12.07.2015 Views

Application form for Technical/Non technical categories

Application form for Technical/Non technical categories

Application form for Technical/Non technical categories

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(b)i)i)i)iv)v)Employment details at the time of joining CIPET.Date of joining of CIPETDesignation & Grade towhich appointed.Department & DivisionScale of pay drawn duringinitial posting at CIPET.PF No. at CIPET.N. B. : (Use separate sheets wherever necessary while filling application <strong><strong>for</strong>m</strong> above)24. Copies of documents enclosed:(i)(ii)(iii)(iv)(v)(vi)DeclarationI Declare that the Entries made in the Columns of this pro<strong><strong>for</strong>m</strong>a are correct and true to the best of my knowledge andnothing has been either concealed or misrepresented by me. In case of any misrepresentation, I understand thatemployment if any gained, is liable <strong>for</strong> termination.Place :SignatureDate :

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