Document 973750

NATIONAL BUILDINGS CONSTRUCTION CORPORATION LTD.
(A GOVERNMENT OF INDIA ENTERPRISE)
Application No…………….(to be filled by NBCC)
POST APPLIED FOR
Advt. No. 09/2013
Affix
recent
passport size self
attested
photograph
1 NAME (IN CAPITAL)
2 FATHER’S / HUSBAND’S NAME
3 GENDER
M
(Put a tick
mark)
4 DATE OF BIRTH
5 AGE
AS
01.10.2013
6 CATEGORY
tick mark)
(Put
9.
a
D
Years
M
Married/Unmarried/
Others
M
Y
Y
Y
Y
Months
GEN
SC
ST
OBC
EX-SEM
(NCL)
(Attach documentary evidence)
SUB CASTE……………………………
YES
NO
IF
YES,
STATE
THE
NATURE
OF
DISABILITY
(OH/VH/HH)………………………. (Attach documentary evidence)
(Please give full postal address with Postal Pin No.)
MAILING
MOBILE NO.
MARITAL
STATUS
D
ON
7 PHYSICALLY
CHALLENGED
8 ADDRESS
F
PERMANENT
FAX. NO.
FULL ADDRESS OF PRESENT
EMPLOYER, IF EMPLOYED
E-MAIL.
LANGUAGE PREFERRED FOR TEST/INTERVIEW….
ENGLISH
HINDI
10. PROCESSING FEE
Demand
Draft
No.
__________________
dated
_____________
drawn
on
________________________(Bank) for Rs ___________ (Rupees __________________________
only) is enclosed.
Contd…2/-
::2::
11
ACADEMIC AND PROFESSIONAL QUALIFICATIONS
Examination
Whether full Duration
Name of the Name of
passed
time / part of
the institution
the
time
course
university
Month
year
passing
&
of
Percentage
of
marks
obtained
Date of issue of marksheet / provisional certificate /degree will be considered as deemed date of acquiring the
essential qualification.
(please attach copies of certificates/marksheets)
12
DETAILS OF EXPERIENCE (in chronological order):
TOTAL POST QUALIFICATION EXPERIENCE…………………(YRS.)
(Minimum Post qualification experience as on 1.10.2013 will be considered from the
deemed date of acquiring the essential qualification only)
S.No Name & address of
Post
Period
Job description in Pay scale /
the employer
held
brief
salary
drawn
From
To
Total
Months
Years
(please attach copies of experience certificates)
13
ATTACH A SEPARATE SHEET AS ANNEXURE GIVING BRIEF ABOUT ACHIEVEMENTS MADE IN
THE PRESENT ASSIGNEMENT (NOT EXCEEDING 200 WORDS).
14
CERTIFIED THAT THE INFORMATION FURNISHED ABOVE ARE TRUE TO THE BEST OF MY
KNOWLEDGE & BELIEF
Place:
Date:
Signature of the candidate