ApplicationFormpdf25052023115201
ApplicationFormpdf25052023115201
Affix recent
passport size
photograph which
should be signed
across
NAME OF THE
APPLICANT
:
I. APPLICATION DETAILS
POSITION APPLIED
1. :
FOR
(Refer Positions at S. No 1 of Detailed Advertisement)
2. IC CODE :
(Refer Positions at S. No 1 of Detailed Advertisement)
4. GRADE CODE
(Refer Remuneration Table at S. No 2 of Detailed Advertisement)
1
LOCATION Mark the location for which
candidate is applying
NEW DELHI
MUMBAI
5. LOCATION CHENNAI
SHILLONG
IMPHAL
GIFT CITY (GUJARAT)
ANYWHERE IN INDIA
6. EXPECTED
:
REMUNERATION (Mention expected consolidated monthly remuneration in Indian
Rupees within the grade applied for as per the Remuneration Table
at S. No 2 of Detailed Advertisement)
CURRENTLY
7. : Indicate Yes/ No _________________
EMPLOYED
NAME OF THE
1. :
APPLICANT
FATHER/HUSBAND’S
2. :
NAME
3. DATE OF BIRTH :
MM/DD/YYYY
4. NATIONALITY :
5. GENDER
6. PAN NO :
PERMANENT
7. :
ADDRESS
2
(Mention Full address with State & Pin code)
8. PRESENT ADDRESS :
9. TELEPHONE NO :
(Mention Residence Number with STD Code)
10. MOBILE NO :
11. EMAIL ADDRESS :
EDUCATIONAL
QUALIFICATIONS
12. :
(Mention in the order
of recency)
3
(Highlight the experience and qualification wherever overlapping)
MEMBERSHIP OF
13. PROFESSIONAL :
ASSOCIATIONS
COUNTRIES OF
15. :
WORK EXPERIENCE
4
III. EMPLOYMENT RECORD (in the order of recency)
Whether
overlapping
Period of Service with full time Length of relevant service
Name of
Designation course
Employer
Education
From To (Yes/No) Years Months
5
IV. PROJECT EXPERIENCE
Name of Assignment/
i. :
Job or Project:
Sector :
Year :
Location :
Client :
Employer :
Activities Performed :
(Mention Activities performed by the Applicant)
Name of Assignment/
ii. :
Job or Project:
Sector :
Year :
Location :
Client :
Employer :
Activities Performed :
(Mention Activities performed by the Applicant)
(Mention all relevant projects undertaken by the Applicant, attach separate sheets for additional
projects while adhering to the format as per table above)
6
V. DECLARATION
I hereby declare that all the statements made in this application-form are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any information
being found false or incorrect at any stage or my not satisfying the eligibility criteria according to the
requirements, my candidature / appointment is liable to be cancelled/terminated.
I hereby agree that any legal proceedings in respect of any matter(s) or claims or disputes
arising out of this application and/or out of said advertisement can be instituted by me only at
Delhi/New Delhi and Courts/Tribunals/Forums at Delhi/New Delhi only shall have sole and
exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and conditions
mentioned in the advertisement given by the Company.
I hereby accept all the Terms & Conditions as mentioned in the advertisement and as a token
of my acceptance submit a signed copy of the detailed advertisement notice along with terms &
conditions of the appointment of Consultants by IPL at Annexure -3 to the Application Form.
7
ANNEXURE -1
INSTRUCTIONS TO APPLICANTS
1. Applicant should fill up the form in Capital Letters and writing should be legible.
2. Application should be filled strictly in accordance with the prescribed format and properly
and completely filled and contains no alteration / cuttings. Company reserves the right to
reject an application, in case found incomplete or otherwise found to be illegible or with
alterations/cuttings.
3. Application Form (Duly filled & Signed on each page) should be submitted along with
copy of the detailed advertisement notice and along with terms & conditions of the
appointment of Consultants by IPL at Annexure -2 to the Application Form signed by the
Applicant as acceptance of the terms & conditions of the process and of the appointment
if selected.
4. Self-Attested Photocopies of all certificates /testimonials are to be provided with the
application form including: -
a. Educational/ Professional Certificates (right from class Xth to the latest)
b. Experience Certificates (including Appointment & Relieving letters of all previous
employers)
c. Copy of last drawn Salary, etc.
No certificate in original is required to be attached with the application. IPL shall not be
responsible for misplacement of such certificates.
5. Please mention all relevant projects in Section 4 – “Project Experience” given above. Attach
Separate sheets for project experience as per the format given.
6. In case it is detected at any stage of appointment process that a candidate does not fulfil the
eligibility norms and/or that he/she has furnished any incorrect / false information /
certificate / documents or has suppressed any material fact(s), his/her candidature will stand
cancelled. If any of these shortcomings is/are detected even after appointment, his/her
services are liable to be terminated.
7. Appointment of selected candidate will be subject to his / her being declared medically fit by
a Registered Medical Practitioner acceptable to IPL, satisfactory report about his / her
character and antecedents by the Police Authorities, satisfactory report from his / her
referees, and completion of all other pre recruitment formalities to the complete satisfaction
of IPL.
8
ANNEXURE -2
1.1 Legal Status: The Individual Consultant shall have the legal status of an independent
Consultant vis-a-vis. IPL and shall not be regarded, for any purposes, as being either a “staff
member “of IPL, or an “official “of IPL. Accordingly, nothing within or relating to the Contract
shall establish the relationship of employer and employee, or of principal and agent, between
IPL and the Individual Consultant.
1.2 Standards of Conduct:
1.2.1 In General, the Individual Consultant shall neither seek nor accept instructions from any
authority external to IPL in connection with the performance of his/her obligations under the
Contract. The Individual Consultant shall not take any action in respect of his/her
performance of the Contract or otherwise related to his/her obligations under the Contract
that may adversely affect the interests of IPL and/ or IIFCL, and the Individual Consultant
shall perform his/her obligations under the Contract with the fullest regard to the interests
of IPL. The Individual Consultant warrants that he/she has not and shall not offer any direct
or indirect benefit arising from or related to the performance of the Contract or the award
thereof to any representative, official, employee or other agent of IPL and/ or IIFCL. The
Individual Consultant shall comply with all laws, ordinances, rules and regulations bearing
upon the performance of his/her obligations under the Contract. In the performance of the
Contract the Individual Consultant shall comply with the standards of conduct. Failure to
comply with the same is grounds for termination of the Individual Consultant for cause.
1.2.2 Prohibition of Sexual Exploitation and Abuse: In the performance of the Contract the
Individual Consultant shall comply with the “Sexual Harassment of Women at Workplace
(Prevention, Prohibition and Redressal) Act, 2013”. The Individual Consultant acknowledges
and agrees that any breach of any of the provisions hereof shall constitute a breach of an
essential term of the Contract, and, in addition to any other legal rights or remedies available
to any person, shall give rise to grounds for termination of the Contract. In addition, nothing
herein shall limit the right of IPL to refer any alleged breach of the foregoing standards of
conduct to the relevant national authorities for appropriate legal action.
1.3 Title Rights, Copyrights, Patents and Other Proprietary Rights:
1.3.1 Title to any equipment and supplies that may be furnished by IPL to the Individual Consultant
for the performance of any obligations under the Contract shall rest with IPL, and any such
equipment shall be returned to IPL at the conclusion of the Contract or when no longer
needed by the Individual Consultant. Such equipment, when returned to IPL, shall be in the
same condition as when delivered to the Individual Consultant, subject to normal wear and
9
tear, and the Individual Consultant shall be liable to compensate IPL for any damage or
degradation of the equipment that is beyond normal wear and tear.
1.3.2 IPL shall be entitled to all intellectual property and other proprietary rights, including, but
not limited to, patents, copyrights and trademarks, with regard to products, processes,
inventions, ideas, know-how or documents and other materials which the Individual
Consultant has developed for IPL under the Contract and which bear a direct relation to or
are produced or prepared or collected in consequence or, or during the course of, the
performance of the Contract, and the Individual Consultant acknowledges and agrees that
such products, documents and other materials constitute works made for hire for IPL. Subject
to the foregoing provisions, all maps, drawings, photographs, mosaics, plans, reports,
estimates, recommendations, documents and all other data compiled by or received by the
Individual Consultant under the Contract shall be the property of IPL, shall be made available
for use or inspection by authorized officials of IPL at reasonable times and in reasonable
places, shall be treated as confidential and shall be delivered only to IPL authorized officials
on completion of work under the Contract.
1.4 Confidential Nature of Documents and Information: The Individual Consultant would be
subject to the provisions of the Indian Official Secrets Act, 1923. The Individual Consultant shall
not, except with the previous sanction of IPL or in the bona fide discharge of his or her duties,
publish a book or a compilation of articles or participate in radio/TV/Internet broadcast or
contribute an article or write a letter in any newspapers or periodical either in his own name
or anonymously or pseudonymously in the name of any other person. If such book, article,
broadcast or letter relates to subject matter assigned to him by IPL.
1.5 Use of Name, Emblem or Official Seal of IPL: Individual consultant shall not advertise or
otherwise make public for purposes of commercial advantage that it has a contractual
relationship with IPL, nor shall the Individual consultant, in any manner whatsoever, use the
name, emblem or official seal of IPL, or any abbreviation of the name of IPL, in connection with
its business or otherwise without the written permission of IPL.
1.6 Insurance: The Individual consultant shall be solely responsible for taking out and for
maintaining adequate insurance required to meet any of its obligations under the Contract, as
well as for arranging, at the Individual consultant’s sole expense, such life, health and other
forms of insurance as the Individual consultant may consider to be appropriate to cover the
period during which the Individual consultant provides services under the Contract.
1.7 Travel, Medical Clearance and Service Incurred Death, Injury or Illness:
1.7.1 IPL may require the Individual consultant to submit “Medical Fitness Certificate from
Registered Medical Practitioner” prior to commencement of work in any offices or premises
of IPL.
1.7.2 In the event of the Death, injury or illness of the Individual consultant which is attributable
to the performance of services on behalf of IPL under the terms of the Contract while the
Individual Consultant is traveling at IPL expense or is performing any services under the
10
Contract at any place, the Individual consultant or the Individual consultant’s dependents, as
appropriate, shall not be entitled to any compensation.
1.8 Force Majeure and other Conditions:
1.8.1 Force Majeure as used herein means any unforeseeable and irresistible act of nature, any act
of war (whether declared or not), invasion, revolution, insurrection, or any other acts of a
similar nature or force, provided that such acts arise from causes beyond the control and
without the fault or negligence of the Individual consultant.
1.8.2 The Individual consultant acknowledges and agrees that, with respect to any obligations
under the Contract that the Individual consultant must perform in or for any areas in which
IPL is engaged in, preparing to engage in, or disengaging from any peacekeeping,
humanitarian or similar operations, any delay or failure to perform such obligations arising
from or relating to harsh conditions within such areas or to any incidents of civil unrest
occurring in such areas shall not, in and of itself, constitute force majeure under the Contract.
1.9 Termination: IPL can terminate the contract at any time without prior notice and without
providing any reason for it. However, in the normal course it will provide one month’s notice
to the individual consultant. The Individual consultant can also seek for termination of the
contract upon giving one month’s notice to IPL.
1.10 Audits and Investigations: Each invoice paid by IPL shall be subject to a post-payment audit
by auditors, whether internal or external, of IPL or by other authorized and qualified agent of
IPL at any time during the term of the Contract and for a period of two (2) years following the
expiration or prior termination of the Contract. IPL shall be entitled to a refund from the
Individual Consultant for any amounts shown by such audits to have been paid by IPL other
than in accordance with the terms and conditions of the Contract. The Individual Consultant
acknowledges and agrees that, from time to time, IPL may conduct investigations relating to
any aspect of the Contract or the award thereof, the obligations performed under the Contract,
and the operations of the Individual Consultant generally relating to performance of the
Contract. The right of IPL to conduct an investigation and the Individual Consultant’s obligation
to comply with such an investigation shall not lapse upon expiration or prior termination of
the Contract. The Individual Consultant shall provide its full and timely cooperation with any
such inspect ions, post-payment audits or investigations. Such cooperation shall Include, but
shall not be limited to, the Individual Consultant’s obligation to make available its personnel
and any relevant documentation for such purposes at reasonable times and on reasonable
conditions and to grant to IPL access to the Individual Consultant’s premises at reasonable
times and on reasonable conditions in connection with such access to the Individual
Consultant’s personnel and relevant documentation.
1.11 Settlement of Disputes: IPL and the Individual Consultant shall use their best efforts to
amicable settle any dispute, controversy or claim arising out of the Contract or the breach,
termination or invalidity thereof.
1.12 Arbitration: Any dispute, controversy or claim between the parties arising out of the Contract,
or the breach, termination, or invalidity thereof, unless settled amicably, as provided above,
11
shall be referred by either of the parties to the CEO, IPL for arbitration. The CEO IPL may
appoint an arbitrator for the settlement of the controversy.
1.13 Conflict of Interest: The Individual Consultant shall be expected to follow all the rules and
regulations of the Government of India which are in force. He/she will be expected to display
utmost honesty, secrecy of office and sincerity while discharging his/her duties. In case the
services of the Individual Consultant are not found satisfactory or found in conflict with the
interests of IPL and or IIFCL & its subsidiaries, his/her services will be liable for
discontinuation without assigning any reason.
1.14 Payment: The payment will be released by IPL within one week after completion of the month
based on the biometric attendance registered by the Individual consultant or on certification
by competent authority of IPL in case the individual consultant has been deputed to any other
place.
1.15 Leave – The Individual Consultants shall be entitled to leave at the rate of 1.5 days of each
completed month with no accumulation of leave beyond a calendar on pro-rata basis. Further,
the absence up to one month may be considered without remuneration. However, in
Exceptional cases for professional development, training etc. this condition may be relaxed by
CEO, IPL. Apart from this the Female Consultant(s) may be eligible for maternity leave as per
the Maternity Benefit (Amendment) Act, 2017 issued by Ministry of Labour and Employment
vide S-36012/03/2015-SS-1 Dated 12th April, 2017.
1.16 Tax Deduction at Source: The Income Tax or any other tax liable to be deducted, as per the
prevailing rules will be deducted at source before effecting the payment, for which IPL will
issue TDS Certificate(s), Goods and Service Tax, as applicable shall be admissible to the
Individual Consultants. IPL undertakes no liability for taxes or other contribution payable by
the Individual Consultant on payments made under this contract.
1.17 Police Verification: Police verification of the Individual Consultants shall be done as per the
latest instructions issued by MHA. In case the police verification is received as negative, the
contract of Individual consultant shall cease to exist with immediate effect without any notice.
1.18 Duties of an Individual Consultant in times of need: In times of need it shall be the duty of
every Individual Consultant to carry out all such duties and actions as may be necessary to
ensure the carrying out of the normal work of every day including securing access to the office
premises, documents and equipment and receipt handling, processing, movement and
dispatch of documents and records.
1.19 Individual Consultants to promote IPL’s interests: Every Individual Consultant shall serve
IPL honestly and faithfully and shall use the utmost endeavours to promote the interests of IPL
and shall show courtesy and attention in all transactions and dealings with the officers of
Government/Clients and the constituents of IPL.
1.20 Prohibition against participation in politics and standing for elections: No Individual
Consultant shall take an active part in politics or in any political demonstrations or stand for
election as member of a Municipal Council, District Board or any other Local or Legislative
Body without specific approval in writing from IPL.
12
1.21 Prohibition against influencing: No Individual Consultant of IPL shall use his/her position or
influence directly or indirectly to secure employment for self or any member of his/her family
with IPL/IIFCL or with any of its constituents or with any other undertaking or body having
regular official dealings with the IPL.
1.22 Canvassing: No Individual Consultant shall bring or attempt to bring any political or other
influence to bear upon any official of IPL/IIFCL to further interests in respect of matters
pertaining to their contract with IPL.
1.23 Prohibition against disparaging statement: No Individual Consultant shall in any broadcast
over radio or television or in any published document or communication to the press or in
public utterance make any statement which has the effect of disparaging IPL/IIFCL or its
management or bringing the same into disrepute.
1.24 Prohibition of Part-time work for outside bodies: No Individual Consultant shall undertake
part-time work for a private or public body or a private person, or accept any fee therefor,
without the sanction of the Competent Authority, which shall grant the sanction only in
exceptional cases when it is satisfied that the work can be undertaken without detriment to
the duties and responsibilities allocated to the Individual Consultant by IPL. The Competent
Authority may, in cases in which it thinks fit to grant such sanction, stipulate that any fees
received by the Individual Consultant for undertaking the work shall be paid, in whole or in
part, to IPL.
1.25 Individual Consultant not to be absent from duty without permission: An Individual
Consultant shall not be absent from his/her duties without having first obtained the
permission of the Competent Authority.
1.26 Acceptance of Gifts: An Individual Consultant shall not solicit or accept or permit any member
of his family or any other person acting on his behalf to accept any gift from a constituent of
IPL or from any employee.
1.27 Giving and taking dowry: An Individual Consultant shall not (i) Give or take or abet the giving
or taking of dowry, or (ii) demand, directly or indirectly, from the parents or guardians of a
bride or bridegroom, as the case may be, any dowry
1.28 Restrictions on consumption of intoxicating drinks etc.: An Individual Consultant shall:-
(a) strictly abide by any law relating to intoxicating drinks or drugs, in force in the area in which
the Individual Consultant may, for the time being, happen to be posted or on duty. (b) not be
under the influence of any intoxicating drink or drug while on duty and shall also take care that
performance of duties by the Individual Consultant is not affected in any way by the influence
of such drink or drug; (c) refrain from consuming in a public place any intoxicating drink or
Drug. (d) not appear in a public place in a state of intoxication. (e) not use any intoxicating
drink or drug to excess
1.29 Private trading: No Individual Consultant shall engage in any commercial business or pursuit
either on account of the Individual Consultant or as agent for others, nor act as an agent for or
canvass for business in favour of any person, nor shall the Individual Consultant be connected
with the formation or management of a partnership firm or a joint stock company
13
1.30 Speculating in stocks, shares etc. and restrictions on investments: An Individual
Consultant shall not speculate in stocks, shares or securities or commodities or valuables of
any description
14
ANNEXURE -3
Sent by:
_____________________________________
_____________________________________
_____________________________________