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774 1 Application Format-Operation-Agent

This document provides a format for applying for the position of Operation Agent. It requests information such as the applicant's name, contact details, date of birth, nationality, religion, and caste. Educational qualifications from matriculation onwards are to be listed, along with details of past work experience. The applicant must provide a declaration and attach documents including a fee payment, caste certificate if applicable, marksheets, degree certificates, experience certificates, and identity proof.

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Anand Shinde
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0% found this document useful (0 votes)
89 views

774 1 Application Format-Operation-Agent

This document provides a format for applying for the position of Operation Agent. It requests information such as the applicant's name, contact details, date of birth, nationality, religion, and caste. Educational qualifications from matriculation onwards are to be listed, along with details of past work experience. The applicant must provide a declaration and attach documents including a fee payment, caste certificate if applicable, marksheets, degree certificates, experience certificates, and identity proof.

Uploaded by

Anand Shinde
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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FORMAT OF APPLICATION FOR THE POST OF OPERATION AGENT

Paste recent
1. Full Name : passport size
___________________________________________
First Middle Surname photograph
a) Father's Name : (DO NOT
2. Mailing Address : ___________________________________________ STAPLE)

___________________________________________
___________________________________________
a) Telephone No. : ___________________________________________
b) Mobile : ___________________________________________
c) Email : ___________________________________________
3. Date of birth (DD/MM/YYYY) :
___________________________________________
4. Age (as on 01.06.2019) :
(Years) (Months) (Days)

: __________________ 6. Religion ________________


5. Nationality
7. Category :
SC ST OBC EWS GEN
(Indicate category to which you belong by marking "X" in the appropriate box and also mention sub-caste)
i) If SC/ST – attach copy of the caste certificate as per Central Govt. Format.
ii) If OBC, furnish current certificate including the "Non-Creamy Layer Clause" OBC Community should be as per the Central
List of OBCs published by the Govt. of India.

8. Educational Qualifications : (Matriculation / SSC onwards) :


Examination(s) passed Date, Month
Name of the University / Percentage of Marks
(Specify Degree / Diploma / and year of Duration
Institution (Class / Division)
Course) passing

9. Experience:
Name of the Organisation Post Held Period Nature of job
From To

10. Demand Draft No & Date: __________________________________ Issuing Bank:__________________________

Declaration: I hereby certify that the foregoing information is best to my knowledge and belief. I am aware that in
case I have given wrong information or suppressed any material fact or factual information then my candidature will
be rejected.

Date: (S ignature of Candidate)


List of following documents must be attached with the application):
(Please also bring all ORIGINALS for verification only along with self attested photo copies)

1. Application Fee in form of Demand Draft of Rs.500/-, wherever applicable.

2. Date of Birth Proof (School Leaving Certificate/SSC Passing Certificate only)

3. Caste Certificate in case of SC / ST / OBC candidates.

4. EWS Certificate, if applicable

5. Matriculation Mark-sheet and SSC Passing Certificate

6. 12th Std. / Pre-Degree Mark-sheet and Passing Certificate.

7. 1st Year Graduation Mark-sheet & passing certificate

8. 2nd Year Graduation Mark-sheet & passing certificate

9. 3rd Year Graduation Mark-sheet, Degree Certificate or Provisional Degree Certificate

10. Any other Certificate

11. Experience Certificate(s)

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