KERALA ELECTRICAL & ALLIED ENGINEERING COMPANY LIMITED, KOCHI-682305
Application No. (for Office use only) |
APPLICATION FORMAT
1. | Post Applied for | ||||||||||||||||||||||||||||||||
2. | Name of the Candidate (in Block Letters) | ||||||||||||||||||||||||||||||||
3. | Sex : Male/Female | 4. | Marital Status : Married/Unmarried | ||||||||||||||||||||||||||||||
5. | a. | Age (Years Completed) AS On 01-01-2022 | b) | Date of Birth | D D | M M | YYYY | ||||||||||||||||||||||||||
6. | Father’s Name | ||||||||||||||||||||||||||||||||
7. | a. | Domicile State : | Mother Tongue | ||||||||||||||||||||||||||||||
b. | Category (Put a ( ) tick mark in the appropriate Box | ||||||||||||||||||||||||||||||||
GEN | OBC (Non-Creamy Layer) | SC | ST | PH | |||||||||||||||||||||||||||||
8. | Correspondence Address | Permanent Address : | |||||||||||||||||||||||||||||||
Pin Code | Pin Code | ||||||||||||||||||||||||||||||||
9. | Contact Telephone No. | E-mail ID | |||||||||||||||||||||||||||||||
10. | EDUCATIONAL QUALIFICATION | ||||||||||||||||||||||||||||||||
Name of Institution | Name of University | Name of Course | % of Marks/Class/Division | Nature of Course | |||||||||||||||||||||||||||||
Encl : Additional Sheets if required | |||||||||||||||||||||||||||||||||
11. | EXPERIENCE | ||||||||||||||||||||||||||||||||
Name of Organization | Post | Period | Salary Details | Reason for Relieving | |||||||||||||||||||||||||||||
Encl : Additional Sheets if required | |||||||||||||||||||||||||||||||||
12. | Any other Qualifications | ||||||||||||||||||||||||||||||||
I hereby declare that all the statement made in this application are true and complete to the best of my knowledge. If at any stage of the selection process the above statements are found to be false or incomplete, I understand that my candidature will stand cancelled. Relevant copies of certificate may also be attached as a proof for age, qualification, caste and experience.
Date …………………….. Signature ………………………………………………