इलेक्ट्रोनिक्ट्स कार्पोरे शि ऑफ़ इं निया नलनिटेि
Electronics Corporation of India Limited
                                                                          भारतसरकार (र्पररिाणुउर्ाानिभाग) काउर्पक्रि
                                                                          A Government of India [DAE] Enterprise
                                                                          कार्मिक िगा / PERSONNEL GROUP
                                                                          भती अिुभाग का.ि./Rectt.PG
ADVERTISEMENT NO.:24/2019                                               Name of the post:______________________
                                                                        Place of Posting:_______________________
FULL NAME IN CAPITALS:
                                   (As per Matriculation certificate)
FATHER’S NAME            :
SEX                      :      MALE / FEMALE
DATE OF BIRTH & AGE (as on 30.06.2019):
                                                                                                           Affix    Recent
CATEGORY (GEN/OBC/SC/ST/PWD):                                                                              Passport    size
                                                                                                           photograph
NATIONALITY:                                    RELIGION:
TELEPHONE No. (With STD Code) :____________________ MOBILE NO.:_________________
Mail id: _______________________________________________________________________
ADDRESS FOR COMMUNICATION :                                                                       --------------------------------
QUALIFICATIONS( Matriculation onwards):
                                                                     Yr. Of        Class & % of
         Examination                Board/ University                                               Specialization/Branch
                                                                     Passing          marks
EXPERIENCE (in chronological order):
                                       Period                                                      Present basic/
                                                              Post                                 Scale of pay/             Reasons for
        Name of the                                                        Nature of work done
                               From              To           held                                  Total Salary               leaving
        Organization
                                                                                                       drawn
REFERENCES OF PERSONS IN RESPONSIBLE POSITIONS (NAME, ADDRESS & MOBILE NO.)
1.                                                             2.
                                                           DECLARATION
     I certify that the above information is correct and true to the best of my knowledge and belief. In the event of any
     information being found false or incorrect, action can be taken against me. Further declare that I have never been
     arrested/prosecuted and convicted by a Criminal Court or involved in any other case registered by the police. I am also
     aware of the fact that this is purely contractual basis and I will not raise any issue for regular employment in ECIL.
     DATE:                                                                                          SIGNATURE OF THE APPLICANT