Scribd
Upload
26 views

Vancancydocument-Annexure B - Application Form

Uploaded by

9782288163
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
26 views

Vancancydocument-Annexure B - Application Form

Uploaded by

9782288163
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

ANNEXURE-‘B’

Paste
SAGARMALA DEVELOPMENT COMPANY LIMITED Recent
(A Government of India Enterprises) Passport Size
1st Floor, Thapar House, Gate No. 2, 124, Janpath, New Delhi-110001 Photograph

APPLICATION FOR EMPLOYMENT

1. Name of Post applied for :

2. Name (in full & block letter) :

3. Gender :

4. Father’s Name :

5. Date of Birth & Age as on (last date of :


application)

6. Whether UR/SC/ST/OBC/EWS/ Ex- :


Servicemen/PWD
7. Full Address for correspondence :

7A Email :

7B Mobile No. :

8. Permanent Address :

9. Nationality :

10. Marital Status :

11. Educational & Essential Qualification


(starting from Matriculation /HSC to essential qualification)

Exam passed Name of Board / Month Subjects taken Division % of


University/Institute & Year Marks
of
Passing
th
10 Class /
HSC

12th Class /
Intermediate
b) Additional / Desirable Qualification

Exam passed Name of board / Month Subjects taken Division % of


University/Institute & Year Marks
of
Passing

12 Post Qualification Experience (starting from current employment to past employment in


chronological order)
Name & Post held / Duration Nature of Pay Scale, Whether Reasons
Address of Designatio (DD/MM/YYY Duties / Work Gross Salary Govt/PSU/ for
the Employer n, Level / details (Job drawn (in Autonomo Leaving
Grade Description) case of us Body /
From To Date Private Pvt. Org.
Date Organisation)
1 2 3 4 5 6 7 8

Total post qualification experience __________ Years __________ Months.


NB: Total Turnover of my company is ₹ ___________________ for current year. ₹ _________________ for last year (in
case of candidates working in Private Sector only).
13 Are you holding lien presently? if yes, mention
in detail.
14 Whether any punishment has been awarded to
you during your service? If yes, mention in
detail.
15. Whether any disciplinary action is pending / is
going on now against you? If yes, mentioned in
details
16 Why do you consider yourself suitable for the
post? Mention not exceeding in 100 words in a
separate sheet.

17 Details of Demand Draft

Name of the Bank DD No. Date Amount paid in ₹

Declaration:

I hereby declare that all the particulars furnished in this application form are true, complete, and correct
to the best of my knowledge and belief. In the event, the information is found to be false or incorrect at any
stage, my candidature / appointment may be considered terminated without any notice.

Place:___________

Date: ___________

(SIGNATURE OF THE APPLICANT)

You might also like