,AIlIx recent passport SIZS

photographs duly aliesledbv Gazetted Officer

Rl/cords the Garhwal RitleLansdowne (Uttrakhand)

t . Name of appncant (in blo2 Fathe~slHusband's am-

Countersigned

ser Name 01 post Category of disabilitysuitable for the job

(a) Instrument Mechanic HS Gd II OL,OA,BL

Direct recruitment of Group'C' Vacancies In theCorps of Electronics and Mechanical Engineers

(Stn Wo p EME, Barellly) .. Corr igendum

The recruitment advertisemenl inviting applications for vacancy on behalf ofStation Wksp EME, Sareilly appeared in Employment News dated 28 January.03 February 201 2 (Advertisement No. EN 44120) in S.No.7. Last date ofreceipt of application is 21 days from th e date of publlcatlon of thiscorrigendum.Add : Ser No. 19 - Candidates with disabilities against theunder mentioned posts .can also apply for the said posts»

(b) Chowkidar OL,BL,HH

Nole: Abbreviations used : OL- one leg affected, OA- one arm affected, BL­both legs affected but not arms, HH- hearing handicapped.davp 101031111012311112 EN 50138

(d) Government Undertall1ng. (e) Universities

(f) Others ' (Please specify)11. Please stale whether you are work ing in the lame Departmenl and are inthe leeder grade or feeder 10 feeder grade.12. Are you in Revised Scale of Pay? If yes, give the date from which therevision took placo and abo indica te tha pre-revised scaJe13. Total emoluments per month now drawn

_14. Additionallnlormallon, II any, which you would like 10 mentlon In suppollof your sultabiHlY of the post(ThIs among other things may provide infonnallon with lllgard to (I) addItionalaca demic qualifications (U) professiOnal !ralnlnlJ and (iii) work lIllpenenceover and abova prascrIbed In the Vacancy Cln:o.llal1Advertioemont) (Hole:EncIo8e a leperate Sheet " !he space Ia Insufllclent).15. Whether belongs to SCIS T _16 . Remarks (The candidales lJlay Indicate '"formation with 1119111U to (I)Research Publicalion s and roports and special projecls (il) Awards!Scllotarshi~clal Appreclation (ul) Affiliation wfth the professional bOdies!instnutions/soclelies a(ld (Iv)any otller 1nlonnallon). (Note: Enclose a separatesheet if tho space is Insufflclent)I have careluny gone through the vacancy circular/advertisement and I amwell aware that the Cumculum Vitae dUly supported by documents submittedby me will also be ' assessed by the Selection Committee at the limo ofselection for the post.

Signature 01 the CandldatoAddre ss

Date ..No.Dale :.

(Employor wnh Seal)d vp 05101(1 l1oo0711 n 2

~ n • a separate sheet~ by JOUr 1IIgnature, lithe space below Is insufficient

':...., "- held From To Scale of Pay and Nature of'Gr1In. Baalc ,.., Outlaa (In

detail)

-"

(i) Degree from a recognized university or institution or equivalenten} Ten years' experience in establishment and general adm inistration.Deairable :Post Graduate degree in any discipline or degree in Law from a recognizeduniversity.

Job Descripl lon : The Secretary. Rubber Board is a statutory pOst and theduties and responsibilnies vested with the Secrelary, Rubber Board are thestatutory duties as envisaged In Rubber Act. 1941 and Rubber Rules , 1955as well as those delegated to the Secrelary by the Chairman . The duties inter .aha Include (i) convening meetings of the Board -and its Committees andsuch other IT.eetings as are required by the Board and the Chairman fromtime to time. Assisting the Chairman, RUbber Board in inplementing all thedecisions of the Board. (2) Functioning as tile Head of the AdministrationDepartment of the Board- Look ing atler all the administrative functions suchas recruitments , prom otions, transfer and postings o f the staff, convening ofDepartmenta l Promofion Committees, staff welfare amenities and otheradminist rative funct ions as are to be performed from time to time and alsoexercising all the powers delegaled to him by the Chairman.Period of Depulatlon : Period of deputation inc lUding the period of deputationm another ex-cadre post held immediately preceding this appointment in thesame or some other organization or Department of the Central Governmentshall Ordinarily not exceed four years .

Annexure -II

(Sanoj Kumar Jha)Dlrectcr

Annexure -IName or the po.t : S.,...tary, Rubber Board, Kott.yam, Keral• .Number 01 poat ; One (1)Cla••lficatlon : General Central SeNece. Group 'A' Gazetted Non-Ministerial .Scale 01 Pay : As . 12000-375-16500, (Pre-revlsed) ecuwatenr 10 ns. 15600.39100 GP 1600. .Age limit ; The maximum a9B limn lor appointment by deputation (includingshort-term contract) shall be not exceeding 66 years as on the clos ing date01 fhe receipt 01 applicationl.Method of recniltmenl : Depulatloneligibility Criteria: Officers under Central/State .Govern menl s/UnionTerritories:-(a) (I) holding analogous pasIon regular bas is in the parent cadre ordepartment; or{II} wfttl five years service in the grade rendered after appointment thereto ona regula r basis in Ihe scal e of pay of Fls. 10000-1 5200 (pre-revised) orequivalen t tn the parent cadre or department.(b) possessing the following educational qua lifications and expet:enc~:.P:·~~rie: :

Curriculu m Vitee Proforma(To be lubmltted In triplicate)

1 Name and Addres s (in Block letters)2 Date at Birth (in Christian era)Jl Date of retiremenl under CentraVSlate Government Rules4. Educallonal Qualifications

S. Whether Educational and othe r qua lification s required for the post are.. I ed. (II any qualMocation has bee n trealed as equivalent 10 the onepre>1Cribed the RUles, slate the alllhortty°for 1he same )auallftcatlonsl Experlence Quall""tlonalExperlenceReqwEI po__sed by the otflc:er

- (1) (2) (3)(11 (21

~ Ie clearly wheth In the~1 of entr1es made by you alloYe, you."" ,-,,*-ants of the IQ1

1~ Ii EmpIoyfl en! In c:hronological onIer Enclose

11~~~~~.~'J"~i"'-'.,.. Yd" UN ~"Ilc:ntY..·.,II"I' am.i S 0 the Annual Confid9ntial Reports (A CAs) 0'or Illst ff 8' Y rs 6uly anested by ah Clites, not below the

n Sec 'lilY or equivalent; (li) • certificate from the employerp 1M igUance case Is either pending or being contemplated

tlie OffIcer, On) • 'Statement Indicating the details of major/minor'so mpbSed on the officer during the Iast 10 years ; (Iv) lntegrtty

"''!o!<t'''~ Cful s gned by the competent autticrtty ; and (v) Cadre cteamce ,pa hrl Pradeep Kumar, Under Secretary, Plantation-C Section,

., e·:<>!,itO;;;rtm~~ent of Commerce, Ministry of Commerce and Industry, Room No.g Shawano New Delhl- t 10011 within alxty day. from the date of

u teation of the advertisement in the Employment ~ '~~. It may also beCfet'earlhil the orneer, who volunteers for the poe! HIli not be allowed 10

. (fraw hislher t;.1hdldature subsequently. AppUcatl s rec~IYcd afte r the'ast date or wtthout confidential reports end other l equisite documents orotherwise found incomplete will not be considered.

Nallfre of _enl m IP-anenl pep oym"'1 I.e. Ad hoc or Temporary or Quas i-

_Ill Of ermanentcale the JIr_nl empl~ I .

ae ala e . _,men 15 held on d&putationlcontraol ba sis

'\lha date of inlfllli lIppolntmentfl !'1'~~:<" pf appolntm nt on deputation/conlract

.of the parent 0 Ic6rlorganizaUon to which you belcn gat dela Is about preaent employment

whettter WOrking unoer (mdlcate the name c t your e nr-loye nt Column) ' ,.. 31

OIIlIrnmenle me

0 1:-

0 0 0

4 0 0- 5

(Co_In d FbI~ ..y"1JIIlIY). 2 0 4

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iiCI......1Iidf lnulib*l. 3 0 0 0 3

h'iiiiI!lii~n r 2 7 • of PClII Elf.... _y.1oo apply). 5 0 0 2 7

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Certlficll1lo fro.., ITI in Oraug~n (Mechllnieal) T.-de. 2 0 0 2 4

Certffiea.. -. ITI in E'-ctrician _ . 9 2 0 3 14

r1iIItoUo !rom 1T1 in E.dromc ....c:r.nIc or Raclo & TV6 3 1 11

riifiea t')-Qm ITI In F_, Trade 9 5 :] 16

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ore-a w"" W ch Ind~ha9'.pi m'"a .I Ql e er ment of ln d l , w 0

I r.ti toates Oi e requ Ired (0 mci ethel e ffoy r; 11e61lnstitutions in pr grammes/fielos specified

a Ired 1 make if o't'ilf"l efforts trt ~ rtg" a(li

'-'1iMliifii:::r.;n:i.ililt~j)rlitlO~. rt programmltStl I speculeo in the cherrtll'oma Ie didat take 8 decl!:;Jon to take their apde$ee Dd

equel11ly during the period of study, it is entirely for tliflnan al pot at and a ailablli ty of passport, visa etc. as no flnanct I

i"j"-~!::s' well as any o ther su pport coverage IS provided under the Scnemchildren .

i) ~II ca ates atter having availed of the award und er the cneme- ar .~~~n~d~'~~ ii't l'O ender no C rcumatan ces they w ill be issued 'No oeu atiorll

rtffica(e by any ecncerrreo CiUthority In Gov ernment of India;rtl a rdee after having ret urn ed to Ind ia is also requi red to imm8lll~f:U;;!!1

MH1isH'Y In writing about hav ing returned 10 India .The awardee on returnIn India for at least nile years and is also requ ired to serve the Gavercontinues to be in Governmenl service after return to India. as one waS""~

with ward under the Scheme."',~'>'.;>: It will be for the candidate to obtain the appropriate visa fo r a clJuntry INher

study further under award from the Sch eme and the Visa Issuing autho .fhat only such type 01 visa be Issued which only permit s the candidate to pcourse abroad and thereafter the candidate returns to India. Government of tno assistance to a candidate for obtaining Visa . Selected candidates are req Ifi

such documents and enter into such agreements before their departure as sby the Government 01 India from time to time.

(xvi) In case the awardee has received over payment through Indian Mission abroadGovernment agency, ~e1she is liable to refund the same to Govemment 01 Indiaemployer (ij any) is authorized to recove r the excess amount from hlslher du~from Government 01 India, and refund lhe same to Governmen t of India.

(xvii) The decisions of Governme'nt of India will be final in all such issues. as may comecourse of time.

(xviii) The prospective awardee is selected by the Selection Committee constituted by thofor a particular subject Irom with in the spec itied subjects for pursuing Maste"s ProgPh.D . '

NOTE:(i) Attested ccpies of the following documents must accompany with applications : (atMa

or other certijicate as proof for date of birth (b) Caste certiticate from competent autllAll Degrees/D iplomas/Certificate with marks sheets , (d) Income certnicate In the P!!lformat .

(ii) In case 01 Passage Grant additional information with a statement indicating. (i) detaus,scholarship and the manner in which it has been obtained (ii) attested copy or the Ieaward,

(iii) The Applications should be complete in all respects and should be accompaniliOrelevant documents. The applications , incom plete in any respect, are liable to - ",,""''''

3. Applications should be sent at the following address within 45 days frorm the dale ofof this advertisement in the Ervploymenl News.

The Under Secretary.SCD-V Section,Ministry of Social Justice and Empowerment,Room No.253 A WingShastri BhavanDr, Rajendra Prasad Marl!.New DeIh~110001.

4, The ~emenl may also be seen In this Ministry's websile.www.socJu8tle:a-nlc.ln ,

APltlleation FormNMIonaI Owl .... Schol,,~hlpaIP...age Grant ler Sc efC. (;and.....V..... Z011.2812. under the Scheme of Natlenal Oveneas SChOlal'ShIP torSCliilio[.I](To be "lied In Entl1ah or Hindi Un!Juage only In Block 1ettWa)

Surname

Day Month Year

!

Years Mon ths DaySAge : ,

S.No. PartbJlars1. Name (ShiilSmIJKm.) Name

(AccordinQ, to Matriculation Certificatil)2. Father'slHusband's .Name. :3. Dale 01Bilth :

Alace 01 Birth( with name 01 StalelUT) :Nationality:Stalel!j' to w:hlch you belong :Religion:GasUl: (Specify whether SC, Denotified NomadiC/Sem,·Nomadi T as

Dourer aQd l:ralflniOI\a) Arti sans (Attach ttest.ed pi1otoc."p~.:r.s~"", .~

u ! ity)

·itI><l""'·r

(Rupees

S gnature(wtth 1Iea of Reven e 'A th . •._ ., U

Note: :r.tl IS certificate should t,e issued by Re ven",e Officer not t{elow the rank at Tehs ar.davp 3810111110054/1112 E SQ/3

S.fg1N~With seal of R"evenoe a

Cert if ic at e for being Traditional ArtisanRio 18to certify thai Mr j Ms, ,. son/daughter/wife ot .__.. {Name~~:::~~

or Head at Family resident of is a Traditional ArtIsan a earns hlslhe;u of being a T ditlonal Artisan. It IS also certified that the annual corn t M"'.Il~~.~':;",, ;:;.

t all ou rces in ludlng lhe mccme.ct the ether members of h'sJ'h.er fa \:1' :is;o;;;":--'!'~~""""+""';'-...,...,--~ .Co (Rupe . . only)

3. Nationality: , .9. Relig ion : _.10. Address and Pin code In full for commumcabon with nearest Railway Station ... .11. Details of AcademicfTechnical and Professional Qualifications :

Name of the Year of NaJT1e of Recognized %of Marks Division Remarks

Exam Passed Pas sing Un iver Sity/Board of obtainedExamination

;

Attesteo , p es of , rtlflcate In support of above are 10 be enclosed)12 Expe .ence/it any (p lease auacn ertrticate) : .13. V'v'hetner Govt Servant it yes . give details of post held. pay cate ana Date 01 1;;;.

SeNlce :................. .................••..

-In Govt

Signature

DeclarationI hereby declare that all the statements made in this application are true. complete and correctthe best of my knowledge and belief . In the event of any infoJmation being found false{incorrectorineligibility being detected before or aner the written test/skill test my canoidatur .. J sta

automatically cancelled .

•

-- ..'- _ -

I.- _._......•........................._.-.... . ...•..•.......... . _ .

Encl : 1 Two self-Attested Photographs2. Postal OrderIDD.No a. Date .for Rs 503. Attested copies of certificate : ( ) sheets

leh Thumb Impression of Male candidate(Right thumb ImpressiQA in case 01temal. f1didate

!1!)1]..il,~~e.a r are as un@f.-

r Rs.16000- Corporate Rs.51 .504I- IRs.400-208001 0fIIce. 46.675/-Rs. 14500- New350-18700 Delhi(scaJeaunderntY!SJOTI) _ __

Dy. GeneralManager(Personnel &AIiTinisialiln)IPe~nnel

Manager

Appllcallon forma and other deiais can be dowi1 lciilded irom ~.lI' .1I'li".www.hU.llov.lnand aubmi\I8d by poston 0(befonl 28.03.2012

QuI.melDoO &EXP'rf'DCI;

For Dye Genera' MIUger(ppponntilMmlnlatgtloo)Graduate withallea&l2 ye8rs PG Degree I PG DIploma 1/1 ManagenllIl1twtlhapeclallitalIon In HRIlRIPM OR MSW OR MHReD OR MBA. wtlhapedaliatellon In HR from IIICXlll''fZ8d IIM&ililyf lnatilUllon wIlh 7~~quall1lcllllon uecutIve experiellC8ln \he raIoMW_·

1.

81. Name cit No. PaY. ,ale Place 01No. PoSt of und« IDA poat\nll

Posta pattam +DP+OA)

Signature of the Candidate

uk(445l

6 Neeraj7 Jiterlll ra

(529)2JJ 1/08(01 Assistant Director 1 Ms. Sunita P-a'J;) eF.1/2 1 (Entomology) in Direc torate of 2 Ms. VasUdha GBi2011 'RV Plant Protection, Quarantine 3 Ms. Neelam Cna

and Storage, Department of 4 Devalapura Kalil aAgriculture and Cooperation, Nagaraju (52)Ministry of Agriculture 5 Brajesh Mishra 9

6 Mir Samim Akhfa7 Gyan Prakash 1118 Oinam Tarunk~m

(28)9 Rohit Kumar Patel

All appointm811provisional subjecoutcome of CouNo . 1483/2011 a

Raeez P. CAT, Madras Bene6 2011/11/08 Deputy Central Intelligence 1 Rajendra Cha dtta

V. F.l/1211 Officer (E.D .P.) in the2011 -R. VI Intelligence Bureau, Ministry•

K.K . of Home Affairs7 2011/12/06 Economic Officer, Department 1

F.1/1221 of Economic Affairs, Ministry2011-R.IV of Finance 2

345

8 2011/13/07 . Station Ollicer in Delhi Fire 1F.1/1451 Service, Home Department, 22011-R.1I Government of National 3

Capital Territory of Delhi 4

9 2011/14/03F:1/18912011-R.1I

10 2011/14/06F.l/154/2011-R ./1

2D.l1l14/07F. /124/2011-R.IV

123

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18 3 Dtptorn a n ManutoctuM~cn trorHcsI lndustna aecnamcaToots & Machlmngf Tools & Ole M",klnAutomobuer Procucuorv MelallurgFoundry Technology, E ecu oruc sEI~Clrlca' Englneenn9 _DpS trable" DIploma In Rail Transport.3nd M<1nagemenl trom the tnsutute 01Rail 'transport . New Deihl will be anaddit ional quauncanon .Note> (i) Atreast 50°0 of Intake fromMechanical Engrnesllng IOf RA8IAJrn~,(W e R ) . Bhopal a-Iaspur. ChennarKolkala. Maida (SEA), MumbaiPerna. Ranchi, Secunde rane d"turuvananatnacuram.(II) Ausas: 4 posts out 01 13 tromMechanical Engg lor RR8JMuzaffarpur.(liiJ Individual ARBs may havevacancies only under Mechanical orCarriagtt & Wagon or both(iv) Option for specurc catsqorv r.eMoct-amcar Caruaqo &. Wagon will bet ake n at the time of dccume rn

, vontrcanon

III

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18 . 35 Degree in Eng ineenng 1"1 any ell s

I18 • 33 jDmrcrne In Englnec rln' j

Addillonal desirable .I) Diproma rn P u bliCSupply Managcmcnl I

II ). Graduate D , I CI. ,

Pr ocu romont and Su C'c • Ma y:lw.::trnoC1 by tndran f-.l a v-; !01 LOYlsllcs & Mat '(1.11 Ma AgA K Puram . N "possess ion 0 1 th·cusuabt e QU nnehowever, drsqu lib'rucnntrncn

me.

II

S\ltta ~'01OH rOA. a ll HH

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- ~~GlO -~~"'NO"O"""'''OC! -NOo.- - -N()3 _ Zw

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IIFM, e. 12000Ing the p

I during ~pn1l1'1ay 2 2

r51and s ond year Rs.m.

escnbeI the pr

Ma~2

EN 50192

WrItten' T~t ~ Cii:y !0f !ho~E! '!-'he ossess ~~e' pfe~Gr!bed~~! ~~-e:~ ...~ ., .tfi ~ In theendurance test.

Subject Maximum fljo. of DurationMarks questions

General Intelligence (Hr standard) 50 50(Objective Type)

General Awareness (1Olr standard) 50 50 02 Hrs(Objec1ive Type)

General Awareness on Fife Fighting 50 50(Objective Type)

,SyllabusI General Intelligence: The quesnon will be of 1(]I' Standard and would include both 9fba andnon-verbal type. The test may include questions on analogies. similarities and dillerelilc spacevrsualizanon. problem solving, analysis, judgment. decision making, visual memory, discnmlnaOOn,observation, relationship concept, figure classification, arithmetical number senes , verbal and non­verbal ser ies & mathematics ot 10lh standard. The test will also include questions designed to testthe candidate's abilities to deal WIthabstract ideas and symbols and their relationship. matnemancacomputation and otner ana lyt ical functi ons.II. General ~wareness:The quest ions will be of 10'h Standard. Questions will be designed to tostth~ ability. of the candidate's general awaren ess of the environment around hIm and I~S applicationto society. Questions will also be designed to tes t knowledge of current events and of such mattersof everyday observation and experience in iheir sc ienti fic aspects as may be expected of an 1~'

Standard educated person . The test will also inc lude questions relating to India and lIs neighbouringcountries especially pertaining to Sports, History I CUlture, Geography, Economic scene Gene ralpolity ~nciudjng Indian Constitution . and Sc ientific Research etc. These ques tions WIll be such that,they 00 not require a spec ial stud y of any discipline.111. General Awareness on Fire Fighting: This test will include questions On knowledgo 01 Filt:Fighting, operational use of Fire Fighting Equipments, lile saving drills, causes of fire etc.Grading will be done based on mar ks obtained in Writte n Test.Dellnltlon. 01 DI.abililie.:(A) Hearing impairment: "Heannq impairment- means loss of sixty decibels or more in the better

ear in the conversational range of frequencies.(8 ) Locomotor disabi lity: "Locomotor Disability ' means disability of the bones. IOlnts or museses

leading to substantial restrtction of movement of the limbs or any form of cerebral palsy(C;) Ole ere ral Palsy" means a group of non-prog ressive conditions of a person ch racterfred' 'i

abnormal motor control posture result rng from brain insult or injunes occurring in the pre-natal.perinatal or infant period of development.

A e cases of orthopedically handicapped persons would be covered under Ihe category oJ·Iocomotor dis~.bdity or cerebral palsy ·De.,llr"", 01 Dleabltlty lor Reserv.llon :

Only such persons would be eligible for reserva tion in servic es/posts Who suffer from not less than~~(±~~p..<\~r~t pI relevant disability. A person who wants to avail of benefit of reservation would! .ubmn I'. ,Disabil ity Certllica\.e " .Ued by competent authonty.

om enl lllrtho<lty 10 I. ..ue Di ••blllty Cel1l1lc.le:e &9!!! tant alrthoQtr to issue a Disability Cert ificate shall be a Med ical Board ut CO"" if1Jl

e I Pl a Stale Govemll).eflt. 'Phe OenlraVStale Government may coosntut ~d s con · 9 ot -at least three members out ot which at least one shall be a S~lS

r. field or sseSStn9. toeo-mator c.erQ,bra Vhear mg dis.abiljty: as rne sa. rna 'bI to Shall eri us eaamlna.l\on . give a permanent dlsab 1ft cer e 111

a tSUtti e there ar no.c 0 va 'ion it;\ ttl 0'15.1:)11I BOir I lIldtea e P.8 I or va C ca a

I n 0 Is ~~'tY:I~~~~'~ia~liIiell btnctlj

de eslIe I

Clilir

Application(To ... Illtad In block leiter. on ly)

(To be Iypedlwrllten In dOuble .pace &' lont. 14 on ~-4' It[a} Name of the Post applied f9r (in bold ietters) :(b) Ref: AdvertisemeoVLetter No the Employment tlewsl Roz, . Name of the applicant (in full)2. Fal~er'slHusband's Name : :hot II!3 . Nationality: attest d4 . (a) Date of Birth (in figure & >'lords also) : eaz.(b) Age (as on closing date) Yrs ••_. - Months -.- ••••• Days . . (not(c) Age relaxation claimed : YeslNo rank(If 'yes', specifically mention the name of quota) Socre(5 . Whether belongs to SCISTIOBCIPHlEx·serviceman . (pI6. Sex (Male/Female):7 Educational Qualifications '

Educational Unlver.llyllloard Pa••lng Year Sub]Ouaillcation.

-

f certificates .

' ent News/ ROZ9i'r S

>correct & complete,event of aoy. informa' 9 cancelled/termfnat

(left thumb impress 'cn)

Appendl<-B-A<lmlt c; d

(Two cOP ie.)':~:~~:w;;;~;;;~...~...;~;::(To be flied In block letter..

(To be typed/written In double space & lonts(al Name ·of the Post applied for (in bold letters) .(b) Ref: Advertisement Iletter No 'h e Emp!dated .1. Name of the applicant (in full) :2. Father's/Husband's Name :3, Complete postal address : -4. Date & time of Written TesVPhysical Test:(not filled by the Candidate)5. Venue ot Wrillen Test/Physical Test:(not filled by the candidate)6. Date & Time of Interview:(not filled by the candidate)7. Venue or Interview :(not tilled by the candidate)

2 Hours

u inclOdeJ!oth verbal and non-verbal type . TheifIerJlf)ces, seace visualization, pfoblem

'~l'.~!';l::':::'r~~ is. discrimination observation,umber series. verbal and non-verbal

,~~~i~n::clude questions designed to test theI!i IUind their relationship, Mathematical

8. Course Ouatitication (please attach attested copy):9 . Experience (please attach certificate):10. Address for correspondence :11. Permanent address :12 . Employment Registration No. if any :13. Details of Certificate enclosed (please mention the nam14. Any other details :

DeclaratIonI do hereby declare that the particulars furnished above bl meof my knowledge and belief. Nothing concealed by me . In Itfound to be false or-incorrect. my candidature/appointmentmany notice .

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