Mgnrega Recruitment 2016 Application Form for Technical Asisstant

Page 1

MGNREGA Recruitment 2016 APPLICATION FORM FOR TECHNICAL ASISSTANT IMPORTANT : 1. The candidate must carefully read instructions given on website www.ludhiana.nic.in before filling the form. Latest passport 2. The last date of submission of application form is 12-10-2015. size photograph 3. Self attested photocopies of degree/diploma/computer course pasted with gum work experience should be enclosed along with the form.

duly signed by the candidate

Applied for Post Technical Asisstant

To be filled by the candidate in block letters 1.

Name of the applicant

__________________________________________________

2. Father’s name

__________________________________________________

3. Mother’s name

__________________________________________________

4. Date of Birth (DD/MM/YYYY)________________________________________________ 5. Permanent Address

__________________________________________________ __________________________________________________ __________________________________________________

6. Correspondence Address__________________________________________________ __________________________________________________ __________________________________________________ 7. Telephone No. with STD code (Landline) ______________________________________ 8. Mobile No.

_________________________________________________

9. E-mail ID.

_________________________________________________

10. Gender.

MALE

FEMALE

11. Category (GEN/SC/ST/OBC)________________________________________________ (attach the attested copy(ies) of the relevant certificates for the category(ies) under which candidate sought in support of your claim otherwise, candidature will be cancelled)


12. Eligibility Details:

Examination

Board/University /institution

Year of passing

Subjects

Place of Posting

From

Marks obtained/ Total marks

Percentage

Marks as per criteria (percentage/ 10) for degree holders (percentage/ 12.5) for diploma holder

Diploma in Civil Engeneering Digree in in Civil Engeneering Computer course (Diploma holders only) Any other

13. Work Experience:

Name of Employer

Post

To

DECLARATION AND UNDERTAKING 1. I hereby certify that the application form has been filled in by my own hand in ink, and according to the given instructions. 2. I hereby affirm that the information given by me in this application form is complete and true to the best of my knowledge 3. I shall remain in touch with the concerned office for knowing the outcome regarding my result and shall not hold the concerned office responsible for any postal delay, loss or misplacement of the correspondence made in this regard. 4. I also affirm that in case I am found violating the above undertaking, I will be liable to be penalized, including candidature of the examination.

Total Work Experience


Read More Details About MGNREGA Recruitment 2016 http://www.recruitmentlaunchers.com/nrega-recruitment/3176/

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