3
eryrflonltq gyrdlnmi unaflG[-&eufl& ooilglnrflosir rosErir flpiq uuflzuorfuenfldu snnSlu-rns q-dir6n oflrflo.lrorru-rnorni uerufluglL-riserfleir Gprlg SluLoan$$lfonditr ggflrfluLf Gp'iq arrrflu$$leir gqplloflriuneoenrugloir, g$nr9L-@oir6'rr6unglt, glgle /g4rre 615l e-pdl9l GluErir / eup$l uno5lGlL-&eufl& Lnpglti] Cun$lu5lurfr orirgnrflaffirfu ueruflqrfl$p / ueruflqrflqrir ogmurenrrlupnryriooflrir GlunfluSludl LopErn Gunfltgludr g4riuonp ururi8rfloloeir Experience Certificate-eir Glpn$ki: griu6 oeirofl Slru&gonryarb srniurs GLoGlzunrlu6 (Countersigned) 6f6lforgl Glpnuriuno, o5lefrrennriupnnrioeir g4eonnzulgrir Gleeireonr&g o'l$gt GLoGlnrnrlurir GluEcunnp$ goglririgrn CIun1gi@, aflarurennrlupnryioofloir cue$l&ono, Glpn$ltil giu6 sri:afl $tu6oorb gcrglrl Glgn$leir giuril oeiloSl Sluti;gprfleir orniuno, Experience Certificate-+ir GLoGlnrnuuLb Glerircup$g S$SonnnL-cunE Loncuit-rfisoir onrflu.rno gr-61$tpnigril o-oiren u$gt glldleorri Glunflufluf odugnrfloerflrir grpeilorrioeocnqri Regional Nodal Officer-s5nns 6lu.,,.6| pgt g$nD6r6r euprarsriui$leiren$. 6U. creftr. g4gornro$$cir Gluu.rf uruuflqrflqrir / uruuflqfl$p orirgpnfl ocir gl6u,u!L6kl5&6rb r-onolr-drocir 1. Glpn$kfu griu& otirofl $lu-r&aerir, Gls5ir6o6iff Gleeirooom, $O*uitEqf ri, oflqguqryb 5U. 6r50il. grdlrurri Glur$luSluS o drqryfi ofl floi'r erfloryril uruuflqlflrqrir / uruuflqtfl$p otilglrflocir g6u,rfi6l1q&grb r-onorir-riroeir 1. gprdlnnri GlunfluSluLf oo'ug1nrfl , Gonurbq$gtmi. Gonrurbq$glnri, $eudlfl , 6OnU'i 2. gprdlnnri Glun$lu9lu:f oeirglnfl, Gs26. Gen:6, gnLn6oeil, mGrrnGt 3. grrdlemri Glun$lu9uf ooirglnrfl , $16CprirGcue6l. $llSGlprirGorafl, ociroflurnqgrnrfl, grnpgri;g+, oflqggpori 4. g4psriuri Gloigurnri glrdleinri Glunflufl u.rf ooirglrnfl , oncory&qgg rlrloprfpqfl.o, #lolenilcos, $geort, qg1&GonLeor-- 5. ppoinp Glurflumi grdlnmi Glunfluflu.r$ ori:glnrfl , Ga.r gmi GcrLgni, $grueuurennlrro5'Dil, on@dlqryLb 6. gudlnnf Glun$lu9u4f oduEmfl , uria'ri. Sl6eipentrdltfl 7. glrdlnmi Glun$lufluf ooirg2lnrfl, Gungpnu&ogtnri Gprfl 8. gyl$lorri Glunflufluf ori: g1nrfl , p(Droqrfl. FOLoqrfl L gyldlorri Glunflu9u$ ooir glnrfl , pqfoen95f. p@eng5ri, pnoriuigeuni, $l15eunqgf, ouzumi 10. gr$lenri Glunflufl ufr otirEnrfl , urfrrruorir. 6l6&dl, gqrfl ugnri oqgri, Gluryriruglmi, $mur@d;orir

Directorate Of Technical Education · Created Date: 1/23/2020 3:02:51 PM

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Page 1: Directorate Of Technical Education · Created Date: 1/23/2020 3:02:51 PM

eryrflonltq

gyrdlnmi unaflG[-&eufl& ooilglnrflosir rosErir flpiq uuflzuorfuenfldu snnSlu-rns q-dir6n

oflrflo.lrorru-rnorni uerufluglL-riserfleir Gprlg SluLoan$$lfonditr ggflrfluLf Gp'iq arrrflu$$leir

gqplloflriuneoenrugloir, g$nr9L-@oir6'rr6unglt, glgle /g4rre 615l e-pdl9l GluErir / eup$l

uno5lGlL-&eufl& Lnpglti] Cun$lu5lurfr orirgnrflaffirfu ueruflqrfl$p / ueruflqrflqrir

ogmurenrrlupnryriooflrir GlunfluSludl LopErn Gunfltgludr g4riuonp ururi8rfloloeir Experience

Certificate-eir Glpn$ki: griu6 oeirofl Slru&gonryarb srniurs GLoGlzunrlu6 (Countersigned)

6f6lforgl Glpnuriuno, o5lefrrennriupnnrioeir g4eonnzulgrir Gleeireonr&g o'l$gt GLoGlnrnrlurir

GluEcunnp$ goglririgrn CIun1gi@, aflarurennrlupnryioofloir cue$l&ono, Glpn$ltil giu6 sri:afl

$tu6oorb gcrglrl Glgn$leir giuril oeiloSl Sluti;gprfleir orniuno, Experience Certificate-+ir

GLoGlnrnuuLb Glerircup$g S$SonnnL-cunE Loncuit-rfisoir onrflu.rno gr-61$tpnigril o-oiren u$gt

glldleorri Glunflufluf odugnrfloerflrir grpeilorrioeocnqri Regional Nodal Officer-s5nns

6lu.,,.6| pgt g$nD6r6r euprarsriui$leiren$.

6U.

creftr.

g4gornro$$cir Gluu.rf uruuflqrflqrir / uruuflqfl$p orirgpnfl ocirgl6u,u!L6kl5&6rb r-onolr-drocir

1. Glpn$kfu griu& otirofl $lu-r&aerir,Gls5ir6o6iff

Gleeirooom, $O*uitEqf ri, oflqguqryb

5U.

6r50il.

grdlrurri Glur$luSluS

o drqryfi ofl floi'r erfloryril

uruuflqlflrqrir / uruuflqtfl$p otilglrflocirg6u,rfi6l1q&grb r-onorir-riroeir

1. gprdlnnri GlunfluSluLf oo'ug1nrfl ,

Gonurbq$gtmi.

Gonrurbq$glnri, $eudlfl , 6OnU'i

2. gprdlnnri Glun$lu9lu:f oeirglnfl,Gs26.

Gen:6, gnLn6oeil, mGrrnGt

3. grrdlemri Glun$lu9uf ooirglnrfl ,

$16CprirGcue6l.

$llSGlprirGorafl, ociroflurnqgrnrfl,

grnpgri;g+, oflqggpori

4. g4psriuri Gloigurnri glrdleinriGlunflufl u.rf ooirglrnfl , oncory&qgg

rlrloprfpqfl.o, #lolenilcos, $geort,qg1&GonLeor--

5. ppoinp Glurflumi grdlnmiGlunfluflu.r$ ori:glnrfl , Ga.r gmi

GcrLgni, $grueuurennlrro5'Dil,on@dlqryLb

6. gudlnnf Glun$lu9u4f oduEmfl ,

uria'ri.Sl6eipentrdltfl

7. glrdlnmi Glun$lufluf ooirg2lnrfl,

Gungpnu&ogtnriGprfl

8. gyl$lorri Glunflufluf ori: g1nrfl ,

p(Droqrfl.FOLoqrfl

L gyldlorri Glunflu9u$ ooir glnrfl ,

pqfoen95f.

p@eng5ri, pnoriuigeuni, $l15eunqgf,ouzumi

10. gr$lenri Glunflufl ufr otirEnrfl ,

urfrrruorir.6l6&dl, gqrfl ugnri oqgri, Gluryriruglmi,

$mur@d;orir

Page 2: Directorate Of Technical Education · Created Date: 1/23/2020 3:02:51 PM

oflamrcuuriupnryriaeir, 2+O'I.2O2O grpdl 12.02.2020 orrorl J[Stat5Do Gcueoat pnL-aafldl

S$rioninL- ggoLeurnrfuo€DL6iT erbu$puuiL- g4gterLzuorir / ooirgnrfl&g& GloeirE

Experience Certificate-+il Gr-oGlonrluri Gsnrfl ofleuorermrluri Glorirgt GlonohdTrnlrnb.

Glsnfiurfhl orrcil6uurgu -Sor6uurfio6lflfir oflornit.

1 Request Letter

2. Experience Certificate prescribed by TRB - 3 Nos. (in Original)'

3. Original Service Certificate duly signed by the Principal &Correspondent (or) Chairman.

4. Xerox copies of Pay Acquaintance duly attested by the Principalin each page. (or)ECS (griluro crLrardl seuor&dkfu oor$uLrb oLprareriuigtDppneil,

t r+gei:er rfl oir enoirGlpniupgJttin s"gul Ban k Statem e nt.

5. Xerox copies of Attendance Register duly attested by thePrincipal in each page. (or)ar(Ddoo u$lGcu@ urynufl&orn-ooil, Bio-Metric g6tDp

urueiru@$priuL-g6$gn2, g4gnnnn& g$nr5lu@ otilgrrfl grpdrofeiLpdrgilr eneirgl.

6. Affidavit in the prescribed format in the Bond Paper of Rs.20l-with Signature of the Notary Public and two witnesses.

7. odgUfrflugkfu urynLnrfl &ouuiu ggcu nrurriro oir, Glorriremi (Fl ood) gfil5ug1

6 oflupgt (Fire Accident) Guneirp onrJoinrriroennoil

GeprnoorL-$$1151Bpnofu, ggt gdlpg cugcunfr$ gnnpu$lnn

glory6flLoir gqgeonn& 1qdnCIL@ grprirori eryrugrb enoirE.

8. Serv'rce Certificate u6ogtu Gp$unrir GtupdlO;i;png1i, Principal &

Correspondent (or) Chairman (or) Secretary eoaGlunfru$gL-eir

Gkrr&tqdr uL-o3!$|il clfrUrfi Glsneirenonrb.

^*ry'n\X) t /-4-\y"Glgn$lei: gtiu& seiro9l s|r,itgpOBsns

d9r".."Lso-''ry'

Page 3: Directorate Of Technical Education · Created Date: 1/23/2020 3:02:51 PM

MODEL AFFIDAVIT

Certificate to the effect that l, was working as

Assistant Professor / Lecturer ...... in the

Department (Teaching Staff) in College,

which is a Government / Government Aided / Self Financing

Engineering College for the period from .... to as per the

Experience Certificate issued by the institution signed by appropriate authority.

I hereby declare that the information furnished in the Experience Certificate is

bonafide one and tr.ue to the best of my knowledge. lf any discrepancies found later,

I am fully aware of the legal consequences and proceedings to be initiated against

me in case of falsification of records if any made by me and I will abide by the orders

issued by the Teachers Recruitment Board, which is the Recruiting Agency and in

such eventuality I know that my candidature shall be forfeited.

Signature of the Individual

I have verified with proof of records.

Signature of Notary Public

Witness 1:

Witness 2: o.q{*for Director of Technical Education

*"#'r