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    Application

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    L Puskar guptha
    Application of myself

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application

    Uploaded by

    L Puskar guptha
    4 views2 pages
    Application of myself

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    application

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    © © All Rights Reserved

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    Application of myself

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views2 pages

    Application

    Uploaded by

    L Puskar guptha
    Application of myself

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Annexure-1

    EAST COAST RAILWAY


    APPLICATION FORM (in A4 size paper)
    E. N. No. ECoR /Pers/Cultural/2024-25 dated 19.07.2024
    Application for Recruitment against Cultural Quota 2024-25
    1. Post applied for : GUITARIST VOCALIST (Tick (√ ) the applicable box) Paste (do not pin or
    staple) your recent
    2. Candidate’s full name (in capital letters): (not older than three
    months) passport size
    colour photograph.

    (Not to be attested)
    3. Father’s/ Husband’s name (in capital letters):

    4. Date D D M M Y Y Y Y 6. Sex :
    5. Community
    of (Male
    (UR/SC/ST/OBC/EWS)
    Birth: /Female)

    7. Educational
    8. Religion 9. Nationality:
    qualification:

    10. Tick (√ ) the Serving Railway Divorcee/ Minority Community Residents of Jammu & Kashmir
    applicable box, if Employee Widow
    you are:
    11. Full address for correspondence:

    12. Mobile No.:

    13. E-Mail ID:


    14. Nearest Railway
    Station
    State: PIN
    15. Exam Fee Details:

    IPO /DDNo. Date Name of the Post Office/Bank Amount (Rs.)

    16. For Refund of Application’s Fee to Eligible Candidate:


    Name of the Bank Bank Account Number IFSC Code of the Bank

    1)
    17. Write 2 (two) clear visible marks of identification
    on your body. (Moles, Cut-marks or scar marks etc.)
    2)

    18. Application’s Full signature in running script in English or Hindi

    (Page 1of 2)
    Contd….
    (Page 2 of 2)
    APPLICATION FORM
    E.N.No. ECoR /Pers/Cultural/2024-25 dated 19.07.2024

    19. Details of Cultural Qualifications: (Note: Self attested Photo copy of all certificates should be attached. Candidates may
    attach separate sheet if the space is not adequate.)
    Sl. Name of Institute / College /University Date of
    Qualification in relevant cultural field
    No. from which the qualification earned. Certificate
    a)
    b)
    c)
    d)
    e)
    20. Details of Testimonials / Prizes: (Note: Self attested photo copy of all certificates should be attached. Candidates may attach
    separate sheet if the space is not adequate.)
    Performance /
    Sl.
    Event Date Scholarship / Awards/ Awarded by whom
    No.
    Position
    a)

    b)

    c)

    d)

    e)

    f)

    g)

    21. Put two left thumb impressions


    (Must be clear and not smudged)

    22. Applicant’s DECLARATION. Copy the following paragraph in the space below in your own handwriting in
    running script (not in capital/spaced out letters). Applications without this written declaration will be rejected:
    I have read the Employment Notice and submit this application after agreeing to all the terms and conditions
    notified therein. If any information submitted above is found false or incorrect or I am not eligible in terms of eligibility
    criteria, my candidature / appointment is liable to be cancelled / terminated without any notice at any stage of recruitment or
    even after empanelment.
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________

    23. Place:
    24. Date: 25. Applicant’s full signature in running script in English or Hindi.

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