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Annexure-B
ADVT. NO & DATE :-----------------------------------------------------------
APPLICATION FOR THE POST OF :--------------------------------------------------
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THE CHIEF GENERAL MANAGER
ORDNANCE FACTORY MEDAK( A UNIT OF AVNL)
YEDDUMAILARM,SANGAREDDY,TG-502205
APPLICATION FOR ENGAGEMENT OF PROFESSIONALS ON FIXED TERM CONTRACT BASIS
Sl.No Particulars
1 Name (in Block Letters)
2 Father’s/Mother’s/Husband’s Name
3 Gender(Male /Female)
4 Date of Birth (DD/MM/YYYY)
Age in Yrs./Months. As on the date of
Advertisement
5 Whether Belongs to
SC/ST/OBC(NCL)/EWS/PWD/ESM/Others
6 Highest Qualification
7 Total Post Qualification work experience as
on the date of Advertisement
8 Date of Retirement /Separation from the last
employment
(i) Name of the Company /Department
(working/retired)
(ii) Whether CPSE / STATE PSU / GOVT.
Department / Reputed /Large Private Sector
Organization
(iii) Post Currently held on Regular (Substantive)
basis with Pay Scale, Level and Grade Pay
(Under IDA & CDA Pay Scales) or on the Date
of Retirement / Separation.
9 Present Address for Communication
10 Permanent Address
11 Contact Mobile No.
Alternate contract No.
12 E-mail id:
13 AADHAR Number/PAN Number
14 Details of Application Fee Remitted
15 Mode/E-MRO Date/Bank Details
Cont..09/-
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16. EDUCATIONAL QUALIFICATIONS:
SI. Qualifications from I0th Class % of marks Year of Name of Affiliated
No. onwards obtained/CGPA passing School/College institute/university
17. PARTCULARS OF EXPERIENCE:
Name of the Post Held Period of Employment Pay Scale/ CTC Major
Company I from To Level & Grade (In Rs.) in Responsibilities
Organization pay in case of other cases
PSUs/Govt.Depts
Additional relevant information, if any, which you would like to mention in support of your suitability for
the post (Attach separate sheet, if necessary)
DECLARATION
I, the undersigned, certify that to the best of my knowledge and belief, this CV correctly describes myself,
my qualifications, and my experience. I understand that any wilful misstatement described herein may lead
to my disqualification or dismissal, if engaged.
I, the undersigned, also understand that the engagement is purely temporary and contractual and on Fixed Term
Contract Basis and it is not against any permanent vacancy and this engagement will not give any claim for
regular/permanent employment in the Company.
Signature of the Candidate
Place:
Date:
Documents to be enclosed (which ever applicable)
Valid document evidencing date of birth of the candidate (Secondary / Matriculation School
Certificate/Birth Certificate).
Educational Certificates – Mark sheets & Degree (Diploma, Graduation, Post –Graduation).
Work experience –
(A) Joining –Relieving Letter from Company/Organisation.
(B) Experience /Service Certificate /Salary statement/Bank statement issued by
company/Organisation. (It should indicate date of joining and date of relieving from
each organization where worked).
(C) Salary Certificate together with ITR or Form-16 A issued by present / past employer(s).
Caste Certificate in case of candidates belonging to reserved category.
Cont..10/-
