Éäc) Åõéêxécºé Eòé®Ú (Ééä®Äú Ééxé +Éæ¡Ò Æêb÷ Éé Ê Éê É) Äõb÷
Éäc) Åõéêxécºé Eòé®Ú (Ééä®Äú Ééxé +Éæ¡Ò Æêb÷ Éé Ê Éê É) Äõb÷
FATHERS NAME
SEX
EE M / Personnel Group
MALE / FEMALE
Affix
Recent
Passport
size
photograph
PERSONNEL GROUP
CATEGORY (GEN/OBC/SC/ST/PH):
NATIONALITY:
RELIGION:
--------------------------------
Yr. Of
Passing
Board/ University
Class & %
of marks
Specialization/Branch
From
Post
held
To
Present basic/
Scale of pay/
Total Salary
drawn
2.
DECLARATION
I certify that the above information is correct and true to the best of my knowledge and belief. In the event of
any information being found false or incorrect, action can be taken against me. Further declare that I have
never been arrested/prosecuted and convicted by a Criminal Court or involved in any other case registered by
the police. I am also aware of the fact that this is purely contractual basis and I will not raise any issue for
regular employment in ECIL.
DATE: