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    Advertisement No. 21751 Dated 10/11/2015 Application Form No

    Uploaded by

    sauravv7
    This document contains an application form for the post of Task Manager (On Contract) in 4 parts (A, B, C and D). Part A requests personal details like name, address, date of birth, education qualifications, experience details, etc. Part B requests additional details like category, home district and PAN number. Part C focuses on educational qualification details. Part D requires professional experience details including names of organizations worked for, designation, period of employment, salary drawn etc. The applicant is required to fill this form and attach relevant documents for consideration for the position.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Advertisement No. 21751 Dated 10/11/2015 Application Form No

    Uploaded by

    sauravv7
    50 views6 pages
    This document contains an application form for the post of Task Manager (On Contract) in 4 parts (A, B, C and D). Part A requests personal details like name, address, date of birth, education qualifications, experience details, etc. Part B requests additional details like category, home district and PAN number. Part C focuses on educational qualification details. Part D requires professional experience details including names of organizations worked for, designation, period of employment, salary drawn etc. The applicant is required to fill this form and attach relevant documents for consideration for the position.

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    bsnl tm form

    Original Title

    TM_Form

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    This document contains an application form for the post of Task Manager (On Contract) in 4 parts (A, B, C and D). Part A requests personal details like name, address, date of birth, education qualifications, experience details, etc. Part B requests additional details like category, home district and PAN number. Part C focuses on educational qualification details. Part D requires professional experience details including names of organizations worked for, designation, period of employment, salary drawn etc. The applicant is required to fill this form and attach relevant documents for consideration for the position.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    50 views6 pages

    Advertisement No. 21751 Dated 10/11/2015 Application Form No

    Uploaded by

    sauravv7
    This document contains an application form for the post of Task Manager (On Contract) in 4 parts (A, B, C and D). Part A requests personal details like name, address, date of birth, education qualifications, experience details, etc. Part B requests additional details like category, home district and PAN number. Part C focuses on educational qualification details. Part D requires professional experience details including names of organizations worked for, designation, period of employment, salary drawn etc. The applicant is required to fill this form and attach relevant documents for consideration for the position.

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    © All Rights Reserved
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    Advertisement No.

    21751
    dated
    10/11/2015

    Application form
    No .
    (for office use only)

    Application form
    Part A
    for the post of
    Task Manager (On Contract)

    1. Name of the post (Applied for) :


    2. Post code no.

    Recent coloured
    P.P. size photo
    graph attested by a
    Gazatted Officer

    : 2 (Two)

    (i.e. s.no. of post in advertisement)


    3. Name of applicant

    :. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    (Name)

    (Surname)

    4. Father's name

    5. Permanent address

    (Name)

    (Surname)

    PIN.
    6. Present address

    :
    PIN.:.
    (Address proof : Enclosure 1)

    7. Date of birth

    :. . . . /. . ../ . . . . . . . (In words .. . . . . . . . . . . . . . . . . . . . .)

    (Attested true copy of marksheet of Higher Secondary School Certificate Examination /equivalent
    examination exhibiting date of birth : Enclosure 2)
    8. Age as on 01/12/2015

    : Years Months . Days

    9. Category (Please tick)

    : Unreserved/ OBC/ SC/ ST

    (Attested true copy of caste certificate in case of OBC/SC/ST candidate : Enclosure ..)
    10. Home district

    11. Educational qualification details :


    (1) Post Graduation

    : Degree . . . . . .. .. . Specialisation in .

    (2) Graduation

    : Degree . . .. . . .. . . .Subject

    (3) Others

    : Description . .. . .. . . . . . . . . . . ..

    12. Service and experience details :


    (1)
    Parent Department

    .
    1

    (2) Details of organisation

    : .

    (3) Present Post

    :. .

    (4) Present place of posting :. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . .


    (5) Designation at first posting

    :. . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .

    (6) Present pay scale

    :. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    (As per present applicable pay rules)


    (e.g. pay scale and grade pay in revised pay structure)
    (7) Present basic pay

    :. Rs. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. .

    (e.g. pay in pay band + grade pay in revised pay structure)


    (8) Experience on present post (as on 01/11/2015) :. . . . . . Years . . . . .Months . . . . . Days.
    (9) Field experience on present post (as on 01/11/2015) :. . . Years . . . . .Months . . . Days.
    (10) Total length of service (as on 01/11/2015)

    :. . . . . . ..Years . . . . .Months . . . . . Days.

    13. PAN (if available)


    (Attested true copy : Enclosure . . . .)

    : ..

    14. Cell phone no.

    : ..

    (Signature of applicant)
    Name of the applicant: . . . . . . .. . . . . . . . . . . . . . . . .

    Declaration
    I hereby declare that no criminal proceedings of any nature is pending consideration against
    me. I further declare that information supplied by me in, the application form and its supplementary parts
    and enclosures annexed to it; are true to the best of my knowledge & belief. My selection to the post may
    be cancelled and suitable action may be taken, if information furnished by me shall be found false or
    incorrect at any point of time in future.
    (Signature)

    Date :. . . . . . .. .
    Place :. . . . . . .. .

    Name of the applicant: . . . . . . .. . . . . . . . . . . . . . . . .

    Encl Part B,C and D of the application


    along with enclosure 1 to .

    Advertisement No.
    21751
    dated
    10/11/2015

    Application form
    No .
    (for office use only)

    Part B
    Post : Task Manager (On Contract)

    1. Name of the post (Applied for) : .


    2. Post code no.

    : 2 (Two)

    (i.e. s.no. of post in advertisement)


    3. Name of applicant

    :. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. .
    (Name)

    (Surname)

    4. Father's name

    5. Present address

    (Name)

    (Surname)

    PIN.:.
    (Address proof : Enclosure 1)
    6. Date of birth

    :. . . . /. . ../ . . . . . . . (In words .. . . . . . . . . . . . . . . . . . . . .)

    (Attested true copy of marksheet of Higher Secondary School Certificate Examination /equivalent
    examination exhibiting date of birth : Enclosure 2)
    7. Age as on 01/12/2015

    : Years Months . Days

    8. Category (Please tick)

    : Unreserved / OBC / SC / ST

    (Attested true copy of caste certificate in case of OBC/SC/ST candidate : Enclosure ..)
    9. Home district

    10. PAN (if available)

    : .

    (Attested true copy : Enclosure . . . .)

    (Signature of applicant)
    Name of the applicant: . . . . . . .. . . . . . . . . . . . . . . . .

    Advertisement No.
    21751
    dated
    10/11/2015

    Application form
    No .
    (for office use only)

    Part C
    Post : Task Manager (On Contract)

    1. Name of the post (Applied for) :


    2. Post code no.

    : 2 (Two)

    (i.e. s.no. of post in advertisement)


    3. Name of applicant

    :. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. .
    (Name)

    4. Father's name

    (Surname)

    :
    (Name)

    (Surname)

    5. Educational qualification details :


    (1) Post Graduation

    : (i)

    Degree . .. . .. . .. . . Specialisation in

    : (ii)

    Name of institution

    : (iii)

    Year of passing

    : (iv)

    Percentage of marks/CGPA

    (Enclosure.)
    (2) Graduation

    : (i)

    Degree . .. . . .. . . .. Branch

    : (ii)

    Name of institution

    : (iii)

    Year of passing

    : (iv)

    Percentage of marks/CGPA

    (Enclosure.)
    (3) Others

    : (i)

    Description

    : (ii)

    Name of institution

    : (iii)

    Year of passing

    : (iv)

    Percentage of marks/CGPA

    (Enclosure....)
    (Signature of applicant)
    Name of the applicant: . . . . . . .. . . . . . . . . . . . . . . . .

    Advertisement No.
    21751
    dated
    10/11/2015

    Application form
    No .
    (for office use only)

    Part D
    Post : Task Manager (On Contract)

    1. Name of the post (Applied for) :


    2. Post code no.

    : 2 (Two)

    (i.e. s.no. of post in advertisement)


    3. Name of applicant

    :. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
    (Name)

    4. Father's name

    (Surname)

    :
    (Name)

    (Surname)

    5. Service and experience details :


    Name &
    S.

    full

    Designation

    No. address of

    At first

    As on

    employer

    posting

    today

    Brief
    description
    of work

    Period of
    Salary
    (In Rs.)

    employment
    From

    To

    6. Field experience on present post (as on 01/11/2015) :. . . Years . . . . .Months . . . Days.


    7. Total length of service (as on 01/11/2015)

    :. . . . . . ..Years . . . . .Months . . . . . Days.

    (Signature of applicant)
    Name of the Applicant: . . . . . . .. . . . . . . . . . . . . . . . .

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