Affix Recent Colour Photograph of The Candidate
Affix Recent Colour Photograph of The Candidate
(A 'Navratna' Govt. of India Enterprise) P.O. NEYVELI-607801, Cuddalore District, Tamil Nadu Regd. Office:135 Periyar EVR High Road, Kilpauk, Chennai-600 010)
Registration-Cum-Application Form Registration No. Post Applied Discipline Area Pay Band / Grade : 33521 - 1 : Dy. Executive Engineer : Mechanical : Thermal : 24900-3%-50500 (E-3)
Affix recent Colour Photograph of the Candidate
Advertisement No.
: 06/2011
: Madan Yadav : Shri Raj Kumar Yadav : GF-15 KAPASAN ROAD : ZINC NAGAR CHITTOR GARH Taluk / Mandal : District State Pincode : CHITTORGARH : Rajasthan : 312001 : 9799298589
Contact Number E-mail ID Date of Birth Community Religion EX-Serviceman Person With Disabilities
Qualification Particulars Name of the Degree/Diploma Course Duration (in years) Month/Year of Passing Name of the Board/Institute/University Marks(in %) /Class /Grade 72.4
Degree in 4 Years 5/2006 UTTAR PRADESH Engineering(Mechanical) * TECHNICAL UNIVERSITY * indicates primary qualification selected for the post applied
Experience Particulars Post Held : 1 Organisation Name From Date Nature of Employment Pay Scale & Grade / CTC : ASSOCIATE MANAGER : HINDUSTAN ZINC LIMITED : 05-OCT-2006 : Regular : 6 LACS To Date : 22-OCT-2011 Organisation Type : Private
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: Responsible for overall maintenance of roaster acid, and utilities. Working as safety steward. Responsible for maintaining 5S into the designated Areas. Managing the spare parts and ensuring significant improvement, modifications in the process. Ensuring that the workforce carries on their tasks in a healthy and safe environment. Developing the vendor and interacting with them on a regular basis. Carrying out quality checks of spare parts.
Languages Known Details Language Hindi English Read Yes Yes Write Yes Yes Speak Yes Yes
Have you ever been convicted / detained / Prosecuted / arrested / bound down / debarred / fine by court of Law ? If yes, furnish details Is any case pending against you ? If yes, furnish details Are you related to any employee of NLC ? If yes, provide details of related employee Have you been a candidate for any other post in NLC during the last one Year ? If so, furnish details Whether you have served in NLC in the past in any post ?
: No : No : No : No : No
Application Fee Particulars Mode of Payment Demand Draft Number Date of Issue Name of Issuing Bank Name of Issuing Branch Name of the Payable Branch Demand Draft 561246 11-11-2011 STATE BANK OF INDIA CHITTORGARH STATE BANK OF INDIA NEYVELI
Declaration
I hereby declare that all the above information furnished by me are true and complete. I am aware that furnishing of false / incomplete information will result in rejection of my candidatute /loss of employment, if appointed to the post applied, at any stage. I also undertake to notify any changes in the information furnished, within 7 days of such change.
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Place : Date :
ATTACHMENTS 1. NLC's copy of the Bank Challan / Demand Draft (Whichever applicable), in original. 2. Attested copies of the following Documents / Certficates in proper and valid formats, are to be enclosed a. Date of Birth (Birth Certificate (or) SSLC / Matriculation Mark List). b. Qualification (Provisional /Degree Certificates and Consolidated / Semester-wise mark Stetements, in support of Qualification ). c. First Class (For E-7 Grade) / Second Class(For E-3 Grade) Mine Manager Certificate of Competency Under CMR 1975, if applicable. d. Mine Surveyor Cerificate of Competency under CMR 1957, if applicable. e. Registration Certificate with Medical Council of India /State Medical Council, if applicable. f. Experience Certificates, from the present / previous employer(s). g. Caste / Community Certificate (Applicable for SC/ST/OBC Candidates). h. Disability Certificate, if applicable. i. Discharge Certificate for Ex-Servicemen, if applicable. j. Latest Pay Slip Copy. k. Self certified translated copy of the SC/ST/OBC/Disability certificate either in English or Hindi.
NOTE :
(a) Please do not send any original certificates along with the Registration-Cum-Application Form. Original Certificates are to be produced at the time of Interview. (b) Candidates from PSE/Govt./Quasi Govt. should forward their Registration-Cum-Application Form (obtained ONLINE) through Proper Channel or should produce NOC at the time of Interview.
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