Annexure to Notification No.PB/S2/78/RITES/XVI dated 09.05.2016

Application for the post of Inspectorial (technical) posts in RDSO

PROFORMA

1 Name of the Employee

2 Emp.No./Shop

3 Father’s name

4 Qualification:

A) Academic

B) Technical

5 Date of birth

6 Whether SC/ST/OBC

7 Position on Railways

i) Date of Initial Appt

ii) Scale & Pay

iii) Present Post

iv) Place of Work &

iv) Date from which Working

8 Experience (including deputation

Period in RDSO, if any)

9

Field of Specialisation

10 Awards/Certificates Received, if

Any

11 Mobile Phone No.

12 Email Address

I understand that I shall be posted at any station where RDSO has its Inspection Cell.

(Signature)

Mailing Address ______________

Contract No._________________

Mob ____________________

Land _____________________

Date: