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NATIONAL HEALTH CARE ORGANIZATION
(www.Nationalhealthcare.org.in)
Advt. No. 1/2013 Closing Date: 08.06.2013
VACANCIES
GEN OBC SC ST Total
2760 1314 489 153 4716
Cat. No: - 01 District Coordinator = 523 Posts
Salary =22,500/per month + Medical + HRA + T.A
Qualification: - (i) Post Graduate in any discipline from recognized university & its equivalent.
(ii) Basic knowledge of Computer.
Age Limit: - 21-40 years
Not below 21 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than
02.01.1973 and not later than 01.01.1992 (both days inclusive)
Relaxation in the Upper Age Limit to Reserved category candidates
Upper age is relaxable by
(i) 3 years in the case of OBC candidates.
(ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division
of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989.
NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE
ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS.
Cat. No: - 02 Instructor = 523 Posts
Salary =20,300/per month + Medical + HRA + T.A
Qualification: - (i) ANM or GNM (Any one) from recognized university & its equivalent.
Age Limit: - 18-40 years
Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than
02.01.1973 and not later than 01.01.1995 (both days inclusive)
Relaxation in the Upper Age Limit to Reserved category candidates
Upper age is relaxable by
(i) 3 years in the case of OBC candidates.
(ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division
of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989.
NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE
ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS.
Cat. No: - 03 Field Assistant = 1049 Posts
Salary =19,400/per month + Medical + HRA + T.A
Qualification: - (i) Graduation in any discipline from the recognized board/University
(ii) Basic Knowledge of computer
Age Limit: - 18-40 years
Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than
02.01.1973 and not later than 01.01.1995 (both days inclusive)
Relaxation in the Upper Age Limit to Reserved category candidates
Upper age is relaxable by
(i) 3 years in the case of OBC candidates.
(ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division
of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989.
NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE
ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS.
Cat. No: - 04 Data Entry Operator cum Clerk = 523 posts
Salary =17,300/per month + Medical + HRA + T.A
Qualification: - (i) 10+2 in any discipline from the recognized board.
(ii) Basic knowledge of computer (Word, Excel etc)
Age Limit: - 18-40 years
Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than
02.01.1973 and not later than 01.01.1995 (both days inclusive)
Relaxation in the Upper Age Limit to Reserved category candidates
Upper age is relaxable by
(i) 3 years in the case of OBC candidates.
(ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division
of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989.
NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE
ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS.
Cat. No: - 05 Supporting Staff = 2098 Posts
Salary =19,000/per month + Medical + HRA + T.A
Qualification: - (i) 10+2 in any discipline from the recognized board.
(ii) Preference will be given to the higher education
Age Limit: - 18-40 years
Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than
02.01.1973 and not later than 01.01.1995 (both days inclusive)
Relaxation in the Upper Age Limit to Reserved category candidates
Upper age is relaxable by
(i) 3 years in the case of OBC candidates.
(ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division
of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989.
NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE
ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS.
SELECTION PROCEDURE:
(a) Phase-I: Written Examination (250 marks) consisting of Objective Tests and Descriptive Test.
(i) Objective Tests (200 marks): The Objective Tests with 2 hour duration will consists of 4 Sections with 50
marks each as follows:
(a) Test of English Language (Grammar, Vocabulary, Comprehension etc)
(b) Test of General Awareness, Marketing and Computers
(c) Test of Data Analysis and Interpretation
(d) Test of Reasoning
The candidates are required to qualify in the Objective Tests by securing passing marks, in each of the tests, to be
decided by the Organization on the basis of the performance of all the competing candidates taken together in each test
to a minimum required level for each category.
(ii) Descriptive Test (50 marks): The Descriptive Test with 1 hour duration will be of “Test of English Language
(comprehension, short précis, letter writing & essay)”. The candidates are required to qualify in the Descriptive Test by
securing passing marks, to be decided by the Organization.
Descriptive Test paper of only those candidates will be evaluated who have scored qualifying marks in the
Objective Tests as stated above in (i).
(b) Phase-II: Interview (100 marks)
The aggregate marks of candidates qualifying in both the Objective Tests and Descriptive Test will be arranged in
descending order in each category and the candidates in the order of merit, will be called for Interview. The qualifying
marks in Interview will be as decided by the Organization.
(c) Final Selection:
The candidates will have to qualify both in Phase-I and Phase-II separately.
Marks secured by the candidates in the Written Test (out of 250 marks maximum) are converted to out of 100 and
marks secured in Interview (out of 100 marks maximum) are converted to out of 50. The final merit list is arrived at
after aggregating converted marks of Written Test and Interview out of 100 for each category. The selection will be
made from the top merit ranked candidates in each category.
Results of the candidates who have qualified for Phase II and thereafter, the list of candidates finally selected will be
available on the Organization’s website.
APPLICATION FEE AND INTIMATION CHARGE: (Non Refundable)
S. No. Category Total
1. SC / ST Rs. 250/- (Intimation Charges only)
2. General and Others Rs. 500/- (App. fee including intimation charges)
Fee / Postal charges once paid will NOT be refunded on any account nor can it be held in reserve for any other
examination or selection.
How to Apply & General information: -
1. Download the application form from our website or Fill online application form.
2. Self-attested copies of educational qualifications, experience etc. should be attached with the
application.
3. Candidates are advised to carefully read the full advertisement for details of educational qualification
and other eligibility criteria before send of application.
4. Candidates are required to attach (application fee) a Demand Draft of:
General and OBC candidates: Rs. 500/- (Rs. Five hundred only)
SC/ST candidates: Rs. 250/- (Rs. Two hundred fifty only)
With the Application form as application fee (non-refundable) in favour
of NATIONAL HEALTH CARE ORGANIZATION payable at DELHI. Candidate must write
their name and address at the reverse of the demand draft.
5. The refund of cost of application form will not be allowed in any case.
6. The applications complete in all respect should reach at “The Secretary, NATIONAL HEALTH
CARE ORGANIZATION, R.O-6, Ram Bagh Road, Subzi mandi, Delhi-110007” on or before
08.06.2013 up to 05:00PM.
7. Application received in the organization after the closing date and time will not be considered.
8. All the posts are on contractual basis (Three years) but likely to continue.
9. Salary will be increased yearly 10%.
10. Organization reserves the right to fill up or not to fill up any post(s).
11. Candidates can apply for more than one post will have to submit separate application for each
post.
12. Application can be sent only by registered post & speed post.
13. Application that are not in conformity with the requirements indicated in this advertisement/ in
complete application/ those received after the last date will not be entertained.
14. The organization reserves the right to reject any application without assigning any reason whatever.
15. Canvassing in any form or bringing of any influence, political or otherwise, will be treated as a
disqualification.
16. The recruitment process can be postponed/suspended/ terminated without any prior notice assigning
any reason at any stage.
17. For any clarification(s), you can contact over send mail to contact@nationalhealthcare.org.in
18. Any Person who is belonging from India can apply for any of the above vacancy.
19. Please mention the Post name on the Envelope.
State wise Detailed Vacancies: -
Haryana State
Cat No. Post Name GEN OBC SC ST Total
01 District Coordinator 30 14 6 2 52
02 Instructor 30 14 6 2 52
03 Field Assistant 60 28 12 5 105
04 Data Entry operator cum clerk 30 14 6 2 52
05 Supporting Staff 120 56 24 10 210
Total 270 126 54 21 471
Punjab State
Cat No. Post Name GEN OBC SC ST Total
01 District Coordinator 26 13 9 2 50
02 Instructor 26 13 9 2 50
03 Field Assistant 55 29 12 4 100
04 Data Entry operator cum clerk 26 13 9 2 50
05 Supporting Staff 110 58 24 8 200
Total 243 126 63 18 450
Uttar Pradesh State
Cat No. Post Name GEN OBC SC ST Total
01 District Coordinator 110 50 20 7 187
02 Instructor 110 50 20 7 187
03 Field Assistant 220 100 40 15 375
04 Data Entry operator cum clerk 110 50 20 7 187
05 Supporting Staff 440 200 80 30 750
Total 990 450 180 66 1686
Delhi State
Cat No. Post Name GEN OBC SC ST Total
01 District Coordinator 15 7 4 1 27
02 Instructor 15 7 4 1 27
03 Field Assistant 30 14 8 2 54
04 Data Entry operator cum clerk 15 7 4 1 27
05 Supporting Staff 60 28 16 4 108
Total 135 63 36 9 243
Rajasthan State
Cat No. Post Name GEN OBC SC ST Total
01 District Coordinator 50 23 7 2 82
02 Instructor 50 23 7 2 82
03 Field Assistant 105 40 15 5 165
04 Data Entry operator cum clerk 50 23 7 2 82
05 Supporting Staff 210 80 30 10 330
Total 465 189 66 21 741
Madhya Pradesh State
Cat No. Post Name GEN OBC SC ST Total
01 District Coordinator 73 40 10 2 125
02 Instructor 73 40 10 2 125
03 Field Assistant 146 80 20 4 250
04 Data Entry operator cum clerk 73 40 10 2 125
05 Supporting Staff 292 160 40 8 500
Total 657 360 90 18 1125
APPLICATION FORM
Please follow these instructions :
1. Fill the form in English only.
2. Use only Capital Block letters while filling the form.
Serial No. ............................
(For Office Use)
Post Applied For
Full Name
Father's Name
Sex :
Marital Status :
Mobile :
Date of Birth :
(i) Are you seeking age relaxation ? Yes No 10. Nationality
(ii) If yes, attach proof on standard format.
Educational Qualification (Attach self attested copy as proof)
Detail of Demand Draft (DD) enclosed :
Preference for State Choose : 1. 2. 3. 4.
(A) Address of Correspondence (This address shall be used till and of selection process) in Capital Letters :
(B) Present Address (in Capital Letters) :
S.No. Examination passed/Appearing University/Board Year of Passing % of Marks Division
Name of Bank DD No. Date of DD Amount
Pin
State
Pin
State
M F 5.Cateogry : GEN OBC SC ST
Single Married
E-mail :
D D M M Y Y Y Y
1.
2.
3.
4.
6.
7.
8.
11.
12.
13.
PHOTO
Please Paste Your
Recent Coloured
Photograph
Land Line
9.
14.
1.
2.
3.
4.
5.
6.
Mention Detail if registered in Employment Exchange (Optional)
Experience if any starting from previous to present : Total Experience...................years..................months
Declaration :
I.................................................Son/Daughter/Wife of...............................................................................hereby declare
that :
A) All the Statement made in this application are true, complete to the best of my knowledge and belief, and have been
filled in my own handwriting.
B) I have read and understood all the provisions mentioned in the advertisement and undertake to abide by them.
C) I understand that in the event of any information being found suppressed, false or incorrect or any ineligibility being
detected before or after the examination/selection, my candidature/selection/appointment is liable to be cancelled.
(A) Left HandThumb Impression (B) Signature of Candidate
Place : .................................................. Date..............................................
Please Tick mark (a
) the following check list :
(i) Application Form signed and photograph pasted.
(ii) Self attested copies of all required certificate/documents attached.
(iii) Proof ofAge (i.e. self attested copy of Xth Class certificate) attached.
(iv) Original Demand Draft attached.
(v) Self attested copies of SC/ST/OBC etc. certificate attached, if claimed.
Name & Address of Employment Exchange Registration No. Date of Registration
Name & Address
of Employer
Scale of Pay/Salary
per month
Total
Experience
Designation Service Period
From To
Nature of
Duty
15.
16.
17.

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Anm

  • 1. NATIONAL HEALTH CARE ORGANIZATION (www.Nationalhealthcare.org.in) Advt. No. 1/2013 Closing Date: 08.06.2013 VACANCIES GEN OBC SC ST Total 2760 1314 489 153 4716 Cat. No: - 01 District Coordinator = 523 Posts Salary =22,500/per month + Medical + HRA + T.A Qualification: - (i) Post Graduate in any discipline from recognized university & its equivalent. (ii) Basic knowledge of Computer. Age Limit: - 21-40 years Not below 21 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than 02.01.1973 and not later than 01.01.1992 (both days inclusive) Relaxation in the Upper Age Limit to Reserved category candidates Upper age is relaxable by (i) 3 years in the case of OBC candidates. (ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989. NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS. Cat. No: - 02 Instructor = 523 Posts Salary =20,300/per month + Medical + HRA + T.A Qualification: - (i) ANM or GNM (Any one) from recognized university & its equivalent. Age Limit: - 18-40 years Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than 02.01.1973 and not later than 01.01.1995 (both days inclusive) Relaxation in the Upper Age Limit to Reserved category candidates Upper age is relaxable by (i) 3 years in the case of OBC candidates. (ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989. NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS. Cat. No: - 03 Field Assistant = 1049 Posts Salary =19,400/per month + Medical + HRA + T.A Qualification: - (i) Graduation in any discipline from the recognized board/University (ii) Basic Knowledge of computer Age Limit: - 18-40 years Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than 02.01.1973 and not later than 01.01.1995 (both days inclusive) Relaxation in the Upper Age Limit to Reserved category candidates Upper age is relaxable by (i) 3 years in the case of OBC candidates. (ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989. NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS.
  • 2. Cat. No: - 04 Data Entry Operator cum Clerk = 523 posts Salary =17,300/per month + Medical + HRA + T.A Qualification: - (i) 10+2 in any discipline from the recognized board. (ii) Basic knowledge of computer (Word, Excel etc) Age Limit: - 18-40 years Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than 02.01.1973 and not later than 01.01.1995 (both days inclusive) Relaxation in the Upper Age Limit to Reserved category candidates Upper age is relaxable by (i) 3 years in the case of OBC candidates. (ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989. NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS. Cat. No: - 05 Supporting Staff = 2098 Posts Salary =19,000/per month + Medical + HRA + T.A Qualification: - (i) 10+2 in any discipline from the recognized board. (ii) Preference will be given to the higher education Age Limit: - 18-40 years Not below 18 years and not above 40 years as on 01.01.2013 i.e. candidates must have been born not earlier than 02.01.1973 and not later than 01.01.1995 (both days inclusive) Relaxation in the Upper Age Limit to Reserved category candidates Upper age is relaxable by (i) 3 years in the case of OBC candidates. (ii) 5 years in the case of: (a) SC/ST candidates. (b) Candidates who had ordinarily been domiciled in Kashmir Division of the State of Jammu and Kashmir between 1st January, 1980 and 31st December, 1989. NOTE: CUMULATIVE AGE RELAXATION WILL NOT BE AVAILABLE EITHER UNDER THE ABOVE ITEMS OR IN COMBINATION WITH ANY OTHER ITEMS. SELECTION PROCEDURE: (a) Phase-I: Written Examination (250 marks) consisting of Objective Tests and Descriptive Test. (i) Objective Tests (200 marks): The Objective Tests with 2 hour duration will consists of 4 Sections with 50 marks each as follows: (a) Test of English Language (Grammar, Vocabulary, Comprehension etc) (b) Test of General Awareness, Marketing and Computers (c) Test of Data Analysis and Interpretation (d) Test of Reasoning The candidates are required to qualify in the Objective Tests by securing passing marks, in each of the tests, to be decided by the Organization on the basis of the performance of all the competing candidates taken together in each test to a minimum required level for each category. (ii) Descriptive Test (50 marks): The Descriptive Test with 1 hour duration will be of “Test of English Language (comprehension, short précis, letter writing & essay)”. The candidates are required to qualify in the Descriptive Test by securing passing marks, to be decided by the Organization. Descriptive Test paper of only those candidates will be evaluated who have scored qualifying marks in the Objective Tests as stated above in (i). (b) Phase-II: Interview (100 marks) The aggregate marks of candidates qualifying in both the Objective Tests and Descriptive Test will be arranged in descending order in each category and the candidates in the order of merit, will be called for Interview. The qualifying marks in Interview will be as decided by the Organization. (c) Final Selection: The candidates will have to qualify both in Phase-I and Phase-II separately. Marks secured by the candidates in the Written Test (out of 250 marks maximum) are converted to out of 100 and marks secured in Interview (out of 100 marks maximum) are converted to out of 50. The final merit list is arrived at after aggregating converted marks of Written Test and Interview out of 100 for each category. The selection will be made from the top merit ranked candidates in each category. Results of the candidates who have qualified for Phase II and thereafter, the list of candidates finally selected will be available on the Organization’s website.
  • 3. APPLICATION FEE AND INTIMATION CHARGE: (Non Refundable) S. No. Category Total 1. SC / ST Rs. 250/- (Intimation Charges only) 2. General and Others Rs. 500/- (App. fee including intimation charges) Fee / Postal charges once paid will NOT be refunded on any account nor can it be held in reserve for any other examination or selection. How to Apply & General information: - 1. Download the application form from our website or Fill online application form. 2. Self-attested copies of educational qualifications, experience etc. should be attached with the application. 3. Candidates are advised to carefully read the full advertisement for details of educational qualification and other eligibility criteria before send of application. 4. Candidates are required to attach (application fee) a Demand Draft of: General and OBC candidates: Rs. 500/- (Rs. Five hundred only) SC/ST candidates: Rs. 250/- (Rs. Two hundred fifty only) With the Application form as application fee (non-refundable) in favour of NATIONAL HEALTH CARE ORGANIZATION payable at DELHI. Candidate must write their name and address at the reverse of the demand draft. 5. The refund of cost of application form will not be allowed in any case. 6. The applications complete in all respect should reach at “The Secretary, NATIONAL HEALTH CARE ORGANIZATION, R.O-6, Ram Bagh Road, Subzi mandi, Delhi-110007” on or before 08.06.2013 up to 05:00PM. 7. Application received in the organization after the closing date and time will not be considered. 8. All the posts are on contractual basis (Three years) but likely to continue. 9. Salary will be increased yearly 10%. 10. Organization reserves the right to fill up or not to fill up any post(s). 11. Candidates can apply for more than one post will have to submit separate application for each post. 12. Application can be sent only by registered post & speed post. 13. Application that are not in conformity with the requirements indicated in this advertisement/ in complete application/ those received after the last date will not be entertained. 14. The organization reserves the right to reject any application without assigning any reason whatever. 15. Canvassing in any form or bringing of any influence, political or otherwise, will be treated as a disqualification. 16. The recruitment process can be postponed/suspended/ terminated without any prior notice assigning any reason at any stage. 17. For any clarification(s), you can contact over send mail to contact@nationalhealthcare.org.in 18. Any Person who is belonging from India can apply for any of the above vacancy. 19. Please mention the Post name on the Envelope.
  • 4. State wise Detailed Vacancies: - Haryana State Cat No. Post Name GEN OBC SC ST Total 01 District Coordinator 30 14 6 2 52 02 Instructor 30 14 6 2 52 03 Field Assistant 60 28 12 5 105 04 Data Entry operator cum clerk 30 14 6 2 52 05 Supporting Staff 120 56 24 10 210 Total 270 126 54 21 471 Punjab State Cat No. Post Name GEN OBC SC ST Total 01 District Coordinator 26 13 9 2 50 02 Instructor 26 13 9 2 50 03 Field Assistant 55 29 12 4 100 04 Data Entry operator cum clerk 26 13 9 2 50 05 Supporting Staff 110 58 24 8 200 Total 243 126 63 18 450 Uttar Pradesh State Cat No. Post Name GEN OBC SC ST Total 01 District Coordinator 110 50 20 7 187 02 Instructor 110 50 20 7 187 03 Field Assistant 220 100 40 15 375 04 Data Entry operator cum clerk 110 50 20 7 187 05 Supporting Staff 440 200 80 30 750 Total 990 450 180 66 1686 Delhi State Cat No. Post Name GEN OBC SC ST Total 01 District Coordinator 15 7 4 1 27 02 Instructor 15 7 4 1 27 03 Field Assistant 30 14 8 2 54 04 Data Entry operator cum clerk 15 7 4 1 27 05 Supporting Staff 60 28 16 4 108 Total 135 63 36 9 243 Rajasthan State Cat No. Post Name GEN OBC SC ST Total 01 District Coordinator 50 23 7 2 82 02 Instructor 50 23 7 2 82 03 Field Assistant 105 40 15 5 165 04 Data Entry operator cum clerk 50 23 7 2 82 05 Supporting Staff 210 80 30 10 330 Total 465 189 66 21 741 Madhya Pradesh State Cat No. Post Name GEN OBC SC ST Total 01 District Coordinator 73 40 10 2 125 02 Instructor 73 40 10 2 125 03 Field Assistant 146 80 20 4 250 04 Data Entry operator cum clerk 73 40 10 2 125 05 Supporting Staff 292 160 40 8 500 Total 657 360 90 18 1125
  • 5. APPLICATION FORM Please follow these instructions : 1. Fill the form in English only. 2. Use only Capital Block letters while filling the form. Serial No. ............................ (For Office Use) Post Applied For Full Name Father's Name Sex : Marital Status : Mobile : Date of Birth : (i) Are you seeking age relaxation ? Yes No 10. Nationality (ii) If yes, attach proof on standard format. Educational Qualification (Attach self attested copy as proof) Detail of Demand Draft (DD) enclosed : Preference for State Choose : 1. 2. 3. 4. (A) Address of Correspondence (This address shall be used till and of selection process) in Capital Letters : (B) Present Address (in Capital Letters) : S.No. Examination passed/Appearing University/Board Year of Passing % of Marks Division Name of Bank DD No. Date of DD Amount Pin State Pin State M F 5.Cateogry : GEN OBC SC ST Single Married E-mail : D D M M Y Y Y Y 1. 2. 3. 4. 6. 7. 8. 11. 12. 13. PHOTO Please Paste Your Recent Coloured Photograph Land Line 9. 14. 1. 2. 3. 4. 5. 6.
  • 6. Mention Detail if registered in Employment Exchange (Optional) Experience if any starting from previous to present : Total Experience...................years..................months Declaration : I.................................................Son/Daughter/Wife of...............................................................................hereby declare that : A) All the Statement made in this application are true, complete to the best of my knowledge and belief, and have been filled in my own handwriting. B) I have read and understood all the provisions mentioned in the advertisement and undertake to abide by them. C) I understand that in the event of any information being found suppressed, false or incorrect or any ineligibility being detected before or after the examination/selection, my candidature/selection/appointment is liable to be cancelled. (A) Left HandThumb Impression (B) Signature of Candidate Place : .................................................. Date.............................................. Please Tick mark (a ) the following check list : (i) Application Form signed and photograph pasted. (ii) Self attested copies of all required certificate/documents attached. (iii) Proof ofAge (i.e. self attested copy of Xth Class certificate) attached. (iv) Original Demand Draft attached. (v) Self attested copies of SC/ST/OBC etc. certificate attached, if claimed. Name & Address of Employment Exchange Registration No. Date of Registration Name & Address of Employer Scale of Pay/Salary per month Total Experience Designation Service Period From To Nature of Duty 15. 16. 17.