Annexure- I APPLICATION FORM AFFIX PASSPORT SIZE PHOTO DULY SIGNED

Application for the Post of - MANAGER (LEGAL) – E-4 Grade / Sr. Officer (Legal) – E-2 Grade in RCF Ltd. (Please read the instructions carefully before filing the Form) 1

Name in Full

2

Date of Birth

3

Category (retain the one applicable)

(Mr./Ms) Age as on 01.04.2018 : SC / ST / OBC / PWD / EX SERVICEMEN / GENERAL

Religion Address for Correspondence with Pin Code Nearest Station

4

Telephone No./Mobile 5

Tel.no.

Mobile No.

Permanent Address Domicile state Telephone No.

6

E-mail

7. QUALIFICATIONS (starting from SSC) Sl. No .

Qual.

Branch

Board/Inst itute /Universit y

Duration of the course

Whether Govt. recognized University / Institute

Whether course was regular and full time (Yes / No)

Year Passing

of

% of Marks

(If any additional information regarding qualification please attached separate sheet.)

1

8. DETAILS OF EXPERIENCE: (Starting from Present Position) including working with Law firms/practicing at BAR (Advocate) Sl. No.

Name of the Organizati on

Design.

From (please mention exact date)

To (please mention exact date)

Employer Whether Private/ Govt./PSU/ Autonomous body/ MNCs/Law firms/Practicing at BAR (Advocate)

Total Emoluments (Gross) Per Month

Note - Please attach a separate sheet narrating the details of jobs and responsibilities handled. 9. TOTAL EXPERIENCE: YEARS

MONTHS

TOTAL EXPERIENCE AS ON 01.04.2018 AFTER PASSING LAW DEGREE PRESENT PAY SCALE/GROSS PAY

Pay Scale:___________________________________ Basic Pay : Rs__________________________Per Month Gross Pay per annum________________________

PRESENT DESIGNATION

10. HAVE YOU EVER BEEN CONVICTED BY ANY COURT OF LAW OR ANY DISCIPLINARY PROCEEDING / ENQUIRY IS PENDING AGAINST YOU OR ANY PENALTY HAS BEEN IMPOSED UPON YOU? IF YES, GIVE DETAILS. 11. HAVE YOU EVER FACED ANY EXTRADITION / DEPORTATION PROCEEDINGS OR ANY DISCIPLINARY PROCEEDING? IF YES, GIVE DETAILS 12. DO YOU HAVE ANY RELATIVE WORKING IN RCF

YES/NO

YES/NO

YES/NO IF YES, NAME _________________ DESIGNATION _________________ 2

13. JOINING TIME HOW SOON CAN YOU JOIN IF OFFERED APPOINTMENT

14. WHETHER APPLIED FOR ANY POST IN RCF EARLIER:

YES/NO

IF YES, DATE/MONTH OF APPLICATION POST APPLIED FOR

I state that all the information given above is true and correct. In case any of the details given above turns out to be false I will make myself liable to lose the candidature.

Date: Place:

_______________________ Signature of the Candidate

3

INSTRUCTIONS

1.

AFFIX PASSPORT SIZE PHOTO DULY SIGNED.

2.

FILL THE FORM IN CAPITAL LETTERS ONLY.

3.

GIVE THE TRUE, COMPLETE AND CORRECT INFORMATION IN THE APPLICATION FORM. IN CASE THE INFORMATION IS FOUND FALSE OR INCORRECT, THE CANDIDATE WILL NOT BE CONSIDERED FOR INTERVIEW/APPOINTMENT IF MADE WILL BE CANCELLED.

4.

ENCLOSE SELF ATTESTED COPIES OF CERTIFICATES / DOCUMENTS IN SUPPORT OF INFORMATION GIVEN IN THE APPLICATION REGARDING AGE, QUALIFICATIONS, EXPERIENCE, CATEGORY / CASTE (IF APPLICABLE)

5.

SEND THE APPLICATION IN AN ENVELOPE SUPER-SCRIBING "NAME OF THE POST APPLIED FOR"

6.

IMPORTANT (a) ENSURE IN YOUR OWN INTEREST THAT YOU FULFILL THE ELIGIBILITY CRITERIA. (b) III TIER AC TRAIN / BUS FARE (restricted to III tier AC fare) SHALL NOT BE REIMBURSED TO CANDIDATES NOT ELIGIBLE FOR INTERVIEW AND ALSO TO CANDIDATES NOT HAVING PROPER TICKET. (c) IN SUPPORT OF EXPERIENCE YOU ARE REQUIRED TO ATTACH SERVICE CERTIFICATE, APPOINTMENT LETTER, RELIEVING LETTER, ETC. ********

4

Rashtriya Chemicals Recruitment 2018 Annexure I.pdf

Page 1 of 4. 1. Annexure- I. APPLICATION FORM. AFFIX. PASSPORT SIZE. PHOTO DULY. SIGNED. 1 Name in Full (Mr./Ms). 2. Date of Birth. Age as on. 01.04.2018 : 3 Category (retain the. one applicable). SC / ST / OBC / PWD / EX SERVICEMEN / GENERAL. Religion. 4 Address for. Correspondence with. Pin Code.

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