FORMAT OF APPLICATION

To,

Paste Recent

colour
Photograph &
sign across

General Manager (Personnel),

Air India Engineering Services Limited
Airlines House,
113, Gurudwara RakabGanj Road,
New Delhi 110001

POSITION APPLIED FOR : ____________________________________________________

Selected Station : (Delhi/ Mumbai)
1.

Indicate the Station of preference : ___

Full Name : ( In BLOCK letters )

First

Middle

Surname

Father's Name : _____________________________________________________

3.

Date of Birth : (DD / MM / YYYY) __________________________________

4.
5.

Place and State of Birth : ___________________________________________

Address for correspondence : ________________________________________

_________________________________________ Pin Code __________________

State : __________________________
a)

Telephone No. : Residence (with STD Code): _________________________________

b)

Mobile No. : _____________________c) Email ID : ____________________________

(Mandatory)

6.

Gender

7.

Marital Status : Mark 'X' in appropriate box.

Unmarried

(Mandatory)

Married

Male

Female

Divorcee

Widow (er)

Separated

8.

Nationality : ____________________ 9.

Religion : _________________________

10.

Mother Tongue : _______________________ 11. PAN No : ______________________

12.

Height : (Bare feet in cms.) _______________13.Weight: _________________Kgs.

14.

a) Whether SC / ST / OBC / GENERAL :( ALSO MENTION SUB-CASTE)

Sub-Caste

SC

ST

OBC

General

(Indicate Category to which you belong by marking 'X' in the appropriate

box.)
If SC/ST - attach copy of the Caste Certificate.
If OBC, furnish latest Certificate including the "Non-Creamy layer clause". OBC
community should be as per the Central List of OBCs published by the
Government of India
b) Whether working in any Govt /Semi-Govt. /Public Sector Undertaking or
autonomous body : Yes /
No

If "Yes", enclose "No Objection Certificate"

Name of the
Organisation

Post Held

Period of Service
From
To

Nature of Job

15. Educational Qualifications : (Matriculation / SSC onwards)

Examination(s)
Passed
(Specify Degree
e.g.BA/BSc/BCom,
etc. / Diploma /
Course)

Name of the
University /
Institution

Date, Month Duration

& Year of
Passing

Percentage
of marks
(Class /
Division)

10th (SSC)
12th (HSC or Pre-Degree)
1st Year

2nd Year
3rd Year
Any other (specify )

16.

Fluency in languages : Mark 'X' in appropriate column.

Languages
a) English
b) Hindi
c) Local (Specify)
d) Others (Specify)

Read

Speak

Write

Remarks*

* Indicate whether any Certificate / Language Course done and the duration of the course, along with
a copy of such Certificate. )
17.

Work Experience (if any):

Name of the
Organisation

Post Held

Period of Service
From

Nature of Job

To

Must attach all the supporting documents pertaining to experience

mentioned.
18.

Particulars of Demand Draft issued - (in favour of Air India Engineering

Services Limited, payable at Delhi)
Name & Address of the
Issuing Bank & Branch

19.

Date of
Issue

Demand
Draft No.

Amount

Relatives working in Air India Ltd. / Air India Charters Ltd /

Air India Air Transport Services Ltd / Hotel Corporation of India Ltd.
Name

Designation

Company

Relationship

20. Declaration :
I hereby certify that the foregoing information is correct to the best of my knowledge
and belief. I have not suppressed any material fact or factual information in the
above statement. I am aware that in case I have given wrong information or suppressed
any material fact or factual information, or I do not fulfill the eligibility criteria according to
the advertisement, my candidature will be rejected / services terminated without giving
any notice or assigning reasons therefor.

Place :
(Signature of applicant)
Date :
(Please also bring all ORIGINAL DOCUMENTS/CERTIFICATES for verification)

i)
ii)
iii)
iv)
v)
vi)
vii)
viii)
ix)
x)
xi)
xii)
xiii)
xiv)
xv)

Application Fee, wherever applicable

School Leaving Certificate
10th Std / Matriculation Mark-sheet & Passing Certificate
12th Std / Pre-Degree Mark-sheet and Passing Certificate
1st Year Graduation Mark-sheet
2nd Year Graduation Mark-sheet
3rd Year Graduation Mark-sheet
Degree Certificate or Provisional Degree Certificate
Diploma Certificate
Doctors' Certificate (in original) for Height & Weight
Caste Certificate in case of SC / ST /OBC candidates
Discharge Certificate in case of Ex-Servicemen
Experience Certificate
Nationality / Domicile Certificate
PAN Card Copy

"This certificate MUST have been issued on or after 1st January 2015."

OBC Certificate Format

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT
TO POSTS / ADMISSION TO CENTRAL EDUCATIONAL INSTITUTIONS (CEIs),
UNDER THE GOVERNMENT OF INDIA
This is to certify that Shri/Smt/Kum. _________________________________________ Son/Daughter of Shri/Smt.
_____________________________________
of
Village/Town
______________________
District/Division
____________________________ in the ______________________________ State belongs to the _________________________
Community which is recognized as a backward class under:
(i) Resolution No. 12011/68/93-BCC(C) dated 10/09/93 published in the Gazette of India Extraordinary Part I Section I
No. 186 dated 13/09/93.
(ii) Resolution No. 12011/9/94-BCC dated 19/10/94 published in the Gazette of India Extraordinary Part I Section I No.
163 dated 20/10/94.
(iii) Resolution No. 12011/7/95-BCC dated 24/05/95 published in the Gazette of India Extraordinary Part I Section I
No. 88 dated 25/05/95.
(iv) Resolution No. 12011/96/94-BCC dated 9/03/96.
(v) Resolution No. 12011/44/96-BCC dated 6/12/96 published in the Gazette of India Extraordinary Part I Section I No.
210 dated 11/12/96.
(vi) Resolution No. 12011/13/97-BCC dated 03/12/97.
(vii) Resolution No. 12011/99/94-BCC dated 11/12/97.
(viii) Resolution No. 12011/68/98-BCC dated 27/10/99.
(ix) Resolution No. 12011/88/98-BCC dated 6/12/99 published in the Gazette of India Extraordinary Part I Section I
No. 270 dated 06/12/99.
(x) Resolution No. 12011/36/99-BCC dated 04/04/2000 published in the Gazette of India Extraordinary Part I Section I
No. 71 dated 04/04/2000.
(xi) Resolution No. 12011/44/99-BCC dated 21/09/2000 published in the Gazette of India Extraordinary Part I Section I
No. 210 dated 21/09/2000.
(xii) Resolution No. 12015/9/2000-BCC dated 06/09/2001.
(xiii) Resolution No. 12011/1/2001-BCC dated 19/06/2003.
(xiv) Resolution No. 12011/4/2002-BCC dated 13/01/2004.
(xv) Resolution No. 12011/9/2004-BCC dated 16/01/2006 published in the Gazette of India Extraordinary Part I
Section I No. 210 dated 16/01/2006.
Shri/Smt./Kum.
____________________________ and/or his family ordinarily reside(s) in the
____________________________ District/Division of ______________________________ State. This is also to certify that
he/she does not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India,
Department of Personnel & Training O.M. No. 36012/22/93-Estt.(SCT) dated 08/09/93 which is modified vide OM No. 36033/3/2004
Estt.(Res.) dated 09/03/2004.
District Magistrate/ Deputy
Commissioner, etc.
Dated:
Seal
NOTE: (a) The term 'Ordinarily' used here will have the same meaning as in Section 20 of the Representation of the
People Act, 1950.
(b) The authorities competent to issue Caste Certificates are indicated below:
(i) District Magistrate / Additional Magistrate / Collector / Deputy Commissioner / Additional Deputy Commissioner /
Deputy Collector / Ist Class Stipendiary Magistrate / Sub-Divisional magistrate / Taluka Magistrate / Executive
Magistrate / Extra Assistant Commissioner (not below the rank of Ist Class Stipendiary Magistrate).
(ii) Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate.
(iii) Revenue Officer not below the rank of Tehsildar and
(iv) Sub-Divisional Officer of the area where the candidate and / or his family resides.
Caste Certificate issued from Maharashtra State must be validated by social welfare Department of Maharashtra Government

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FORM OF CASTE CERTIFICATE FOR SC/ST

This is to certify that Shri*/Smt/Kumari _______________________________________Son/Daughter of _____________________
Village/Town __________________________ . /District/Division* ________________________ of the _____________________
State/Union Territory belongs to the_______________ Caste*/Tribe which is recognised as a Scheduled Caste/Tribe under :
*The Constitution Scheduled Castes Order, 1950. *The
Constitution Scheduled Tribes Order, 1950.
*The Constitution (Scheduled Castes) (Union Territories) (Part C States) Order, 1951; *The
Constitution (Scheduled Tribes) (Union Territories) (Part C States) Order, 1951;
[As amended by the Scheduled Castes and Scheduled Tribes List (Modification Order, 1956, the Bombay Reorganisation Act, 1960,
the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North Eastern Areas (Reorganisation) Act,1971 and
the Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 1976.] *The Constitution (Jammu and Kashmir)* Scheduled
Castes Orders, 1956.
*The Constitution (Andaman and Nicobar Islands)* Scheduled Tribes Order, 1959, as amended by the Scheduled
Castes and Scheduled Tribes Orders (Amendment) Act, 1976
*The Constitution (Dadra and Nagar Haveli)* Scheduled Castes Order, 1962.
*The Constitution (Dadra and Nagar Haveli)* Scheduled Tribes Order, 1962.
*The Constitution (Pondicherry) Scheduled Castes Order, 1964.
*The Constitution (Uttar Pradesh) Scheduled Tribes Order, 1967.
*The Constitution (Goa, Daman and Diu) Scheduled Castes Order, 1968.
*The Constitution (Goa, Daman and Diu) Scheduled Tribes Order, 1968.
*The Constitution (Nagaland) Scheduled Tribes Order, 1970.
*The Constitution (Sikkim) Scheduled Castes Order, 1978
*The Constitution (Sikkim) Scheduled Tribes Order, 1978
*The Constitution (Jammu & Kashmir) Scheduled Tribes Order, 1989.
*The Constitution (SC) Orders (Amendment) Act, 1990.
*The Constitution (ST) Orders (Amendment) Ordinance Act, 1991.
*The Constitution (ST) Orders (Amendment) Ordinance Act, 1996.
*The Constitution (Scheduled Castes) Orders (Amendment) Act, 2002.
*The Constitution (Scheduled Castes) Orders (Second Amendment) Act, 2002.
*The Scheduled Castes and Scheduled Tribes Orders (Amendment) Act, 2002.
2. Applicable in the case of Scheduled Castes/Scheduled Tribes persons who have migrated from one
State/Union Territory Administration.
This certificate is issued on the basis of the Scheduled Castes/Scheduled Tribes Certificate issued to Shri/Shrimati*
_______________________ father/mother* __________________ of Shri/Shrimati/Kumari _____________________________ of
Village/Town* _________________________ in /District/Division* _____________________________ of the State/Union
Territory* ___________________________ who belongs to the ________________________________ Caste*/Tribe which is
recognised
as
a
Scheduled
Caste/Scheduled
Tribe
in
the
Station/Union
Territory*
issued
by
the
__________________________ dated____________________ .
3. Shri/Shrimati/Kumari* and /or*his/her* family ordinarily reside(s) in Village/Town* ____________________________________
District/Division* of the State/Union Territory * of______________________________ .
Place _________________________ Signature ________________________________
Date ___________________________ Designation ______________________________ (with seal of Office)
State/Union Territory ________________________
* Please delete the words, which are not applicable.
@ Please quote specific Presidential Order
% Delete the Paragraph, which is not applicable
Note : (a) The term 'ordinarily reside'(s) used here will have the same meaning as in Section 20 of the Representation of the People Act,
1950.
The following Officers are authorised to issue caste certificates :
1.District Magistrate / AdditionalDistrictMagistrate / Collector / DeputyCommissioner / AdditionalDeputy Commissioner/Deputy
Collector / 1st Class Stipendary
Magistrate/Sub Divisional Magistrate/Taluka Magistrate/Executive Magistrate/Extra Assistant Commissioner.
2. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency Magistrate.
3. Revenue Officer not below the rank of Tehsildar.
4. Sub-Divisional Officer of the area where the candidate and/or his family normally resides.
5. Certificates issued by Gazetted Officers of the Central or of a State Government countersigned by the District Magistrate concerned.
6. Administrator/Secretary to Administrator (Laccadive, Minicoy and Amindivi Islands).

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