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.

Place: Date:

(Signature)

Application Form Chennai Metro Rail Limited Recruitment 2017 for ...

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