Annexure-I
HEAVY ENGINEERING CORPORATION LIMITED
HQRS ADMINISTRATION AND PERSONNEL DIVN
Application against Advertisement No.RT/10/2015 dated 06/04/2015
(Application to be filled in capital letters).
Please paste a
Recent,
self
attested
Passport size
Photograph
Post Applied for:
1. Name of the Candidate
: _________________________________________________
2. Date of Birth
:__________________
3. SC/ST/OBC /PH/Others
:________
4. Fathers Name
:__________________________________________________
5. Mailing Address
:___________________________________________________
______________________________________________
___________________________________________
6. Contact Details
: Landline / Mobile Nos.___________________________
: Email ID _____________________________
7. Permanent Address
: ....
..
.
...
. .
Contd..2
:2:
8. Educational / Professional Qualifications (Matriculation onwards): (self
attested degrees/diploma/mark-sheet/other certificate to be attached
Sl.
No
Qualification
Duration
of Course
Year of
Passing
%
Marks
University
Whether
recognized
Contd..3
:3:
9.
Details of Post qualification Professional Experience/employment in
chronological order: (Self -- attested copies of all relevant information (as
stated below) to be attached).
Name
of
Employer
the Post Held
Total Period Scale
of Nature of duties
(From To)
pay/stipend
performed
(dd/mm/yy)
10. Whether NOC enclosed (If employed in Govt./SemiGovt./PSU/
: Yes / No
Contd..4
:4:
11. Visible Identification Marks:
(i)..(ii).
12. Details of D.D
: Bank .DD No. ...Dated
13. DECLARATION:
I do hereby declare that the facts and information given by me in the above application
are true, complete and correct to the best of my knowledge and belief. In the event of
any discrepancy in the particulars being detected at any stage, my candidature /
service may be cancelled / terminated without any notice.
Date:
Full signature of the candidate
Place:
14.
A brief write up on Significant contributions made (if any) by the candidate in
the past and present positions for his /her suitability for the post.
Date:
Full signature of the candidate
Note:
1. Please sign across the photo pasted on the first page of Application form.
2. The Candidate is required to fill up all the columns. Application will be
rejected if any column is left blank, not filled or incomplete. No further
correspondence will be entertained.
3. Ensure that the mobile no. and email ID are correct and valid for one
year.
4. If space is inadequate for any column, use separate sheet(s).
5. If the percentage of marks/ any other data entered by the candidate is
found incorrect, the company reserves the right to reject the application.
6. Self-attested photocopies of all the applicable certificates.
7. Kindly attach the certificates in the same order as given in the checklist
below.
Check List
Sl
Enclosures
No
1
Date of Birth Certificate
Attached
YES
NO
Caste/ Category Certificate
YES
NO
Not Applicable
PWD Certificate
YES
NO
Not Applicable
J&K Domicile Certificate
YES
NO
Not Applicable
Ex-Serviceman
YES
NO
Not Applicable
YES
NO
YES
NO
YES
NO
YES
NO
Not Applicable
10
Certificate of educational/
professional
Qualification along with marksheets of all the years
Experience Certificate from
previous employer(s)
Appointment Letter and last
months Salary Slip of current
organization
NOC in case of Govt./Semi
Govt./PSU/Autonomous Body
(if applicable)
Extra-Curricular Activities
YES
NO
Not Applicable
11
Fee Paid (Draft)
YES
NO
Not Applicable
12
Any other please specify
7
8
Not Applicable