mazagon appln form

8/7/2019 mazagon appln form

http://slidepdf.com/reader/full/mazagon-appln-form 1/13

FOR MDL WEBSITE

MAZAGON DOCK LIMITED

(A GOVT. OF INDIA UNDERTAKING)

DOCKYARD ROAD, MUMBAI 400 010.

(SPECIAL RECRUITMENT DRIVE FOR SC/ST/OBC & PWD)

ADVERTISEMENT REF. NO. MDL/HR-O/REC/12/2011

Mazagon Dock Limited (MDL) is India’s leading Shipbuilding Company with ISO

9001:2000 accreditation. It is a profit-making Central Government Schedule ‘A’ PSU under

the Ministry of Defence, Department of Defence Production, engaged primarily in the

construction of Warships and Submarines for the Indian Navy. The present turnover of the

Company is around 3000 crores and is projected to be higher in the coming years. MDL

has employee strength of around 8500.

I. Applications are invited from Indian Nationals belonging to following categories for the

following posts in the Industrial Dearness Allowance (IDA) pay scale (Revised):

a) For SC/ST/OBC Category :

Sr.

No

Post Grade No. of

posts

Break-up of

posts

Post

Qualification

Experience

required (in

years) as on

15.04.2011*

Age limit as

on

15.04.2011**

(Excluding

Relaxation)

1 Dy. General

Manager (Tech)

E-6 01 Mechanical/

Electrical/

Electronics/

Marine/Naval

Architecture

14 48

2 Chief Manager

(Tech)

E-5 01 01 Electrical 11 44

3 Manager

(Tech)

Manager

(Legal)

E-4 05 02 Mechanical

02 Paint 01 Legal

08 40

4 Dy. Manager

(Tech)


02 Electrical01 Electronics

05 36

5 Asst. Manager

(Tech)

E-2 03 03 Mechanical 03 32

6 Sr. Engineer

(Tech)

E-1 04 04 Electrical 01 28

7 Sr. Engineer

(Tech) (Ex-

Navy)

E-1 04 02 EAR

02 EAP

Mentioned

Separately at

Para V (e)

As per Ex.

Servicemen

Relaxation

8 Probationary

Officer


06 Electrical

Nil 26

Total 35

(Cont. on Page 2)



REF. NO: MDL/HR-O/REC/12/20112

b) Persons with Disablities (PWD) Category :

Sr.

No

Post Grade No. of

posts

Break-up of

posts

Post

Qualification

Experiencerequired (in

years) as on

15.04.2011*

Age limit as

on

15.04.2011**(Excluding

Relaxation)

1 Sr. Engineer

(Tech)


06 Electrical

02 Electronics

01 28

Total 15

* Post qualification experience in the relevant discipline in Officer/Executive cadre

from the date of passing mentioned in the mark sheet excluding training period or

apprenticeship training.

** The above age limit is for non-SC/ST/OBC/PWD candidates. Relaxed age limit for different

categories is mentioned at Para VII separately.

II Grouping of Technical Disciplines Qualification wise:

Discipline To include

a Mechanical. Mechanical / Mechanical & Industrial Engineering. /

Mechanical & Production Engineering / Production Engineering

/ Production Engineering & Management /

Production & Industrial Engineering.

b. Electronics. Electronics / Electronics & Communication / Applied Electronics

& Instrumentation / Electronics & Telecommunication /

Electronics & Instrumentation.c. Electrical Electrical / Electrical & Electronics /

Electrical & Instrumentation.

d. Marine Marine

e. Naval

Architecture

Naval Architecture/ Naval Architecture & Ship Building/

Naval Architecture & Ocean Engineering

III. Grade Pay scales and Reservationsa) For SC/ST/OBC candidates.

Grade Pay Scale

( )

*CTC per

annum in lakhs

(Approx)

Reservations

Min.

Max.

SC ST OBC Total

E-6 36,600-62,000 9.75 16.50 -- 01 -- 01

E-5 32900-58000 8.40 14.80 -- 01 -- 01

E-4 29100-54500 7.45 13.90 01 03 01 05

E-3 24900-50500 6.35 12.90 02 01 02 05

E-2 20600-46500 5.26 11.85 -- -- 03 03

E-1 16400- 40500 4.19 10.30 03 03 02 08

E-1 (PO) 16400- 40500 4.19 10.30 Nil 07 05 12

Total 35

(Cont. on Page 3)




b) For Persons with Disablities

Grade Pay Scale ( ) *CTC perannum in lakhs

(Approx)

Reservations

Min.

Max.

VH HH OH Total

E-1 16400- 40500 4.19 10.30 05 06 04 15

* In addition Encashment of Leave, Gratuity, Hospitalisation benefits and other facilities are

also admissible as per Company Rules.

IV Persons with Disabilities (PWD):

Physically Handicapped candidates from all categories can apply for PWD posts. Apart from PWD

posts, candidates who are physically handicapped and exceeding disability of 40% and above can alsoapply for SC/ST/OBC posts. They will be granted relaxations and concessions as per Govt. of India

guidelines.

V. QUALIFYING REQUIREMENTS FOR SC/ST/OBC CANDIDATES:

(a) Dy. Gen. Manager (Tech)

Qualification - Full time Engineering degree with minimum 2nd

class or 50% marks or

equivalent CGPA in the discipline of Mechanical/ Electrical/ Electronics/ Marine Engineering Or

Full time degree in Naval Architecture Or Degree in Engineering with post graduate Diploma in

Naval Construction from a recognized university / deemed university.

Experience: Relevant work experience includes experience in Fabrication/Outfitting/Design/

Production/Planning/ Project Management. Experience in operation/ overseeing/ maintenance of ships/submarines will be an added advantage. Candidates having experience in Designing/ Planning/

Quality Assurance/ Production/ Operation & Repair of Submarines will be preferred. Candidates

having experience in Commercial functions/ Contract negotiations/ Materials procurement also wouldhave added advantage.

Job requirement: The incumbent to be required to work in shops and on ships, on submarines, onmechanical system outfitting, fabrication of ships/submarine/all structures and in Design/ Planning

and in maintenance of equipments. The incumbent will be responsible for material procurement from

imported, indigenous and local sources, custom clearance of materials, cash purchases, managementof stores, Projects, Maintenance etc. He may be deployed for any other duties of the Company

depending on the requirements as may be decided by the Management

(b) Chief Manager/ Manager/ Dy. Manager/Assistant Manager/Senior Engineer

(Mechanical/Electrical/Electronics) (Post at Para 1-a- Sr. No. 2 to 6) (Other than Paints

& Legal)

Qualification - Full time Engineering degree in the discipline of

Mechanical/Electrical/Electronic Engineering from a recognized university / deemed

university, with minimum 2nd

class or 50% marks or equivalent CGPA .

(Cont on Page-4)



REF. NO: MD L/HR-O/REC/12/2011

4

Experience: Candidate should have relevant post qualification work experience in

Fabrication/ Production/ Outfitting/Planning/Design/Project Management. Experience in

Commercial functions, Contract negotiations and Materials procurement would be an added

advantage.

Job requirement: The incumbent to be required to work in shops and on ships, on

submarines, on mechanical/electrical/electronic system outfitting, Designing/ fabrication of

ships/submarine/all structures and in planning and in maintenance of electrical / electronic

equipment and substation. The incumbent will be responsible for material procurement from

imported, indigenous and local sources, custom clearance of materials, cash purchases,

management of stores, Projects, Maintenance etc. He may be deployed for any other duties

of the Company depending on the requirements as may be decided by the Management.

(c) Manager (Paint) (Post at Sr. No-3)

Qualification: Full time Degree in Engineering / B.Sc. (Tech. - Paints) / B.Sc. (Chemistry)

with Diploma in Paints Technology / M.Sc. (Paints) awarded by a recognized University/

deemed University, with minimum 2nd


Experience: Relevant post qualification work experience in Paints.

Job requirement: The incumbent will be responsible for tests and trials, Procurement &

Quality assurance of paints. He may be deployed for any other duties of the Company

depending on requirement as may be decided by the Management.

(d) Manager (Legal) (Post at Sr No.3)

Qualification: Graduate with LLB from a recognized university or Degree in Law (5 Yearscourse)

Experience: Minimum eight-year’s post qualification experience in the relevant field. He

must have worked for at least for 5 years as an executive in Legal Department of a large size

reputed Company/ Corporate Law firm dealing with drafting and vetting of commercial

contracts with domestic and international parties and giving opinion on commercial /legal

issues. He should also have experience in respect of Arbitration matters and liaison with

Counsel/Solicitors. Candidates with bar experience in High Court preferred

(e) Senior Engineer (Ex-Navy) (EAP/EAR) (Post at Sr. No.7)

Qualification:- Chief Petty Officer / Master Chief Petty Officer/ EA 3 and above in therelevant trade under Indian Navy /Ex-Navy.

Experience:- Minimum 12 years experience in the relevant trade in the Indian Navy and

should have held the rank of Chief Petty Officer / Master Chief Petty Officer/ EA 3 and

above.

Job requirement: The incumbent will be responsible for ship / submarine construction,

refits, modernization, in any of the relevant fields of planning/design/procurement/

fabrication/ berth / outfitting/quality assurance/ test and trials. He may be deployed for any

other duties of the Company depending on requirement as may be decided by the

Management. Candidates having Submarine background will be preferred.

(Cont on Page-5)




5

(f) Probationary Officer (Post at Sr. No. 8)

Qualification - Full time engineering degree in the discipline of Mechanical/Electrical

Engineering from a recognized university / deemed university, with minimum 2nd

class or

50% marks or equivalent CGPA .

Experience: Nil.

VI. QUALIFYING REQUIREMENTS FOR PWD CANDIDATES:

Senior Engineer (Mechanical/Electrical/Electronics)

Qualification - Full time Engineering degree in the discipline of

Mechanical/Electrical/Electronics Engineering from a recognized university / deemed

university, with minimum 2nd


Experience: Candidate should have relevant post qualification work experience in

Fabrication/Production/Outfitting/Planning/Design /Project Management/ Teaching/

Purchase / Stores /Materials. Experience in Commercial functions, Contract negotiations

would be an added advantage.

Job requirement: The incumbent to be required to work in Stores, Materials, Training,

Planning, Design, Commercial, Outsourcing Departments. He can also be posted in other

Production related departments in shops, ships, submarines where his nature of disability will

not generally hamper his normal functioning as per requirement of the company. The

incumbent will also be responsible for material procurement from imported, indigenous and

local sources, custom clearance of materials, cash purchases, management of stores, Projects,

Maintenance etc. He may be deployed for any other duties of the Company depending on the

requirements as may be decided by the Management.

VII. Age Relaxation:

a) Age is relaxable by 5 years for SC/ST, 3 years for OBC (Non Creamy layer).

b) In case of Ex-servicemen, the upper age limit will be relaxed to the extent of

number of years of Military service. However, the resultant age after deducting

the period of service from the actual age should not exceed the prescribed age limit

by more than 3 years.

c) Age will be relaxed for candidates from within MDL to the extent of 5 years

maximum.

d) For PWD candidatesi) Age is relaxable by 10 years for General PWD candidates.

ii) Age is relaxable by 15 years for SC/ST PWD candidates

iii) Age is relaxable by 13 years for OBC (Non Creamy layer) PWD

candidates e) Preference will be given to the children / family members of those who died in the 1984

riots by giving age relaxation.

(Cont on Page-6)




6

VIII. Eligibility of candidates from PSUs/Govt. Department/Armed Forces

a) Candidates who are employed in Government/Public Sector Undertakings shall have

to forward their applications through proper channel or produce NOC from their

present employer latest at the time of the interview, failing which the candidate shallnot be allowed to appear for the interview.

b) Candidates from Govt/ PSUs should have minimum 2 years experience in one scale

of pay below that of the post applied for and for internal candidates 1 year experience

in one scale of pay below that of the post applied for.

c) In case of candidates in Central Dearness Allowance (CDA) pay scale from

including Govt. Dept. /Armed Forces/PSU, the pay scale equivalence for the purpose

of (b) above will be considered as per Govt. of India guidelines. The equivalent pay-

scales in the various ranks on both CDA & IDA (Revised) are given below:

Sr.

No.

Post CDA/Govt. IDA – PSU

1 Deputy General Manager (E-6) 37,400-67,000 (Grade Pay- 8700) (PB-4) 36,600 – 62,000

2 Chief Manager (E-5) 37,400-67,000 Grade Pay 8700 (PB-4) 32,900-58,000

3 Manager (E-4) 15,600-39,100 Grade Pay 7600 (PB-3) 29,100- 54,500

4 Deputy Manager (E-3) 15,600-39,100 Grade Pay 6600 (PB-3) 24,900-50,500

5 Assistant Manager (E-2) 15,600-39,100 Grade Pay 6600 (PB-3) 20,600-46,500

6 Sr. Engineer (E-1) 15,600-39,100 Grade Pay 5400 (PB-3) 16,400-40,500

7 Junior Engineer (JE) 9300-34800 Grade Pay 4200 (PB-2) 12,600- 32,500

IX. Career prospects in MDL: The Company has a conducive work environment and

offers very good opportunities for growth through a system of internal transfers to provideexposure to different facets of the Company’s activities, various training programs and a

forward-looking promotion policy. A meritorious and hard working Officer can thus look

forward to very good career prospects.

X. How to Apply:

a) Application form may be downloaded from MDL Website (Mentioned at the end of this

advertisement as Format I for other than Probationary officers and Format II for

Probationary Officers)

b) Applications must be in response to our advertisement. Advertisement Reference No. and

Post applied for must be clearly mentioned on the application form.

c) Physically Handicapped General candidates belonging to the unreserved category canapply for the post of Senior Engineer PWD

d) Applications should be submitted strictly as per the prescribed format available on the

MDL Website.

e) All instructions as given on the MDL website must be adhered to, failing which, the

applicant will be disqualified for the post.

f) Name of the post applied for, should be super scribed on the envelope containing the

application.

(Cont on Page-7)




7

g) The application should contain self attested copy of the following

i.) copy of proof of age,

ii.) SSC or equivalent certificate,iii.) Degree Certificate, Marks Sheets,

iv.) Caste certificate in the prescribed format as applicable

v.) Relevant experience certificates.

h) One recent passport size photograph is to be pasted on the form and one extra photograph

to be attached.

i) Applications must be forwarded through Postal/ Courier services only. Applications

forwarded through any other means including by Fax, e-mail or hand delivery will not be

entertained.

j) Processing Fee (Only for the post of Probationary Officer): OBC Candidates

applying for the posts of Probationary Officer are required to pay a processing fee of

Rs.250/- (non-refundable) by way of Demand Draft to be drawn in favour of MazagonDock Limited, payable at Mumbai. ST/PWD category candidates are exempted from

payment of processing fee.

k) Applications complete in all respects must reach the Additional General Manager (HR-O),

Mazagon Dock Limited, Dockyard Road, Mumbai 400 010 on or before 15.04.2011.

MDL will not be responsible for any delay/loss in postal transit of any application or

communication. Applications incomplete / unsigned or without relevant documents will

not be considered. Candidates employed in PSU/Govt. and applying through proper

channel should send an advance copy within the prescribed time limit.

XI. Selection Procedure:a) Interview (Other than Probationary Officer): Eligible candidates will have to

appear for an interview at Mazagon Dock Limited, Mumbai.b)For Probationary Officer:

i) Written Test: Eligible candidates will be required to appear for an

objective type written test including a psychometric test. These tests will be

held in Mumbai only. Candidates will have the option to write the tests in

English or Hindi and the option once exercised shall be final. The written

test shall comprise of two papers viz. i.) Core paper (related discipline) of

100 marks and ii.) General Paper (General knowledge and test of reasoning)

of 80 marks. In addition to the two papers, there shall be written

psychometric test. In order to qualify for the interview the minimum pass

marks is 50% marks in each paper and overall 60% in the written test and

“average fit” grading in the Psychometric Test. Candidates not meeting this

criteria will not be called for the interview. However the percentage of

qualifying marks will be lowered in case adequate numbers of candidates are notavailable to be called for interview.

ii) Interview: Depending on the number of vacancies, only those candidates whohave secured the Minimum qualifying marks stipulated for Written Tests and

rank sufficiently high in the order of merit shall be called for a Personal interview.

Mere passing in the Written Tests shall not vest any right in a candidate for beingcalled for Personal Interview. The interview will be of 20 marks to be held in

Mumbai. The qualifying marks in interview will be 60% for short listing

(Cont on Page-8)




8

iii) Final Selection: The final selection will be on the basis of marks obtainedin written test and interview

c) Verification of Original Documents: All original documents such as degree

certificate, proof of date of birth, caste certificate, experience certificate, etc. will be

checked at the time of interview. Non-production of original documents will debar the

candidate from appearing for the interview and no Travel Fare will be reimbursed to

such candidates.

d) Caste Certificates: SC/ST/OBC candidates must produce caste certificates, as per the

format prescribed by the Government of India In the case of OBC candidates the

certificate that they “Do not belong to the creamy layer” must be not older than six

months as on 15.04.2011. Where candidates belonging to the SC/ST category areunable to produce a certificate from any of the prescribed authorities, they will be

appointed provisionally on the basis of whatever prima facie proof they are able to

produce in support of their claim, subject to their furnishing the prescribed certificate

within six months from the date of their joining the Company.

e) Medical Test: Applicants should be of sound health and meet the medical fitness

standards as required by the Company. Candidates short-listed for appointment after

interview will have to undergo a medical test conducted/organized by the Company

and certified by the Company’s Medical Officer, which may require them to halt at

Mumbai for a day or two at their own expenses.

f) Offer of Appointment: Candidates finally selected for the post applied for will beoffered appointment and allowed to join after obtaining Police Verification Report

(PVR). Candidates will also be allowed to join on the basis of production of Identity

Certificate issued by a Gazetted Officer, or a valid passport subject to receipt of their

PVR within 3 months. The selected candidates will be on probation for a period of one

year and shall be confirmed in the post on successful completion of the probationary

period.

g) Serving candidates from Government Departments / Armed Forces/ PSU who have

applied through proper channel / produced NOC and selected for the post applied for

will have to join only after being relieved from service. No appointments against the

advertised posts will be made on deputation basis.

h) Fixation of Pay: The fixation of pay in case of candidates selected from PSU/

Government Department / Armed Forces will be in accordance with the Company’s

rules and relevant Government guidelines. In other cases, fixation of pay will be at the

minimum of the pay scale. However in deserving cases, MDL management may

consider fixing the pay at a higher stage in the same pay scale.

(Cont. on Page 9)




XII. Intimation for Interview:

Names of short listed candidates called for interview will be hosted on MDL websiteunder the Head ‘ CAREERS’.

Call letter for interview with instructions will be sent by Email. MDL will not be

responsible for bouncing back or blank emails. In event of such happenings short listed

candidates are requested to see our website and follow the instructions given the website.

Candidates are advised to visit our website on 30th

April 2011 regarding Written test/

interview schedule.

XIII. Reimbursement of Travel fare for Interview:

Eligible candidates who are appearing for the interview will be reimbursed travel fare

by 2 Tier AC Rail / Bus by the shortest route on production of tickets.

XIV. Important Instructions:a) Applicants must ensure that their applications reach the AGM (HR-O), MDL by the

due date. Late applications will not be entertained.

b) Before applying for the post, the candidate should ensure that he/she fulfills the

eligibility and other norms mentioned in the Advertisement. In case it is detected at

any stage of recruitment that a candidate does not fulfill the eligibility norms and/or

has furnished any incorrect/false information or has suppressed any material facts,

his/her candidature will stand cancelled. If any shortcoming(s) is/are detected even

after appointment, his/her services are liable to be terminated.

c) Incomplete applications will be rejected.

d) The candidate should have a valid E-mail ID

ADDITIONAL GENERAL MANAGER

HR-OFFICERS’ SECTION

Date: - 04.03.2011



MAZAGON DOCK LIMITED APPLICATION FORMAT- I

(SPECIAL RECRUITMENT DRIVE FOR SC/ST/OBC & PWD))(Please fill in CAPITAL Letters only)

a) Reference: Advertisement No. MDL / HR-O /REC/12/ 2011

b) Application for the post of _______________________________

c) Name in full:

d) Father’s Name:

e) Husband’s Name in the case of married woman:

f) Nationality: - g) State of Domicile:

h) Gender: i) marital status:Male Female Married Unmarried Widower Divorcee

j) Date of Birth: Age as on (15.04.2011)

D D M M Y Y Y Y Years Months Days

k) Whether age relaxation is sought? Yes No

Relaxation in Age (if sought): No. of Years __________________ Under Category / Sub-category _______________

l) Category:

Sub-Category: (if applicable)

GEN. OBC (NCL) SC ST OH VH HH % Disability Ex-Serviceman

(Tick the appropriate category and enclose valid certificate from the appropriate Authority for categories other than general)

m) Religion: (Please Tick):

n) Address for communication:

STATE PIN CODE

o) Nearest Railway station: ___________________________________

p) Contact Number: STD code _____ Tel. No.____________________________ Mobile No.__________________

E-mail ID_________________ (Compulsory)

q) Educational Qualification:

Sr.No

Name of therelevant

Qualifying

Examination.

Main Subjects Name of University/ Institution

Day/ Month/Yearof Passing

% of marksobtained

Class/ Division

1.

2.

Signature of Applicant: ______________________

Continued on page 2.

Affix your

recent passport

size photograph

HINDU SPECIFY IF OTHERS:SIKHCHRISTIANMUSLIM



- 2 -

s) Work Experience - Post Qualification: (Mention of Pay/Pay Scale compulsory)

Name of Organization Type of Org.

Govt. / PSU / Pvt.

Post(s) held From To Years &

Months

Scale of

Pay

Nature of duties/

work details

Note: - You may attach additional sheet to the hard copy for Qualification/Experience if the space above is insufficient.

t) Extra Curricular activities: ________________________________________________________________________

u) Please attach self-attested photocopy of each of the following Certificates / Mark sheets / Documents and mention

details in columns.

Reference No. of the

Certificate

Date of Issue

(1) Proof of Date of Birth

(2)Degree Certificate

(3) Mark sheet of Degree Examination

(4) Experience Certificate (as applicable)

(5) Caste Certificate (if applicable) / Non-creamy layer certificate for OBC

(6) Certificate of Disability (in case of PWD) of 40 % or more.

(7) NOC (if working in Govt./PSU)

(8) Discharge Certificate from Defence

Services (for Ex-serviceman)

(9) Any other

v) If selected specify the minimum required joining time:

I hereby declare that the above information is true and correct to the best of my knowledge. I also

understand that I will be disqualified if any of the information is found to be untrue later.

Date: ____________ Place: ________________ Signature of Applicant: ______________________

(Incomplete Applications and Applications without enclosures will be rejected)

For MDL Office use only

Scrutiny: Eligible Ineligible Date: _________________

Reasons for ineligibility_______________________________________________________________

Name & Designation of Dealing Officer Signature of Dealing Officer

END OF APPLICATION FORM



MAZAGON DOCK LIMITED(SPECIAL RECRUITMENT DRIVE FOR ST/OBC)

APPLICATION FORMAT- II(Please fill in BLOCK Letters only)

a) Reference: Advertisement No. MDL / HR-O /REC/12/2011

b) Application for the post of PROBATIONARY OFFICERS Discipline/Stream__________________

c) Name in full:

Surname First Name Middle Name

d.) Father’s/Husband’s Name:

Surname First Name Middle Name

e) Nationality:- f) State of Domicile:

g) Gender: h) Marital status:

MALE FEMALE Married Unmarried Widower Divorcee

i) Date of Birth: Age As On ( 15.04.2011)

D D M M Y Y Y Y Years Months Days

j) Whether age relaxation is sought? Yes No

Relaxation in Age (if CLAIMED): No. of Years __________________ Under Category / Sub-category _______________

k) Category: Sub-Category: (if applicable)

GEN. OBC (NCL) SC ST OH VH HH % Disability Ex-Serviceman

(Tick the appropriate category and enclose valid certificate from the appropriate Authority for categories other than general. )

l) Religion: (Please Tick) :

m) Permanent Address :

CITY

DISTRICT STATE PIN CODE

n) Local Address / Address for communication

CITY

DISTRICT STATE PIN CODE

o) Nearest Railway station: ___________________________________

p) Contact Number: STD code _____________ Tel. No.___________________________ Mobile No.__________________

Fax. No._________________________________ E-mail ID _______________________________________________

q) Educational / Technical Qualification:

Sr.

No

Degree (With

Discipline)

Name of Institute /

University

Year & Month of Passing % of marks

obtained

Class/ Division

1.

2.

3.

Signature of Applicant: ______________________

Continued on page 2..

Affix your

recent passport

size photograph

HINDU SPECIFY IF OTHERS:SIKHCHRISTIANMUSLIM



- 2 -

r) Work Experience Post Qualification (if any):

Name of Organisation Type of Org.

Govt. / PSU / Pvt.

Post(s)

held

From To Years &

Months

Scale of

Pay

Job responsibilities

Note:- You may attach additional sheet to the hard copy for Qualification/Experience if the space above is insufficient.

s) Extra Curricular activities: ____________________________________________________________________________

t) Please attach self-attested photocopy of each of the following Certificates / Mark sheets / Documents and Tick mark in

the

appropriate box: -

Reference No. of theCertificate

Date of Issue

(1) Proof of Date of Birth

(2)Degree Certificate

(3) Mark sheet of Degree Examination

(4) Experience Certificate (as applicable)

(5) Caste Certificate (if applicable) / Non-

creamy layer certificate for OBC(6) Certificate of Disability (in case of

PWD) of 40 % or more.

(7) NOC (if working in Govt./PSU)

(8) Discharge Certificate from Defence

Services (for Ex-serviceman)

(9) Demand Draft of Rs. 250/- (if applicable)

(10) Any other

u) Demand Draft details: ___________________________ ____________________ Rs. ______________(Name of Bank) (DD No. & date) (Amount)

v) Language Option for Written Test (for Probationary Officers only) (Tick): English / Hindi

w) Any other relevant information: _______________________________________________________________________

x) If selected specify the minimum required joining time:

I hereby declare that the above information is true and correct to the best of my knowledge. I also understand that I

will be disqualified if any of the information is found to be wrong.

Date:_______________________ Place:________________________ Signature of Applicant: ______________________

(Incomplete Applications and Applications without enclosures will be rejected)

For MDL Office use onlyDate: _________________

Scrutiny: Eligible Ineligible

Reasons for ineligibility_______________________________________________________________

Name of Dealing Officer - ______________________________________ Signature of Dealing Officer -

END OF APPLICATION FORM