Application Format for Group 'D' Posts against Sports Quota Cricket (M), Football (M) in North Central Railway (NCR), Wagon Repair Workshop, Jhansi, UP-284003 - February 2013

APPLICATION FORMAT

Senior Personnel Officer (SPO),

North Central Railway (NCR),

Wagon Repair Workshop,

Jhansi, UP-284003.

  

Employment Notice No.B-56 S/Sports/Recruitment/12-13, dt: 27.12.2012

APPLICATION FOR APPOINTMENT FOR

GROUP ‘D’ POST AGAINST SPORTS QUOTA

1.      Name of the Candidate (in Block Letters) :

2.      Father’s Name :

3.      Address for communication :

 

     

3.   (a) Mobile No./Phone No. (with STD code) :

4.      (a) Date of Birth :

  (b) Age as on 01.01.2013 :

  (c) Sex (Male or Female) :

           

5.      Nationality :

6.      Religion :

7.      Nearest Railway Station :

8.      State whether you belong to SC/ST/OBC :

(Proof to be attached)

9.      Name of the Event / Game played & Position / Specialty :

      (a) Event / Game :

 (b) Position :

 (c) Specialty :

10.  Sports achievements (indicating Event and Position achieved) in the discipline (copies of the self  attested certificates in support of ranks / position

secured to be enclosed) :

11.  Educational Qualification (copies of self attested certificates to be enclosed)

Sl. No.	Examination Passed	Name of the Institution / Board	Year / Month of Passing

12.  If already employed, give particulars

(a) Name of the organization :

(b) Post held :

(c) Employed : From              To

(Application should be forwarded through proper channel with proper N.O.C.)

13.  Details of “Indian Postal Order / Demand Draft

I.P.O. / DD No. / Date	Issuing Post Office / Bank	Value (Rs.)

DECLARATION

I hereby declare that all details furnished in this application are true and correct to the best of my knowledge and belief. I understand that in the event of particulars or information given herein being found false or incorrect, my candidature for the recruitment against sports quota is liable to be rejected or cancelled. In the event of my mis-statement / discrepancies in the particulars being detected after appointment, my services shall be terminated without any notice to me.

Place:                                                                                   Signature of the Candidate

Date:                                                                                  (Name:                                 )

Note: Affix your recent passport size self attested photograph in right side top corner of the application.