CHENNAI METRO RAIL LIMITED (A Joint Venture of Govt.of India & Govt. of Tamil Nadu) Admin Building, CMRL Depot, Poonamallee High Road, Koyambedu, Chennai – 600107. APPLICATION FORM (Please fill in BLOCK Letters only)
Affix SelfAttested Photograph
Advertisement No. & Date: ………………………………………………………………………. Application for the Post of: …………………………………….. Post Code: …………………
Personal Details: Name in CAPITAL LETTERS Surname
First name
Middle name
Father’s Name
Nationality
Husband’s Name
State of Domicile M
Date of Birth (DD/MM/YYYY)
Marital Status
Gender F
Married
Unmarried
Age (as on______) Yrs Months Days
Widow
Divorcee
Religion Hindu
Muslim
Christian
Specify if Others
EXService
Differently Abled Person
Category (Tick the appropriate category and enclose valid certificate from the appropriate Authority for categories other than General).
GEN
BC
BCM
MBC & DC
Local Address / Address for communication
Pin
SC
SCA
ST
Tamil Medium Studied
Permanent Address:
Pin
Tel . No / Mobile No: E-mail: Home Town
(Signature)
Details of Educational Qualification (Self attested certificate copies to be enclosed): College / University / Institution
Qualification
Name of the Degree
Duration of the course
Year of passing
% of Marks
Matriculation (10th STD.) Higher Secondary (+2) UG PG Other Qualifications
Work Experience (Self attested certificate copies to be enclosed): Name of the organization/ Type of organization (Govt/PSU/PVT)
Post(s) held
(Mandatory to fill up all columns) To From DD /MM /YYYY
Total no. of Years & Months
Scale of pay / gross salary
Job Responsibility
Note:- You may attach additional sheets for qualification/Experience if required
Please indicate two references in senior positions in your previous workplaces:S.No
Name
Current Designation
Organization
Contact No / Mob.No/Tel.No
Official Email ID
1 2
Application Fee Details: (Applicable if mentioned in the advertisement published in the website) Amt (in Figures)
Amt (in Words)
DD Number
DD Date
Issue Bank Name
If selected specify the minimum required joining time
(Signature)
Extra Curricular activities
Languages known
S.No
Read
Write
Speak
List of documents to be attached along with the application form i
Date of Birth Proof: Copy of Birth Certificate or 10th Certificate
ii
Copy of proof of Educational Qualifications
iii
Copy of Experience Certificates
iv
Copy of Community Certificate
v
If studied in Tamil Medium – Proof for the same
vi
Application fee – Demand Draft
vii
Other relevant certificates (if any)
Note: No original documents to be forwarded. CMRL will not be responsible for loss in case of any original documents forwarded along with the application form.
Declaration: I hereby declare that all statements as mentioned in this application are true and correct to the best of my knowledge and belief. I understand that in the event of any particulars or information given above being found false or incorrect, or if at any stage it is found that I do not possess the prescribed qualification/experience for the post, my candidature will be rejected ab-initio and I will not have any right to attend the interview nor will have the right to claim travelling expenses for attending the interview. If any shortcoming(s) is/are detected even after appointment, my services may be terminated. I also certify that I am not facing any charge of, nor have ever been convicted for, any act of moral turpitude or economic offence. I am also aware that all correspondence to the candidates will be only through email ID provided by me.
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Page 1 of 1. CHENNAI METRO RAIL LIMITED. (A Joint Venture of Govt. of India & Govt. of Tamil Nadu). Admin Building, CMRL Depot, Poonamallee High Road,. Koyambedu, Chennai â 600 107. Phone: 044 2379 2000 Fax 044 2379 2200. WALK-IN-INTERVIEW. EMPLOYM
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