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Apply for Assistant Engineer (IT)
Field's marked with* are mandatory
Kindly select the name of the company applied for*
Personal Details
Applicant's First Name* Applicant's Middle Name Applicant's Last Name*
Father's First Name* Father's Middle Name Father's Last Name*
Mother's First Name* Mother's Middle Name Mother's Last Name*
Gender* Ex Serviceman* Domicile of MP:*
Date of Birth* Age as on 31/08/2012 Nationality: *
Category:* Marital Status:*
No. of Children* Last child birth date isTwins
Are You Physically Handicapped* Handicapped Type Do you need a scribe for the test

Education Qualification
Have You Completed your Engineering Degree. *
S.No Qualification Name of the Degree Stream /Subject  Passing Year University/Board   Institute/College Name (% of Marks)
1 10th*
2 12th
3 Diploma
4 Degree*
* No Weightage shall be given to Higher Qualification.
Details of Post Qualification Work Experience, Please start with most recent or present
Sr. No. Name of the Organization Working from
Worked up till when Duration of Work Designation / Postheld at work Last Salary Drawn Is Present employer Write (Y/N)
Year Month
Total work Experience in Years & months(for eg:0yr &10 Month is(0.10))
Whether Employee presently in Government/Government Owned/PSU Organization*
* If yes, NOC from the organization will need to be produced at the time of Interview.
Communication Address
City / Town* Pincode* E-mail ID*
Phone No.1 Mobile No.*    
Tick here if Permanent Address is same as Communication Address
House Number.*
City / Town* Pincode*
Phone No.1 Mobile No.
Following Original documnets will be produced at the time of Interview
1.10th Certificate.
2.12th/Diploma Certificate.
3.Degree/Provisional Certificate
4.Domicile Certificate(if applicable)
5.Ex Serviceman Certificate (if applicable)
6.Community/Category Certificate (if applicable)
7.NOC from Employer (if applicable)
8.Certificate of disability from Medical Board(if applicable)
                                                                      Attach Photo with Signature*
Fee Details
Application Fee:
Portal Charge:
Total Amount:
I hereby declare that all the information given in the aforementioned application format is true to the best of my knowledge. I undertake and accept that if any of the information given by me is found to be incorrect, then my application will be rejected and if appointed, then my appointment will be terminated & action may be taken accordingly