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APPLICATION FORMAT FOR RECRUITMENT OF EXECUTIVES AT E6/E4/E2 LEVEL

1. Personal Dea!ls

2. Fee Dea!ls

". #$al!%!&a!on 'Class X an( a)o*e+

S.No E,a-.

Passe(

Na-e o% e

Un!*./Ins./oar( an(

0ear o% ass!n

ran& /S$)3e&'s+(Please indicate specialization if

applicable)

Per&enae /

D!*!s!on

Re-ars

1.

2.

3.

4.

5.

Post Applied for

Whether working as ACF or Nayab

ehsildar(Applicable For only Sr. HR Executive post)

Applied against the post of

!nreser"ed#$%C#&C#&

SNo. Par!&$lars Dea!ls

1. Na'e (As written in 10thclass certificate )

2. Father(s na'e(As written in 10thclass certificate )

3. )ate of birth *))#++#,,,,-(As written in 10thclass certificate )

4. Age as on 1".12.251"( Years, Months , Days)

5.. Category as per entral go"t. r/les(Gen/OBC(Non creamy or Creamy layer)/C/!)

0. ender *+ale#Fe'ale-

. CPF No. (A""lica#le only for ONGC em"loyees)

. eligion

. +ailing address

16. Phone no.("ermanent)

11. +obile no

12. 78'ail address

SNo. Par!&$lars Dea!ls

1. 9o/rnal No.

2. )ate

3. &%: %ranh Na'e ; Code

4. A'o/nt of Fee

Affi< selfAttested

latest olo/r

photograph

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4. Class I or E$!*alen E,er!en&e'!n (es&en(!n Or(er+ (As per Role)( Please indicate the Pay Scale !asic Pay " #otal E$olu$ents as per $onth basis only)

S.No Fro-'DD/MM/

7777+

To

'DD/MM/7

777+

Na-e o% e

(e. /

oran!8a!on

Pos el( /

Na$re o% ($!es9

Pa0 s&ale Toal E-ol$-ens

1.

2.

3.

4.

9$or ec%rity &ole "lease in'icate the &an also

:. Pa0 Dea!ls %or las ree &onse&$!*e 0ears *Please attach the self certified copy of pay slip as a proof)

S.No 7ear Pa0 S&ale as!& Pa0 /-on

'a+

Allo;an&es / -on

')+

Toal E-ol$-ens/ -on

'a

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All )o/'ents sho/ld be attested by a@etted offier#&elf attested.