application form -all combine post - 26-june-14

8/16/2019 Application Form -All Combine Post - 26-June-14

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APPLICATION FORM

To,

The Chief General Manager (H.R.)

M.S.P.G.C.L.II nd Floor, ‘Prakashgad’

Plot No G-9 Bandra (East)

Mumbai - 400051

Post Applied For:

Category Applied For:

SC ST VJ-A NT-B NT-C NT-D OBC OP

Category: Indicate your category by (√)

1 Personal Details:

Surname:

First Name:*

Middle Name:

Date of Birth:*

(As per SSC / School certificate)Age as on 21-Jul-2014: Day Month Year

Age Completed as on 21-Jul-2014:

Gender:*

Male Female

Marital status: *

Married Unmarried Widow / er Divorcee

Father's Name:*

Mother's Name:*

Affix your

recognizable recentPassport size

photograph


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2 Address:

Address for Correspondence:*

District:

State:*Pin

Code:*

Domicile of Maharashtra, Indicate by

(√ )Yes

3 Contact Details:

STD Code :Phone

Number:

(Maximum 5 digits) (Maximum 8 digits)

Mobile Number:*

(Maximum 10 digits)

Email ID :*

Alternate Email ID :*

4 Are you an employee of MAHAGENCO?:

Yes

If, Yes,

CPF Number :

(Maximum 10 characters)

Current Job Location

5Are you applying under women

reservation:Yes

Do you have Non-Creamy Layercertificate (for Financial Year 2014-15):

Yes No

6 Domicile of Maharashtra, Indicate by(√ )

Yes No

Nationality?:*

No

No

(6 Digits)

No


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7Educational Qualification Details

(as on 21-Jul-2014 :

Examed Passed Name of the course

Graduation

Month Year %

Inst tute

University

Post Graduation

Month Year %

Institute/

University

Others

Month Year %

Institute/

University

Others

Month Year %

Institute/

University

8 Experience Details (as on 21-Jul-2014):

Present Designation:

Experience: (You may attach separate sheet if required)(You may attach separate sheet if required)Details of posts held from time to time: As on 21-Jul-2014:

Month

9 List of academic honors received:

Total ExperienceScale of Pay& Gross

EmolumentsYear

Nature of Job

(Responsibiliti

handled) *

Period

ToFrom

Sr.

No

Name of the Organization with No. of

employees & Annual Turnover

Position

Held


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10 Proven achievements

11 Any other information

12 Other Details:

Details of affiliation with ProfessionalBodies / Institution / Society:

Sr.no

Read Write Speak

13 Application Fee Details :

Name of the Bank Branch

Languages Known

Membership No.Name of the Body

Demand Draft No

(6 Digits)

Demand Draft / Pay Order Details: (Drawn in favour of MAHARASHTRA STATEPOWER GENERATION CO. LTD., payable at Mumbai)

MICR No. (9 Digit s)

Since When

Amount


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14 Declaration:

I agree

Place:

Date:

Signature

Attested copies of following documents shall be attached with application form :

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

(j)

(k)

(l)

(m)

I am aware that if any totoal numbers of living children are more than two due to the children born after

28.03.2006, I am liable to be disqualified for the post applied.

Domicile Certificate

Horizontal Reservation Certificate & necessary Documents

Y / N

Y / N

Y / N

Certificate of experience

Non Creamy Layer Certificate

Caste Validity Y / N

Caste Certificate

Attested copy Higher Secondary / Degree/ Provisional Degree in support of

educational qualifications

Professional Degree certificate

Demand Draft

Post applied for is written on the envelope

Pasted recent photograph at appropriate place

Y / N

I declare that all the above information and particulars are correct and that I will stand disqualified if any

information is found to be incorrect at any stage.

I decalre that I have................Number of living children as on today, out of which no.of children born after

28.03.2005 is .............

I declare that I am ready to serve in any where in the Company.

Y / N

Y / N

Y / N

Y / N

Attested copy Secondary School Certificate (SSC/CBSC/ICSE) for Date of Birth

Signed the undertaking

Y / N

Y / N

Y / N

I undetake to abide by all the conditions & General conditions metioned in the advertisement given by the

Company.

Y / N

Note: Copies of Testimonials in support of age, qualifications, experience etc. may be furnished, wherever

necessary.