-1 - ministry of human resource development · 2020-03-20 · -1 yfapi^rm ^ 30^^ xrsr ^ 1. ^ ^...
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Annexure-I
APPLICATION FOR THE POST OF DIRECTOR ON DEPUTATION BASIS
1. Name (IN BLOCK LETTERS):
2. Date of Birth:
3. Age as on last date of
submission of application
4. Date of superannuation
from the present service
5. Present basic pay andscale of pay:
6. Correspondence address:
Affix
Recent
Photo
7. Mobile No.
8. Name & address of the
Organization wherepresently working.
9. Educational Qualification
10. Date of entry in Govt.Service
11. Posts held during last 10 years (in chronological order)
s.
No.
Post held Name and
Address of
Organization
Period Pay Scale
with
break up
Nature of duties
performedFrom To
-
1
1
DECLARATION
I solemnly declare that the details given above in theapplication form are correct to the best of ray knowledge and belief.In case any of the details in the application from are found falseat a later stage, ray candidature / appointment may be cancelled /withdrawn.
Date:
Place:
(Signature of the Candidate)
(FOR USE OF FORWARDING OFFICE)
It is certified that the details provided by the applicant asabove are correct as per our records. No vigilance / disciplinarycase is pending / contemplated against Shri / Smt. / Ms.— . If selected, the individual will berelieved immediately.
2. Gist of his/her preceding 05 years ACR/APRs is as under:
S. No. Year Grading / Marks
(Signature of the forwarding officer)Name .
Designation
Date
Place:
Seal of the Office