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44 Site Engineer DEO Posts Application Form WAPCOS

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ranjitha
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25 views2 pages

44 Site Engineer DEO Posts Application Form WAPCOS

Uploaded by

ranjitha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Affix Your

Recent
WAPCOS LTD. Passport Size
BIO DATA Colour
File No. 5/224/Ahmd-Envt -Exp Photograph
Date:29.08.2024

Post applied for ________________ on fixed term appointment basis for work relating to “PMC
Services for Implementation of Drinking Water Supply Scheme through Design, Build, Operate
and transfer (DBOT) mode under JJM” by Rural Drinking Water Supply and sanitation
Department Udupi & Vijayapura Division, Karnataka.
1. Name of Candidate (as recorded in Matriculation or equivalent certificate)

2. Father’s Name (as recorded in Matriculation or equivalent certificate)

3. Mother’s Name (as recorded in Matriculation or equivalent certificate)

4. Sex 5. Religion
Male Female

6. Marital Status (If married name of spouse) (Spouse Name & Nationality)
Married Unmarried

7. a ). Date of Birth b). Birth Place/District c). Birth State/UT


D D M M Y Y Y Y

d). Nationality e). Mother Tongue

f). Age as on date (31/07/2024): Year Months Days

8. a). Domicile b). Blood group c). Identification Marks

9. Whether belongs to:

SC ST OBC OBC (NCL) Minority PWBMD General

10. Languages Known:


Language Read Write Speak
11. Academic/Professional Qualifications:

Sr. Name of Year of Univ/Board Subjects Marks % of


No. Examination Passing obtained marks

12. Highest qualification acquired in Hindi:


13. Training received if any:
14. Experience as on 31.07.2024 (Please give details thereof, use separate sheet if required)

Organization Period Designation & Scale of Pay/ Gross


From To Description of Duties Salary

15. Correspondence Address:

PIN……………….. Phone………………..

16. Permanent Address:

PIN……………….. Phone……………….

17. PAN:
18 Aadhar No.:
19. Guardian/Emergency Contact No.:
20. Contact Mobile No.:
21. Valid E.Mail ID:
22. Passport No.:
23. Any other information:

Information must be filled against each column clearly. In case incomplete application, the same will
not be considered.

I solemnly declare that the above information is true/correct and I understand that in the event of the
information found to be incorrect after my appointment, I shall be liable to be dismissed from service.

Date Signature

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