Qualification and Experience required Qualification

application for the post of deputy director [hindi] on deputation basis 1. name and address:...

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APPLICATION FOR THE POST OF DEPUTY DIRECTOR [HINDI] ON DEPUTATION BASIS 1.

Name and Address: …………………………………………………………………………… (IN BLOCK LETTERS) ………………………………………………………………………………………………………………. (i) (ii)

Affix latest passport size Photograph duly pasted and self

e-mail address: ……………………………………… Contact nos. : …………………………………………

attested.

2. Date of Birth (in Christian era) : ……………………………………………………………… Age on the closing date of advertisement: ……………………………………………. 3. Date of retirement under Central/State Government rules …………………… 4. Educational Qualifications: …………………………………………………………………………………………………… 5.

Whether Educational and other qualifications required for the post are satisfied. (If any qualification has been treated as equivalent to the one prescribed in the rules, state the authority for the same): ………… Qualification and Experience required

Qualification/Experience possessed by the officer

a) (i) Officers holding analogous posts on regular basis (ii) Officers with 05 years’ regular service in the scale of pay of PB-3/Rs. 15600-39100 + Rs. 5400 Grade Pay b) (i) Officers possessing educational qualifications of Master’s Degree of a recognized University or equivalent in Hindi with English as a subject at the Degree level; OR Master’s Degree of a recognized University or equivalent in English with Hindi as a subject at Degree level; OR Master’s Degree of a recognized University or equivalent in any subject with Hindi and English as subjects at the Degree level; OR Master’s Degree of recognized University or equivalent in any subject with English/Hindi medium and Hindi/English at the Degree level.

6. Please state clearly whether in the light of entries made above, do you meet the requirements for the post. Yes

No (Signature of candidate)

7.

Sl.No

Details of Employment, in chronological order. Enclose a separate sheet, duly authenticated by your signature, if the space below is insufficient.

Office/ Institution/ Organization

Nature of Organisation

Post held

Period From

Central/State/ Autonomous/ Govt. Undertaking/ University/ Private/ NGO/ others

To

Length of service Years/ Months)

Basic Pay scale as per 6th CPC preferred

Nature of duties (in detail)

8.

Nature of present employment i.e. ad-hoc or temporary or quasi-permanent or permanent: …………….

9.

In case the present employment is held on deputation/contract basis, please state a) The date of initial appointment : ………………………………… b) Period of appointment on deputation/contract: …………… c) Name and complete address with e-mail address and contact nos. of the parent office/organization to which you belong ……………………………………..........................................................................................................

10.

Additional details about present employment Please state whether working under (indicate the name of your against the relevant column) (a) (b) (c) (d) (e) (f)

Central Government State Government Autonomous Organisation Government Undertakings Universities Others

11.

Please state whether you are working in the same department and are in the feeder grade or feeder to feeder grade: …………………………………………….

12.

Are you in revised Scale of Pay? If yes, give the date from which the revision took place and also indicate the pre-revised scale: ………………………………….

13.

Total emoluments drawn per month: …………………………………………….

14.

Additional information, if any, which you would like to mention in support of your suitability for the post (this among other things may provide information w.r.t. (i) additional academic qualifications (ii) Professional training and (iii) work experience over and above prescribed in vacancy circular/advertisement) (Note Enclose a separate sheet, if the space is insufficient) (Signature of candidate)

15.

Whether belongs to SC/ST: ……………………………………

16.

Remarks (The candidates may indicate information with regard to (i) Research publication and reports and special projects (ii) Awards/Scholarship/Official Appreciation (iii) Affiliation with the professional bodies/institutions/ Societies and (iv) any other information. (Note: Enclose a Separate Sheet if the space is insufficient)

18.

Whether applied anywhere else …………………………………..

also?

If yes, pl

mention details

and present

status:

Declaration I hereby declare that I have carefully gone through the qualifications, experience and general instructions as mentioned in the advertisement notifying the vacancy and certify that, the particulars given by me are correct and true to the best of my knowledge . I am well aware that the application proforma duly signed by me will be assessed by the Selection Committee at the time of selection for the post. In case, any information is found to be false at any stage, even after the appointment, my candidature/services may be terminated without notice or any compensation in lieu thereof. Place: Date: (Signature of the Candidate) Name of the Candidate: …………………….. (IN BLOCK LETTERS) Address: ………………………………………….. e-mail address: …………………………………… List of Enclosures:

1) 2) _____________________________________________________________________________________________

Employer’s Certificate/ Recommendation Shri/Smt./Dr._________________________ is a Permanent/Temporary/Contractual employee of the organization holding the post ______________________ which carries the pay scale of

___________

(Grade Pay) _____________ and his/her application is forwarded for consideration and necessary action. Further certified that: (i) (ii) (iii) (iv) (v)

No objection certificate from present employer is appended herewith. There is no vigilance case pending/contemplated against him/her. His/her integrity is beyond doubt. No major/minor penalties have been imposed on him/her during the last 10 years. Please enclose list of major/minor penalties imposed during the last 10 years, if any. A cadre clearance certificate is appended herewith.

Please mark (√ √ ) for which certificates are enclosed Signature: _________________ Name of the Officer:_________ Designation: _______________ Department: _______________ Telephone No. _____________ Office Seal: _______________ Place: _________________ Date: __________________ (Signature of candidate)