ABCDEFGHIJKRSTUVWXYZ
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 Government of India
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 Department of Atomic Energy
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 General Services organisation
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PROFORMA FOR APPLICATION
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APPLICATION FOR THE POST OF
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POST CODE
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1Advertisement No.GSO/01/2022
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2Full Name (in Block Letters- as per SSC/HSC Certificate)
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3Name of Father/Spouse
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4Date of Birth (DD/MM/YYY)
(in Christian era) 		Age -
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5Gender6)Nationality
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7Religion8) Marital
Status
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9Marks of Identification
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10Address in block letters
(with Pin Code & Phone No.) 		CORRESPONDENCEPERMANENT
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Door No, Street
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City
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State
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Pin Code:
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Email:
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Mobile No.Alternate Mobile No.
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Aadhaar No.
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11Whether the applicant belongs to SC/ ST/OBC/GEN/EWS (Indicate the name of the Caste / Community)
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12Ex-servicemen [EXS] :
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13Are you domiciled in Jammu & Kashmir during: the period from 01.01.1980 to 31.12.1989?
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14Are you a family member of those who died in : 1984 riots?
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15Whether belongs to Minority Community : [Muslim/ Christian/ Sikh/ Any Other
(Please specify)]
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16Are you under Contractual obligation: to serve in Central / State Govt./ Public Sector undertaking / Autonomous body.
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17Whether applying against PWD (Say Yes or No).
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(a) Indicate the type of disability
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(i) Nature of disability, indicate the category as OL/OA/PD:
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(ii) Mention the percentage of disability (as certified by the Competent Medical Authority in the PH Certificate)
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18Are you in Receipt of any : Scholarship from DAE
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19Are you in receipt of any pension/ gratuity or Employer's share of contribution of Provident Fund from the Central, State Government or any public undertaking? If so, please give particulars thereof
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20Educational/Technical Qualifications: (from SSC/SSLC onwards)
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Examination passedUniversity/ BoardYear of passingMarks securedMaximum Marks% of
Marks		Duration of the Course
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SSC/SSLC-
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ITI, etc.-
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HSC-
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Diploma-
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Bachelor’s Degree (UG)-
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Master’s Degree (PG)-
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-
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-
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 Note: If you are pursuing any higher studies please give the details.
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21Experience: Particulars of all previous and present employment to be furnished including training/apprenticeship undergone, if any (List the most recent first)
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PeriodDuration
(in years)		Post HeldName & address of the employerPermanent / TemporaryReasons for leaving
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From
(DD/MM/YYYY)		To
(DD/MM/YYYY)
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22Details of relatives already employed in Department of Atomic Energy or its constituent units:
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Name of relative RelationshipUnit in which employedPost held
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23Any other information you wish to add:
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24DETAILS OF REMITTANCE OF FEE (RS.) 0.00CLICK HERE TO PAY ONLINE - State Bank Collect
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Note: “Please send the acknowledgement (i.e. receipt of payment) along with application to careergso@igcar.gov.in"
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Amount Paid (Rs.)Receipt No. Date
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If fee not paid, reason
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DECLARATION
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 I hereby solemnly declare and undertake that all information furnished by me is true, correct and complete to the best of my knowledge and belief. I undertake that, if at any stage of selection or even after selection, any of the information furnished by me is found to be false, incorrect or misleading, then my candidature/appointment/ service will stand cancelled/terminated without assigning any reasons thereof. I aware that incomplete application and wrong information will cost to summarily reject my application.
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Place:
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Date: Signature of the Candidate
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