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PW M Project Coordinate 10225

This document is an application form for a position at the Tamil Nadu Pollution Control Board, specifically for the Plastic Waste Management Section. It requires personal information, educational qualifications, employment history, and necessary enclosures to be submitted. The applicant must also declare the accuracy of the information provided and acknowledge the temporary nature of the appointment.

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riya alex
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37 views7 pages

PW M Project Coordinate 10225

This document is an application form for a position at the Tamil Nadu Pollution Control Board, specifically for the Plastic Waste Management Section. It requires personal information, educational qualifications, employment history, and necessary enclosures to be submitted. The applicant must also declare the accuracy of the information provided and acknowledge the temporary nature of the appointment.

Uploaded by

riya alex
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Tamil Nadu Pollution Control Board

Plastic Waste Management Section

(Please fill the application carefully without any mistake. Incomplete Applications/
Applications without enclosures/ Applications with errors will summarily be rejected)

Post Applied for _________________________


AffixAffix
recent
passport size
Recent
photograph
Passport
(not older
Sizethan
6Photograph
months)

1 Name of the Applicant (in Block


Letters) with initials at the end
2 Date of Birth (dd/mm/yyyy)
3 Father’s Name/ Spouse Name
4 Communication Door/ Flat No.
Address Floor, Street
(Present Area
Address) District
PIN Code
5 Permanent Door/ Flat No.
Address Floor, Street
Area
District
PIN Code
6 Marital Status (Unmarried/ married)
7 Nationality
8 State of Domicile
9 Mobile Number
10 Email ID
11. Educational Qualifications:
Name of
Percentage
the Year of
Name of the of Marks/
S.No University/ Subject(s) Passing/
Degree CGPA/
College/ Award
CWA
School
1 Ph.D
2 PG
3 UG
4 Higher Secondary
5 SSLC/
Matriculation
6 Others (only
relevant to present
post)

12. If Ph. D awarded,


Title of the
thesis
Description
of work
done

13. Details of Employment: (In Chronological order starting with recent


position)
S.No Name of the Government/ Position Period Salary Nature
Employer/ Private held/ From to drawn of
Institute Designation duties
14. Enclosures: Copy of
i. 10th standard mark sheet
ii. 12th standard mark sheet
iii. UG Degree consolidated mark sheet
iv. UG Degree certificate
v. PG Degree consolidated mark sheet
vi. PG Degree certificate
vii. PhD/ any other relevant Degree certificate, if any
viii. Aadhaar card
ix. PAN card
x. Experience certificates (in chronological order)
15. Declaration by the Applicant:
I hereby declare that the information provided by me in the application is
true, complete and correct to the best of my knowledge and belief.
I hereby declare that no information has been concealed and distorted. If at
any time, I am found to have concealed/ distorted any information or given any false
statement, my application/ appointment shall liable to be summarily rejected/
terminated without any notice or compensation.
I truly understand that the appointment is purely temporary, contractual and
performance linked in nature and no permanency or re-employment on contractual
basis can be claimed on the basis of this temporary appointment.

Date: ……………….
Place: ……………… ………………………
(Signature of the Applicant)

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