ANNEXURE
APPLICATION FOR THE POST OF MANAGEMENT TRAINEE Affix Photograph
1. Name of the post applied for duly attested by
the controlling
2. (a) Name officer / HOD /any
Gazetted Officer
b) Father's Name :
c) Date of Birth Age as on date of notification ( )
d) Candidate belongs to (OC/SC/ST/BC)
e) Date of entry into Service: .
f) Native District: .
3. Address with Telephone Nos. :-
(a) Permanent Address :
(b) Present Address :
(c) Designation of the Applicant (in full) (Present / Last)
(d) Office Address, if in service :
4. Telephone No: Office Residence FAX No.
Mobile No. E-Mail address
5. Eligibility criteria:
Educational / Professional Name of the Board University/Institution Year of
Qualifications (along with the passing
name of Institutions) From To
(copies of certificates to be enclosed)
6. Experience.
Sl. Designation and Organization/Firm From To Nature of work /
No. place of posting duties attended
1.
2.
3.
4.
5.
6.
(copies of certificates to be enclosed)
7. Any other special Qualification / experience
8. Vigilance status:
a) Whether any punishment awarded to the applicant during the service period. Yes / NO
b) Whether any action or inquiry is going on against him as far as his knowledge
goesIf yes, the details thereof:
Declaration
I ........................................... .............. son/daughter of............. ................ hereby declare
that the information furnished above is true, complete and correct to the best of my knowledge
and belief. I understand that in the event of my information being found false or incorrect at
any stage, my candidature / appointment shall be liable to cancellation / termination without
notice or any compensation in lieu thereof.
I also certify that I am not facing any charge of, nor have ever been convicted for, any act of
moral turpitude or economic offence.
I certify that the details furnished by me in Cols. 1 to 10 are true and I am eligible for the post.
I further submit my willingness that I will join the post, if selected. In case, if I give my
unwillingness after the interview is held, but before the appointment is processed or after issue of
offer of appointment, I may be debarred for a period of two years for being considered for any
post in any PSE under the administrative control of the Energy Department, Govt. of A.P. other
than the one to which I belong to.
(Name and Signature of the applicant)
Date:
(To be filled by the PSU/Ministry /Department concerned)
It is certified that the particulars furnished above have been scrutinized and found to be
correct as per official records.
(Signature & Designation of the
Competent Forwarding Authority
with Telephone no. & office Seal.)