Insufllclent).
15. Whether belongs to SCIST _
16. Remarks (The candidales lJlay Indicate '"formation with 1119111U to (I)
Research Publicalion s and roports and special proj ecls (il) Awar ds!
Appreclation (ul) Affiliation wfth the professional bOdies!
instnutions/soclelies a(ld (Iv) any otller 1nlonnallon). (Note: Enclose a separate
sheet if tho space is Insuffl cl ent)
I have careluny gone through the vacancy circular/advertisement and I am
well aware that the Cumculum Vitae dUly supported by documents submitted
by me will also be ' assessed by the Selecti on Committee at the limo of
selection for the post .
Signature 01 the Candldato
Address
Date ..
No.
Dale :.
(Employor wnh Seal)
d vp 05101(1 l1oo0711 n 2
n a separate sheet
by JOUr 1IIgnature, lithe space below Is insufficient
':...., "- held From To Scale of Pay and Nature of
'Gr1In. Baalc ,.., Outlaa (In
detail)
-"
(i) Degree from a recognized university or institution or equivalent
en} Ten years' experience in establishment and general administration.
Deairable :
Post Graduate degree in any discipline or degree in Law from a recognized
university.
Job Descripl lon : The Secretary. Rubber Board is a statutory pOst and the
duties and responsibilnies vested with the Secrelary, Rubber Board are the
statutory duties as envisaged In Rubber Act. 1941 and Rubber Rules , 1955
as well as those delegated to the Secrelary by the Chairman . The duties inter .
aha Include (i) convening meetings of the Board -and its Committees and
such other IT.eetings as are required by the Board and the Chairman from
time to time. Assisting the Chairman, RUbber Board in inplementing all the
decisions of the Board. (2) Functioning as tile Head of the Administration
Department of the Board- Looking atler all the administrative functions such
as recruitments , promotions, transfer and postings of the staff, convening of
Departmenta l Promofion Committees, staff welfare amenities and other
administ rative funct ions as are to be performed from time to time and also
exercisi ng all the powers delegaled to him by the Chairman.
Period of Depulatlon : Period of deputation inclUding the period of deputation
m another ex-cadre post held immediately preceding this appointment in the
same or some other organization or Department of the Central Government
shall Ordinari ly not exceed four years .
Annexure -II
(Sanoj Kumar Jha)
Dlrectcr
Annexure -I
Name or the po.t : S.,...tary, Rubber Board, Kott.yam, Keral .
Number 01 poat ; One (1)
Clalficatlon : General Central SeNece. Group 'A' Gazetted Non-Ministerial .
Scale 01 Pay : As . 12000-375-16500, (Pre-revlsed) ecuwatenr 10 ns. 15600.
39100 GP 1600. .
Age limit ; The maximum a9B limn lor appointment by deputation (including
short-term contract) shall be not exceeding 66 years as on the clos ing date
01 fhe receipt 01 applicationl.
Method of recniltmenl : Depulatlon
eligibility Criteria: Officers under Central/State .Governmenl s/ Union
Territories:-
(a) (I) holding analogous pasIon regular basis in the parent cadre or
department; or
{II} wfttl five years service in the grade rendered after appointment thereto on
a regular basis in Ihe scal e of pay of Fls. 10000-1 5200 (pre-revised) or
equivalen t tn the parent cadre or department.
(b) possessi ng the following educational qua lifications and
:
Curriculu m Vitee Proforma
(To be lubmltted In triplicate)
1 Name and Addres s (in Block letters)
2 Date at Birth (in Christian era)
Jl Date of retiremenl under CentraVSlate Government Rules
4. Educallonal Qualifications
S. Whether Educational and other quali fications required for the post are
.. I ed. (II any qualMocation has been trealed as equival ent 10 the one
pre>1Cribed the RUles, slate the alllhorttyfor 1he same)
auallftcatlonsl Experlence Quall""tlonalExperlence
ReqwEI po__sed by the otflc:er
- (1) (2) (3)
(11 (21
Ie clearly wheth In the of entr1es made by you alloYe, you
."" ,-,,*-ants of the IQ1
1 Ii EmpIoyfl en! In c:hronological onIer Enclose
,.. Yd" UN Y...,II"I' am.
i S 0 the Annual Confid9ntial Reports (ACAs) 0'
or Illst ff 8' Y rs 6uly anested by ah Clites, not below the
n Sec 'lilY or equivalent; (li) certificate from the employer
p 1M igUance case Is either pending or being contemplated
tlie OffIcer, On) 'Statement Indicating the details of major/minor
'so mpbSed on the officer during the Iast 10 years ; (Iv) lntegrtty
Cful s gned by the competent autticrtty ; and (v) Cadre cteamce,
pa hrl Pradeep Kumar, Under Secretary, Plantation-C Section,
of Commerce, Ministry of Commerce and Industry, Room No.
g Shawano New Delhl- t 10011 within alxty day. from the date of
u teation of the advertisement in the Employment It may also be
Cfet'earlhil the orneer, who volunteers for the poe! HIli not be allowed 10
. (fraw hislher t;.1hdldature subsequently. AppUcatl s after the
'ast date or wtthout confidential reports end other l equisite documents or
otherwise found incomplete will not be considered.
Nallfre of _enl m I
P-anenl pepoym"'1 I.e. Ad hoc or Temporary or Quas i-
_Ill Of ermanent
cale the JIr_nl I .
ae ala e . _,men 15 held on d&putationlcontraol basis
'\lha date of inlfllli lIppolntment
fl pf appolntm nt on deputation/conlract
.of the parent 0 Ic6rlorganizaUon to which you bel cn g
at dela Is about preaent employment
whettter WOrking unoer (mdlcate the name ct your e nr-loy
e nt Column) ' ,.. 31
OIIlIrnmenl
e me
0 1:-
0 0 0
4 0 0- 5
(Co_In d FbI ..y"1JIIlIY). 2 0 4
,_T..hnicaf.....,_.
JO 7 7 16 60
", :, ad T.ochotclllloinlllnolillM. 0 3
iiCI......1Iidf lnulib*l . 3 0 0 0 3
r 2 7 of PClII Elf.... _y.1oo apply). 5 0 0 2 7
0 0 0
, ,
0 0 0
0 0 0

0 0 0 V1
1 0 0 0 L1
lJ' 2t 14 4t m 17
3 0 5
Ge __""m ITI In C_ullir GpenutDr & P"""""...lng
4 0 0 2 6 2 H
Certlficll1lo fro.., ITI in (Mechllnieal) T.-de. 2 0 0 2 4
Certffiea.. -. ITI in E'-ctrician _ . 9 2 0 3 14
r1iIItoUo !rom 1T1 in E.dromc ....c:r.nIc or Raclo & TV
6 3 1 11
riifiea t')-Qm ITI In F_, Trade 9 5
:] 16
10 2 :] 4
l'
m ITI on _rVat:liclo ...chllnic Traft. 2 0 0 0 2
0 0 0
C Mechanic T
0 2
1 0
e 0
1 ESI\HUIlJ
!; 0
0
been

1ft
IDur/lravel cost lor
Qf '-is elc. Ie US
e

n ,"aug pur u tlit:ftf res U'
ore-a w"" W ch m'"a .
I Ql e er ment of lndl , w 0
I r.ti toates Oi erequ Ired (0 mci ethel effo
y r; 11e61lnstitutions in pr grammes/fielos specified
a Ired 1 make if o't'ilf"l eff ort s trt rtg" a(li
rt programmltStl I speculeo in the cherrtll'o
ma Ie didat take 8 decl!:; Jon to take their apde$ee Dd
equel11ly during the peri od of study, it is entirely for tli
flnan al pot at and a ail ablli ty of passport, visa etc. as no fl nanct I
well as any o ther support coverage IS provi ded under the Scnem
children.
i) ca ates atter having availed of the award under the cneme- ar .
ii'tl'O ender no C rcumatances they will be issued 'No oeu ati orll
rtffica(e by any ecncerrreo CiUthority In Gov ernment of India
;rtl a rdee after having ret urned to India is also requi red to
MH1isH'Y In writing about having returned 10 India .The awardee on return
In India for at least nil e years and is also required to serve the Gaver
continues to be in Governmenl service aft er return to India. as one
with ward under the Scheme.
It will be for the candidate to obtain the appropriate visa for a clJunt ry INher
study further under award from the Scheme and the Visa Issuing autho .
fhat only such type 01 visa be Issued which only permit s the candidate to p
course abroad and thereafter the candidate returns to India. Government of t
no assistance to a candidate for obtaining Visa . Selected candidates are req Ifi
such documents and enter into such agreements before their departure as s
by the Government 01 India from time to time.
(xvi) In case the awardee has received over payment through Indian Mission abroad
Government agency, is liable to refund the same to Govemment 01 India
employer (ij any) is authorized to recover the excess amount from hlslher
from Government 01 India, and refund lhe same to Government of India.
(xvii) The decisions of Governme'nt of India will be final in all such issues. as may come
course of time.
(xviii) The prospective awardee is selected by the Selection Committee constituted by tho
for a particular subject Irom within the specitied subjects for pursuing Maste"s Prog
Ph.D . '
NOTE:
(i) Attested ccpies of the following documents must accompany with applications : (atMa
or other certijicate as proof for date of birth (b) Caste certiticate from competent autll
All Degrees/Diplomas/Certificate with marks sheets , (d) Income certnicate In the P!!l
for mat .
(ii) In case 01 Passage Grant additional information with a statement indicating. (i) detaus,
schol arship and the manner in which it has been obtained (ii) attested copy or the Ie
award,
(iii) The Applications should be complete in all respects and should be accompaniliO
relevant documents. The applications, incomplete in any respect, are liable to - ",,""''''
3. Applications should be sent at the following address within 45 days frormthe daleof
of this advertisement in the Ervploymenl News.
The Under Secretary.
SCD-V Section,
Ministry of Social Justice and Empowerment,
Room No.253 A Wing
Shastri Bhavan
Dr, Rajendra Prasad Marl!.
New
4, The may also be seen In this Ministry's websile.
www.socJu8tle:a-nlc.ln ,
APltlleation Form
NMIonaI Owl .... ...age Grant ler Sc efC. (;and.....
V..... Z011.2812. under the Scheme of Natlenal Oveneas SChOlal'ShIP torSCliilio[.I]
(To be "lied In Entl1ah or Hindi Un!Juage only In Block 1ettWa)
Surname
Day Month Year
!
Years Mon ths DayS Age : ,
S.No. PartbJlars
1. Name (ShiilSmIJKm.) Name
(AccordinQ, to Matriculation Certificatil)
2. Father'slHusband's .Name. :
3. Dale 01Bilth :
Alace 01 Birt h( with name 01 StalelUT) :
Nationality:
Stalel!j' to w:hlch you belong :
Religion:
GasUl: (Specify whether SC, Denotified NomadiC/Sem,Nomadi T as
Dourer aQd l:ralflniOI\a) Arti sans (Att ach ttest.ed .:
u ! ity)
itI><l""'r
(Rupees
S gnature
(wtth 1Iea of Reven e 'A th . ._ ., U
Note: :r.tl IS certificate should t,e issued by Reven",e Officer not t{elow the rank at Tehs ar.
davp 3810111110054/1112 E SQ/3

With seal of R"evenoe a
Cert i f ic at e for being Traditional Artisan
Rio 18to certify thai Mr j Ms, ,. son/daughter/wife ot . __.. {Name
or Head at Family resident of is a Traditional ArtIsan a earns hlslhe;
u of being a T ditlonal Artisan. It IS also certified that the annual corn t
t all ources in ludlng lhe mccme.ct the ether members of h'sJ'h.er fa \:1' :is
(Rupe . . only)
3. Nationality: , .
9. Religion : _.
10. Addr ess and Pin code In full for commumcabon with nearest Railway Station ... .
11. Details of AcademicfTechnical and Professional Qualifications :
Name of the Year of NaJT1e of Recognized %of Marks Di vision Remarks
Exam Passed Pas sing Un iver Sity/Board of obtained
Examination
;
Attesteo , p es of , rtlflcate In support of above are 10 be enclosed)
12 Expe .ence/it any (please auacn ertrticate) : .
13. V'v'hetner Govt Servant it yes. give details of post held. pay cate ana Date 01 1;;;.
SeNlce :................. ...................
-In Govt
Signature
Declaration
I hereby declare that all the statements made in this application are true. complete and correct
the best of my knowledge and belief . In the event of any infoJmation being found false{incorrect or
ineligibility being detected before or aner the written test/skill test my canoidatur .. J sta
automatically cancelled.

-- ..'- _ -
I
.- _._..............................._.-.... . ............... . _ .
Encl : 1 Two self-Attested Photographs
2. Postal OrderIDD.No a. Date .for Rs 50
3. Attested copies of certificate : ( ) sheets
leh Thumb Impression of Male candidate
(Right thumb ImpressiQA in case 01temal. f1didate
are as un@f.-
r Rs.16000- Corporate Rs.51 .504I- IRs.
400-208001 0fIIce. 46.675/-
Rs. 14500- New
350-18700 Delhi
(scaJea
under
ntY!SJOTI) _ __
Dy. General
Manager
(Personnel &
AIiTinisialiln)
I P e ~ n n e l
Manager
Appllcallon forma and other deiais can be dowi1 lciilded irom ~ . l I ' .1I'li ".
www.hU.llov.lnand aubmi\I8d by poston 0( befonl 28.03.2012
QuI.melDoO&EXP'rf'DCI;
For Dye Genera' MIUger(ppponntil Mmlnlatgtloo)
Graduate withallea&l2 ye8rs PG Degree I PG DIploma 1/1 ManagenllIl1twtlh
apeclallitalIon In HRIlRIPM OR MSW OR MHReD OR MBA. wtlh
apedaliatellon In HR from IIICXlll''fZ8d IIM&ililyf lnatilUllon wIlh 7 ~ ~
quall1lcllllon uecutIve experiellC8ln\he raIoMW_
1.
81. Name cit No. PaY. ,ale Place 01
No. PoSt of und IDA poat\nll
Posta pattam +DP+OA)
Signature of the Candidate
uk
(445l
6 Neeraj
7 Jiterlll ra
(529)
2JJ 1/08(01 Assistant Director 1
Ms. Sunita P-a'J;) e
F.1/2 1 (Entomology) in Directorate of 2
Ms. VasUdha GBi
2011 'RV Plant Protection, Quarantine 3
Ms. Neelam Cna
and Storage, Department of 4
Devalapura Kalil a
Agriculture and Cooperation,
Nagaraju (52)
Ministry of Agriculture
5 Brajesh Mishra
9
6
Mir Samim Akhfa
7 Gyan Prakash
111
8
Oinam T a r u n k ~ m
(28)
9
Rohit Kumar Patel
All
appointm811
provisional subjec
outcome of Cou
No . 1483/2011 a
Raeez P. CAT, Madras Bene
6 2011/11/08
Deputy Central Intelligence
1 Rajendra Cha dtta
V.
F.l/1211
Officer (E.D.P.) in the
2011 -R. VI
Intelligence Bureau, Ministry

K.K. of Home Affairs

7 2011/12/06
Economic Officer, Department
1
F.1/1221
of Economic Affairs, Ministry
2011-R.IV of Finance
2
3
4
5
8 2011/13/07 .
Station Ollicer in Delhi Fire
1
F.1/1451
Service, Home Department,
2
2011-R.1I
Government of National
3
Capital Territory of Delhi
4
9 2011/14/03
F:1/1891
2011-R.1I
10 2011/14/06
F.l/154/
2011-R./1
2D.l1l14/07
F. /124/
2011-R.IV
1
2
3
08 01 02
08 01 03
09 01 01 03
05 01
03 01 01 06
03 01
01
03
47
13
15
02
03
02 02
Tolal
08
0
0
;j
-----I
0
0
9 0

S
d, 2 0 0 0
0 0 0
-,
,
0 0 0
2 0 r--Q1
l7 48 5 0
23 102 9 0
'1 0 0 0
9 0 0 0
9 0

0
'9 0 0 0 0
3
12
'7 2 0 0 0
3 0

0 , 0 0
,
6 21 2
UfOlO
,
: 17 1 0 8
--------,
'10
0 o 0 0
- -
S
"
28 3 o 0 0
3 9 o 0 , 0
8 0 oro'
3 13 2

2 15 2 0 0
:lr;:o
-
0
-r-t-
0 0 0
18 3 Dtptorn a n Manutoctu
trorHcsI lndustna aecnamca
Toots & Machlmngf Tools & Ole M",kln
Automobuer Procucuorv Melallurg
Foundry Technology, E ecuoruc s
Englneenn9_
DpStrable" DIploma In Rail Transport
.3nd M<1nagemenl trom the tnsutute 01
Rail 'transport . New Deihl will be an
addit ional quauncanon.
Note> (i) Atreast 500 of Intake from
Mechanical Engrnesllng IOf
( We R) . Bhopal a-Iaspur. Chennar
Kolkala. Maida (SEA), Mumbai
Perna. Ranchi, Secunde rane d
"turuvananatnacuram.
(II) Ausas: 4 posts out 01 13 trom
Mechanical Engg lor RR8JMuzaffarpur.
(liiJ Individual ARBs may have
vacancies only under Mechanical or
Carriagtt & Wagon or both
(iv) Option for specurc catsqorv r.e
Moct-amcar Caruaqo &. Wagon will be
t aken at the time of dccumern
, vontrcanon
I
I
I
0 0 0
2 0 0 0
0 0 0
1'5 2 0 0 0
8 0 0 0
17 0 0 0
3 10 0 0 0
0 2 0 0 0 0
7 0 0 0 0
11 0 0 0
f 0 0 0 0 C - 1
0 0 0 0
0 0 0 0
--,-
]
tit
0
- -
._0 0 f_o-
3 o 0 1 0
I
0 0 0 0
~ 0 0 0 0

0 0 0
- ~
2 0 0 0
,
2 0 0 0 0
5 0 0 0
2 0 0 0
5 0 0 0
0
0 0
Er" rre or n
18 . 35 Degree in Engineenng 1"1 any ell s
I
18 33 jDmrcrne In Englnecrln' j
Addillonal desi rable .
I) Diproma rn Pu bliC
Supply Managcmcnl I
II ). Graduate D, I CI. ,
Pr ocu romont and SuC' c Ma y
:lw.::trnoC1 by tndran f-.l av-; !
01 LOYlsllcs & Mat '(1.11 Ma Ag
A K Puram. N "
possession 0 1 th
cusuabt e QU nne
however, drsqu lib'
rucnntrncn
me.
I
I
S\ltta ~ ' 0 1
OH rOA. a ll HH

o

O"""'''OC! -NOo.
- - -N()3 _ Zw
....,
IIFM, e
. 12000
Ing the p
I during 2 2
r51and s ond year Rs.
m.
escnbe
I the pr

EN 50192
WrItten' Cii:y !0f '!-'he ossess ... ., .tfi In the
endurance test.
Subject Maximum fljo. of Duration
Marks questions
General Int elligence (Hr standard) 50 50
(Objective Type)
General Awareness (1Olr standard) 50 50 02 Hrs
(Objec1ive Type)
General Awareness on Fife Fighting 50 50
(Objective Type)
,
Syllabus
I General Intelli gence: The quesnon will be of 1(]I' Standard and would include both 9fba and
non-verbal type. The test may include questions on analogies. similarities and dillerelilc space
vrsualizanon. problem solving, analysis, judgment. decision making, visual memory, discnmlnaOOn,
observation, relationshi p concept, figure classification, arithmetical number senes, verbal and non-
verbal ser ies & mathematics ot 10lh standard. The test will also include questions designed to test
the candidate's abilities to deal WIthabstract ideas and symbols and their relationship. matnemanca
computation and otner ana lyt ical functi ons.
II. General The quest ions will be of 10'h Standard. Questions will be designed to tost
ability. of the candidate's general awaren ess of the environment around hIm and application
to society. Questions will also be designed to test knowledge of current events and of such matters
of everyday observation and experience in iheir scienti fic aspects as may be expected of an
Standard educated person . The test will also include questi ons rel ating to India and lIs neighbouring
countries especially pertaining to Sports, HistoryI CUlture, Geography, Economic scene General
Indian Constitution. and Scientific Research etc. These questions WIll be such that,
they 00 not require a spec ial study of any discipline.
111. General Awareness on Fire Fighting: This test will incl ude questions On knowledgo 01 Filt:
Fighting, operational use of Fire Fighti ng Equipments, lile saving drills, causes of fire etc.
Grading will be done based on mar ks obtained in Written Test.
Dellnltlon. 01 DI.abililie.:
(A) Hearing impai rment: "Heannq impairment- means loss of sixty decibels or more in the better
ear in the conversational range of frequencies.
(8 ) Locomotor disabi lity: "Locomotor Disability' means disability of the bones. IOlnts or museses
leading to substantial restrtction of movement of the limbs or any form of cerebral palsy
(C;) Ol e ere ral Palsy" means a group of non-progressive conditions of a person ch racterfred' 'i
abnormal motor control posture result rng from brain insult or injunes occurring in the pre-natal.
perinatal or infant period of development.
A e cases of orthopedically handicapped persons would be covered under Ihe category oJ
Iocomotor or cerebral palsy
De.,llr"", 01 Dleabltlty lor Reserv.llon:
Only such persons would be eligible for reservation in servic es/posts Who suffer from not less than
pI relevant disability. A person who wants to avail of benefit of reservation would
! .ubmn I'. ,Disabil ity Certllica\.e " .Ued by competent authonty.
om enl lllrtho<lty 10 I. ..ue Di blllty Cel1l1lc.le:
e &9!!! tant alrthoQtr to issue a Disability Cert ificate shall be a Medical Board ut CO"" if1Jl
e I Pl a Stale Govemll).eflt. 'Phe OenlraVStale Government may coosntut
d s con 9 ot -at least three members out ot whi ch at least one shall be a
r. field or sseSStn9. toeo-mator c.erQ,braVhear mg dis.abilj ty: as rne sa. rna 'b
I to Shall eri us eaamlna.l\on. gi ve a permanent dlsab 1ft cer e 111
a tSUtti e there ar no.c 0 va 'ion it;\ ttl 0'15.1:)11
I BOir I lIldtea e P.8 I or va C ca a
I n 0 Is
Iiell b
tnctlj
de esl
Ie I
Clilir
Application
(To ... Illtad In block leiter. on ly)
(To be Iypedlwrllten In dOuble .pace &' lont. 14 on It
[a} Name of the Post applied f9r (in bold ietters) :
(b) Ref : AdvertisemeoVLetter No the Employment tlewsl Roz
, . Name of the applicant (in full)
2. Name : :hot II!
3. Nationality: attest d
4 . (a) Date of Birth (in figure & >'lords also) : eaz.
(b) Age (as on closing date) Yrs _. - Months -.- Days . . (not
(c) Age relaxation claimed : YeslNo rank
(If 'yes', specifically mention the name of quota) Socre(
5. Whether belongs to SCISTIOBCIPHlExserviceman . (pI
6. Sex (Male/Female):
7 Educational Qualifications '
Educational Unlver.llyllloard Palng Year Sub]
Ouaillcation.
-
f certificates .
' ent News/ ROZ9i'r S
>correct & complete,
event of aoy. informa
' 9 cancelled/termfnat
(left thumb impress 'cn)
Appendl<-B
-A<lmlt c; d
(Two ...
(To be flied In block letter..
(To be typed/written In double space & lonts
(al Nameof the Post applied for (in bold letters) .
(b) Ref: Advertisement Iletter No 'he Emp!
dated .
1. Name of the applicant (in full) :
2. Father's/Husband's Name :
3, Complete postal address : -
4. Date & time of Written TesVPhysical Test:
(not filled by the Candidate)
5. Venue ot Wrillen Test/Physical Test:
(not filled by the candidate)
6. Date & Time of Interview:
(not filled by the candidate)
7. Venue or Interview :
(not tilled by the candidate)
2 Hours
u inclOdeJ!oth verbal and non- verbal type. The
ifIerJlf)ces, seace visualization, pfoblem
is. discrimination observation,
umber series. verbal and non-verbal
questions designed to test the
I!i IUind their relationship, Mathematical
8. Course Ouatitication (please attach attested copy):
9. Experience (please attach certificate):
10. Address for correspondence :
11. Permanent address :
12. Employment Registration No. if any :
13. Details of Certificate enclosed (please mention the nam
14. Any other details :
DeclaratIon
I do hereby declare that the particulars furnished above bl me
of my knowledge and belief . Nothing concealed by me. In It
found to be false or-incorrect. my candidature/appointmentm
any notice .

Date:
Place:
, Encls :