Call Letter for WrittenTest / Interview for the Selection of stipendiary
Traiees ( Cat.II ) against Advt.No. 01/2015
Postal address of the candiate.
(For office Use)
Date & Time of Written
Examination / Interview :
Venue of the Written
Examination / Interview :
Institute of Hotel Managemet, Catering
Technology & Applied Nutrition,
Taramani ,Chennai-600113
Assistant Personnel Officer
Recruitment Section
lection of stipendiary
o. 01/2015
t, Catering
rsonnel Officer
ment Section
Application for the Post of Stipendiary Trinees(Category- II) for NRB (K)
PROFORMA FOR APPLICATION
(Put X mark in the box applicable)
Advt No:01/2015 (only for SC and OBC candidates)
Post No : ..
1.Full Name (As per SSC Certificate)
TITLE
NAME
SHRI/SMT/KUM
2.Nationality :....
3.Religion : ..
5.Date of Birth (As per SSC Certificate) :
6.Category
7.Are you domiciled in Jammu & Kasir during the
period from 1/1/1980 to 11/12/1989 (If yes please
attach the relevant documents) :
4.Sex :
Date
Month
SC
OBC
YES
YES
9. Whether belogs to Minority Community :..
10.Are you a Central Govt.Civilian employee?
YES
11.Employmet Exchange Registration Details :
District & State
12.a) Correspondence Address With Pin Code:
Phone No:
E-mail id :
Qualification Registered
b) Permanent Address With Pin Code:
13. Educational & Professional Qualification:
i) Beginning with SSC onwards:
Examination
Details of Marks
Univerity/B
oard/
Year of passing/
Institution
appearing
Stream/
Subjects
Maximum
Marks
Marks
Obtained
Univerity/B
oard/
Duration of the
Institution
course
Year of
passing
Maximum
Marks
Marks
Obtained
SSC
HSC
ii)
ITI/NCVT
Name of
trade/
discipline
14.Any higher qualification other than those mentioned against 13 (i) and (ii):
Degree/
Diploma/
discipline
Univerity/Board/ Institution
Year of
passing
Percentage of
Marks
Class
15.Experience (particulars of previous and present employment are to be furnished:
Name &
Address of
employer
Post held
Whether
Central or a
State
Govt./PSUs
Autonomous
Period
From
Perment Or
Temporary
To
16.Details of relatives employed in Dept. of Atomic Energy or its Constituent Units:
Name of the employee
Designation
Unit
17.Are you under any contractual obligation to the Central/State Government/Any other public Sector
Undertaking/Autonomous Bodies? If so, furnish details :
18. Declaration :
I here by declare that all the information furnished above are factually correct to the
best of my knowledge. I also understand that I will be disqualified at any stage if any
of the information furnished by me is found to be incorrect/false.
Place :.
Date :
(Signature of the candidate)
ry- II) for NRB (K)
Male
Female
Year
NO
NO
NO
Registration Number
& Date of registration
Address With Pin Code:
of Marks
% marks
Reasons for
leaving
Relationship with
the candidate
nt/Any other public Sector
ils :
rrect to the
age if any
nature of the candidate)
CHECK LIST FOR THE CANDIDATES
put(x) in the boxes applicable
1. Copy of the application completed and attached
2. Photographs pasted in application and Call letter
3. Application signed
4. Xerox copies of certificates enclosed
Date :..
Sigature :
Name
:.
