Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
APPLICATION FORM FOR JOINT EMPLOYMENT NOTICE NO.01/2009 Control No.: (For official use)
PLEASE FILL UP THE APPLICATION IN CAPITAL LETTERS IN OWN HANDWRITING.
2 4
3. NAME OF CANDIDATE
5. FATHER'S NAME
I.T.I/Act Apprentice
Diploma
Engineering Degree
Others
10. ADDRESS
(FOR CORRESPONDENCE)
1. NAME OF CANDIDATE
2. Tick (3) Gender Female Male Marital Status Married Unmarried 3. Nationality
4. Permanent Address :
7. Are you (i) Govt. Employee Yes/No (ii) Ex-Serviceman Yes/No (iii) Physically Challenged Yes/No
8. Present employment (To be filled by all Railway / Central / State / PSU employees) VH HH OH
Designation & Grade Date from Date to Name & address of Employer
9. Ex-Serviceman (Ex-SM)
10. Do you seek age relaxation Judicially separated / J&K Railway Course Completed
SC ST OBC Ex-SM PWD
(3) TICK appropriate box divorced woman / widow Resident Employee Act Apprentice
11. Whether you were debarred by any RRB in the past a) No b) For 2 years c) For life
12. Documents attached in proof of : Indicate by (3) tick mark in the relevant boxes indicated below
Community IPO/DD Discharge Certificate Disability Certificate Vision Certificate
(for PWD as per Annexure-7) (required for the post of
Certificate (for Ex-serviceman)
ASM/ALP/Motorman
(for SC/ST/OBC)
as per Annexure-6)
Self Declaration from OBC Declaration from Qualification
visually handicapped candidates Matric/SSLC Certificate
candidates as per Annexure-5 as per Annexure - 8 Certificate (for DOB Proof)
13. Please copy the following declaration in your own handwriting in running hand in the space provided below:
"I hereby declare that all the statements made by me in the application are true and complete to the best of my knowledge and belief and nothing has
been concealed or suppressed. I also understand that in case, any of my statements is found untrue during any stage of recruitment or thereafter,
shall disqualify me for the post applied for and I shall also be liable for any other action under the extant rules". (*Not filling up the above passage will
disqualify you)