application_21_2015.pdf
TRANSCRIPT
,-| + ||-|+| +||||-| ~|+ ,||| |-|||Electronics Corporation of India Limited || | | +| ,| |||+|| |||||) +| n| A Government of India [DAE] Enterprise +|||+ ||; Personnel Group, ECIL Post, HYDERABAD-062 ;-r +cr|-r+r +rrr rr-r r+ ;|=rr |-r|-rc=ELECTRONI CSCORPORATI ONOFI NDI ALI MI TED (A Government of India [DAE] Enterprise) +r|-r+ rr ; Personnel Group PERSONNEL GROUP ADVERTISEMENT NO.:21/2015Name of the post: _____________________ FULL NAME IN CAPITALS:(As per Matriculation certificate) FATHERS NAME: SEX : MALE / FEMALE
DATE OF BIRTH & AGE (as on 31.07.2015): CATEGORY (GEN/OBC/SC/ST/PH):
NATIONALITY:RELIGION: TELEPHONE No. (With STD Code) :____________________ MOBILE NO.:_________________ Mail id: _______________________________________________________________________ ADDRESS FOR COMMUNICATION :
QUALIFICATIONS( Matriculation onwards):ExaminationBoard/ University Yr. OfPassing Class & % of marks Specialization/Branch EXPERIENCE (in chronological order): Name of the Organization Period Post held Present basic/ Scale of pay/ Total Salary drawn Reasons for leaving FromTo REFERENCES OF PERSONS IN RESPONSIBLE POSITION (NAME, ADDRESS & MOBILE NO.) 1. 2.
DECLARATION I certify that the above information is correct and true to the best of my knowledge and belief. In the event of any information being foundfalse or incorrect, action can be taken against me. Further declare that I have never been arrested/prosecuted and convicted by a Criminal Court or involved in any other case registered by the police. I am also aware of the fact that this is purely contractual basis and I will not raise any issue for regular employment in ECIL. DATE:SIGNATURE OF THE APPLICANT AffixRecent Passportsize photograph SHUKLA VIVEK LAXMIKANT PUSHPALAXMIKANT SHUKLA20/08/1992 AND 22 YRS OPENINDIAN [email protected] RAGESHWARI APT NEAR VISHAL COMPLEXCHAKKI NAKA KALYAN EASTTECHNICAL OFFICER (C)B.E (ECE)MUMBAIMUMBAIMUMBAI200820102014th10 th12S.S.CH.S.C(89.38)(76)(71) ECE13/08/2015