CORPORATION OF CHENNAI, RIPON BUILDING, CHENNAI - 600 003.

APPLICATION FOR THE POST OF ASSISTANT ENGINEER

(MECHANICAL) / (CIVIL) / (ELECTRICAL) & SANITARY INSPECTOR
APPLICATION FOR THE POST OF
Affixed Photo
should be
attested by the
gazetted officer

1.Name in full (Block Letters)

2.Fathers / Husbands Name

3.Gender

Male

Female

Third Gender

(Tick the relevant box)

Married

4.Marital Status

Unmarried

(Tick the relevant box)

5.Full Postal Address with Mobile No. & email-id

a) Permanent Address:
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Pincode:
District:

Mobile No:

email-id:

b) Address for correspondence

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Pincode:
District:

Mobile No:

6.Nationality :

email-id:

Religion :

7. a) Date of Birth :

b) Age :
D D/ M M/ Y Y Y Y

(Self attested copy of High School Certificate showing

Date of Birth must be enclosed)

8.a) Mother tongue :

(Please mentioned if Tamil is not mother tongue)
b) Second Language in School :

Widow

9.Category [SC(A)/SC/ST/MBC/BC/BC(M)/OC] :
(Self attested copy of Caste Certificate to be enclosed)
10.EDUCATIONAL QUALIFICATION
(Self attested copy of all Educational Qualifications to be enclosed)
Sl.No.

Qualification

1.

SSLC / MATRIC

2.

HSC

Register No.

Year of
Passing

Marks, Grade
obtained with class
Grade
%
Class

Nam of the Institution

Marks, Grade
obtained with class

Name of the Institution

11.PROFESSIONAL / TECHNICAL QUALIFICATION

(Self attested copy of Certificates as Proof)
Sl.No.

Qualification

Register No.

Year of
Passing

Grade

Class

1.

2.

12. a) Wheather Ex-servicemen

b) If yes, please furnish the detail and

enclosed self attested copy of discharge certificate
Date of Entry in Armed Forces

Date of Discharge

Number of Years Service rendered

13.Wheather Destitude Widow : (YES / NO)

14.If candidate belonging to Differently abled persons : (YES / NO)

Type of PH

Percentage of PH

Certificate No.
and Date

Name of Issuing
Medical Authority

15.EXAMINATION FEES
DD No.

Date

Name of the Bank & Branch

Amount

16.OTHER DETAILS, IF ANY

Note : Stage of the case at the time of applying, Nature of the criminal charge, if acquitted on the date of this
application date of judgement should be given. (Tick the relevant box)

Section of Law

Pending Stage of Case

YES

NO

Acquitted

YES

NO

Date of Acquitted

D D

M M Y

Y Y

PARTICIPATION IN POLITICAL
In agitation

YES

NO

As member of Political
Organisation

YES

NO

Candidate in Election

YES

NO

Note :

Qualification for the post :

1) Assistant Engineer (Mechanical) : A degree in Mechanical Engineering / B.Tech (Mechanical )
/ Auto Mobile Engineering /Mechatronics
Engineering
OR
A pass in Sections A and B of the Institution Examinations
(A.M.I.E) under Mechanical Engineering Branch

2) Assistant Engineer (Civil) : B.E. Civil Engineering /B.Tech(Civil)/B.E. Structural Engineering

OR
A pass in Sections A and B of the Institution Examinations (A.M.I.E)
under Civil Engineering Branch.

3) Assistant Engineer (Electrical) : A Degree in Electrical Engineering/ Electronics and

Communication Engineering / Information Technology /
Instrumentation Engineering / Computer Science
OR
A.M.I.E under Electrical Engineering Branch.
(Recruitment for the
Degree in Electrical & Electronics Engineering Degree in Electronics and Communication
Degree in Instrumentation Engineering
Degree in Information Technology /
Degree in Computer Science)
-

14 Vacancies
5 Vacancies
2 Vacancies
2 Vacancies

4) Sanitary Inspector
a) Must have minimum qualification of B.Sc. Degree (main subject Chemistry) from the Recognized
Institution approved by Government.
b) P.G. Diploma in Sanitary Inspector course conducted by the Institutions recognized by the Government.
c) Certification in Computer course.

Check list of Enclosures (Tick the relevant Column)

Sl.No.

Documents

Yes

1.

Passport size photos (Colour) 3 Nos (1 pasted

on application form, 1pasted on hall ticket and
1to be enclosed with application

2.

Date of Birth (SSLC / Matric passed Certificates)

3.

Educational Qualifications
(Certificates & Marksheets)

No

Not applicable

10th

HSC

Degree

4.

Community Certificate

[SC(A)/SC/ST/MBC/BC/BC(M)/OC]
in prescribed proforma
5.

No Objection Certificate (in case of Departmental

candidates)

6.

Differently abled persons Certificate in prescribed

proforma for Employment in State Government

7.

Discharge Certificate (in case of Ex-servicemen)

8.

Whether all above documents / certificates are

self attested

Signature of the Candidate

Date :
Place:

DECLARATION
I hereby declare that all the statements made in this application are true and correct to the best of my
knowledge and belief. In the event of any information being found false / incorrect or ineligibility
deducted before or after the written test / certificate verification or even after appointment, my
candidature / appointment will stand automatically cancelled.

Signature of the Candidate

Date :