Indian Ordnance Factories

Adversement No. 10201/11/0567/1415

Direct Recruitment Chargeman
APPLICATION FORM
Registraon No. : 14EC122098
Registraon Date & Time : 27-07-2014 12:53:01
Trade : Electronics
Center Choice 1 : Aruvankadu (near Ooty) Center Choice 2 : Chennai
Unit Choice 1 Unit Choice 2 Unit Choice 3
Ammunion Factory Khadki Small Arms Factory Machine Tool Prototype Factory
Applicant's Name :
(First Name) (Middle Name) (Last Name)
DAYANANDHAN
Father's Name : SUBRAMANI
Mother's Name : VIJAYAKUMARI
Spouse's Name :
Date of Birth : 20-12-1990
Gender : Male
Naonality : Indian
Category : OBC
Whether Departmental Candidate : No
Whether Ex-Servicemen : No
Physically Handicapped : No
Candidates who had ordinarily been domiciled in the State
of Jammu & Kashmir during period from 1st Jan 1980 to
31st Dec 1989
: No
Whether belong to Minority Community : No
Medium of Examinaon : English
Educaonal Qualicaon (General) :
Educaonal Qualicaon School / Inst. Year of Passing
SSLC/10th SHRI AMRITHA HIGHER SECONDARY SCHOOL TIRUPATTUR 2007
Technical/Non Technical Qualicaon (General) :
Qualicaon Trade/Discipline Instuons Year of Passing
Three Years Diploma Electronics IRT POLYTECHNIC COLLEGE BARGUR 2010
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Address For Correspondence
City/Town/Village
District
State
Tel No.
:
:
:
:
:
:
:
:
15/30-THEN AGARAKARAM STREET TIRUPATTUR
VELLORE
VELLORE
TAMIL NADU - 635601
04179-226401
Email ID : irtdaya@gmail.com
Mobile No. : 7708820099
Nearest Railway Staon : JOLARPETTAI
Payment Details :
Bank Name Branch Code Challan No. Deposit Date Deposit Amount
STATE BANK OF INDIA 00934 014950345 30-07-2014 100
Declaraon :
I have not submied any other applicaons for this examinaon. I am aware that if I contravene this rule, my applicaon will be rejected summarily by the commision.
I have read the provisions in the Noce of the examinaon carefully and i hereby undertake to abide by them.
I further declare that I fulll all the condions of eligibility regarding age limits, educaonal qualicaons, and technical qualicaons etc., prescribed for admission to the
examinaon. I understand that in the event of ineligibility being detected at any point (before or aer the examinaon), may candidature/appointment is liable to be
cancelled.
I also declare that I do not stand debarred by any of the Ordance Factories as on date and have never been convicted by any court of law. I also declare that no charge sheet
is pending against me in any court of law. Further declare that I have never been dismissed or removed from Govt. Service or my service been terminated during probaon.
*For Candidate belonging to OBC:
I declare that I belong to the community which is recognized as a backward class by Govt. of India for the purpose of reservaon in service as per orders contained in Dep.
of Personnel and Training oce memorandum No. 36012/22/93- Esst. (SCT) dated 8.9.1993. I also declare that I do not belong to the person/secons(creamy layer)
menoned in column 3 of the schedule of the OM menoned above and modied vide Govt. of India DOPT OMs menoned in the noce. I further declare that I am in
possession of OBC Cercate in the prescribed format given in the Noce of the examinaon.
For all Candidates:
I hereby declare that all statements made in this applicaon are true , complete and correct to the best of my knowledge and belief. i understand that in the event of any
informaon being found suppressed/false or incorrect ot ineligibility being detected before or aer the examinaon, my candidature/appointment is liable to be cancelled.
Please Paste your Color
Photograph 3.5 x 3.5 cm not
older than 3 months.
Registraon No. : ______14EC122098________
Name : _________________________
Date : _________________________
Place : _________________________
________________________________________________
Signature of the Candidate
Note To Candidates :
* Please keep one photocopy of the Acknowledgement Slip for future reference.
* OBC Candidates MUST ENCLOSE the Photo Copy of Non CREAMY LAYER CERTIFICATE as prescribed in Annexure III given in Full Noce.
* UR/OBC Candidates, who are eligible to pay fees MUST ENCLOSE Original Bank PAY IN SLIP alongwith the Registraon Slip duly signed and Photo
axed.
* The Envelope must be sent by Ordinary Post to the below address.
* Do not write 'Indian Ordnance Factories' in the Postal Address.
Post Box No. 2091
Chennai 600020.
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