Sie sind auf Seite 1von 3

M. P. POWER GENERATING COMPANY LTD.

[www.mppgenco.nic.in]
APPLICATION FOR RECRUITMENT OF ET(HR) / MEDICAL OFFICER/ PUBLICITY OFFICER / LAW OFFICER (REF. ADV. NO. 2 dtd 06-01-2012 )

For Office Use Only POST:POST APPLIED FOR REG No.


Write ET / MO / PO / LO Write Discipline

REG DATE: (HR/MBBS/MASS COMMUNICATION/LLB)

Please read the terms and conditions carefully and fill the Application Form in Capital Letters

1. CANDIDATE'S NAME (please keep one box blank between First name, Middle name & Last name)
(FIRST NAME) (MIDDLE NAME) (LAST NAME)

2. FATHER'S NAME
(FIRST NAME)

(MIDDLE NAME)

(LAST NAME)

3.GENDER (write in box - MALE /FEMALE) : 4. CATEGORY APPLYING IN): UNRESERVED


(Please( ) tick one box) (SC/ST/OBC candidates of states other than Madhya Pradesh shall be considered against the Unreserved posts only. They should Tick UNRESERVED in the Category Field above. ) (for item nos. 5 to 11 WRITE YES OR NO IN THE BOX )

SC

ST

OBC

PD

5. DOMICILE OF M.P. :

6. GREEN CARD HOLDER : 7. EX SERVICEMAN : (On account of family planning of candidate only) 8. DEPARTMENTAL CANDIDATE : 9. ELIGIBLE FOR FEE EXEMPTION : 10. GROUND FOR FEE EXEMPTION: SC/ST/PD OF MP SC/ST OF OTHER STATES

11. Belonging to the family rehabilitated consequent on land acquisition in Shri Singaji TPP Khandwa (Please attach notice issued under section 12(2) of Land acquisition Act 1894) 12. DD DETAILS (Candidates should write Name , Post, Subject applied for and Complete Mailing Address in capital letters, on the back side of the DD/BC)

No. Dated 14.DATE OF BIRTH :


DAY MONTH

Amount Issuing Bank and Its Branch

Rs.1000/- (Rupees One Thousand Only)

15. AGE AS ON 01.12.2011


YEAR YEAR MONTHS DAYS

16. ADDRESS FOR COMMUNICATION (IN CAPITAL LETTERS) Name Address : : : City/Town/Village: State : Distt.: Pin Code:
Please affix one recent Photograph without attestation

F/H Name:

17. CONTACT DETAILS STD Code :_____ Ph. No. _______________Mobile No. ____________ Email ID _________________________________________________

Signature of Candidate

MPPGCL

APPLICATION FOR RECRUITMENT AS ET/MP/PO/LO (ADV. NO. 02 dated 06-01-2012 )

PAGE 1

18.MARITAL STATUS (TICK ONE OF THE BOXES)

SINGLE

MARRIED

WIDOW

DIVORCEE (FEMALE)

19.SPOUSES NAME (IF MARRIED) 20.CANDIDATES PERMANENT ADDRESS: Name :

PASTE YOUR RECENT PASSPORT SIZE SELF ATTESTED PHOTOGRAPH

F/H Name: Address : : City/Town/Village: State : Distt.: Pin Code:

21.NUMBER OF CHILDREN:
(IF MARRIED)

22.DETAILS OF QUALIFYING EXAMINATION:


Exam Passed Discipline:

23. STATUS OF ACADEMIC QUALIFICATION


Examination passed (from 10th to graduation in ascending order) Name of the exam. / Course Year of Passing Total Maximum Marks of the course Total Marks Obtained in all semesters/ years by the candidate Aggregate State %age marks whether obtained in all course is full semesters/ time / part years time /other Whether Total Institute / University/ duration university Institute Semester Approved / by year AICTE/UGC

10th / secondary class 12th / intermediate, preuniversity Degree Exam as per eligibility Additional qualifications (If
any)

Reg. No. for MO (for MOs)


Post Organization

*Please attach attested copy of Registration no. of MP Medical council, Bhopal.

24. EXPERIENCE DETAILS (IF ANY):


Nature of duties Period Salary (Rs. Per Month) Whether MPSEB/MPPGCL/Central Govt./ State Govt./ Autonomous/ Private/ Others

DECLARATION
I hereby declare that the above particulars are true in every respect and nothing has been concealed or withheld by me. If any information furnished above is found false at any time, my candidature/ appointment may be cancelled without any notice and legal action may be taken accordingly .

ENCLOSURES: (PLEASE TICK ( ) THE ITEMS ATTACHED, IN THE BOX. ATTESTED COPIES OF SERIAL NO.1 TO 9)
THE CANDIDATE MUST SUPERSCRIBE THE ENVELOP WITH 1) NAME OF CANDIDATE: ---,2)NAME OF POST & DISCIPLINE: ---, 3)CATEGORY APPLIED IN : ---

1. 3. 5. 7.

M.P. DOMICILE CERTIFICATE EDUCATIONAL QUALIFICATION DEGREE MARK SHEETS FOR ALL SEMESTER/YEARS DD/BANKERS CHEQUE

2. 4. 6. 8.

CERTIFICATE FOR PROOF OF DATE OF BIRTH. GREEN CARD CERTIFICATE (FAMILY PLANNING) CASTE CERTIFICATE SC/ST/OBC (non creamy layer) NOC OF EMPLOYER / *REG. NO. (IF APPLICABLE).

9. PLACE: DATE :
MPPGCL

CERTIFICATE OF DISABILITY

10.

CERTIFICATE OF LAND ACQUISITION

CANDIDATES SIGNATURE
APPLICATION FOR RECRUITMENT AS ET/MP/PO/LO (ADV. NO. 02 dated 06-01-2012 )

PAGE 2

GENERAL TERMS AND CONDITIONS


1. 2. 3. 4. The application format should be filled up neatly using a BLACK BALL point pen in capital letters. Only Indian Nationals need apply. Candidates working in Govt. / Semi Govt. / Public Sector should apply Through Proper Channel. Working employees of MPSEB/MPPGCL may also apply for any post as per eligibility criteria. No age limit is applicable for departmental candidates. 5. Reservations for SC, ST, OBC (non creamy layer only) and Person with disability (PD) categories given in the chart are meant for candidates of SC/ST/OBC (non creamy layer only) / Person with disability (PD) categories as specified in respect of State of MP only. Such candidates should submit a copy of the caste certificate / Disability certificate as per existing rules of Govt. of M.P., in the prescribed formats, while applying. 6. The SC/ST/OBC candidates of other states shall be considered against UNRESERVED posts only. 7. The SC/ST category candidates belonging to other states shall however be given relaxation in eligibility criteria of educational qualification and age limit. 8. No examination fee shall be payable by all SC/ST/PD candidates (Including SC/ST/PD candidates of states other than MP). 9. Any disputes arising out of the selection process will be dealt within the jurisdiction of Jabalpur Courts only. In case of any dispute, the decision of the MD MPPGCL shall be binding and final on all. 10. All SC/ ST / PD candidates shall be reimbursed to and fro ordinary class Rail fare/ Bus fare by the shortest route for appearing in the personal interview / written test (as per rule) limited to the distance of the test centre from the address for communication mentioned in their applications or from where they have actually performed the journey, whichever is minimum, on submission of original ticket. 11. Candidates having a third child born on or after 26.01.2001, are not eligible to apply.
12 A candidate can apply for one post one subject only.

13 The Candidate must possess sound health. The PD candidates will be considered only against the posts reserved for them. 14 The minimum degree of disability in order for PD candidate to be eligible for any concessions / benefits would be 40%. 15 A merit list of the applicants shall be prepared on the basis of the marks/percentage obtained in qualification as specified, for each post and discipline separately. As per the merit list so prepared, the selected/shortlisted candidates will be called for Personal interview at Jabalpur. Mere fulfilling of the minimum qualification will not confer any right to the candidate for being called for interview or / and for his / her selection. However, on the basis of the number of application received, written test (if required) for initial screening may also be conducted as per the discretion of the company. How to Apply: Eligible candidate have to apply through the Application Format available on web site of MPPGCL, www.mppgenco.nic.in , with a Demand Draft/Banker Cheque of Rs. 1000/- (Rs. One thousand) only payable in favour of Sr.Accounts Officer (COG&HS) MPPGCL, Jabalpur and payable at Jabalpur, as examination fee for General & OBC candidate. However SC/ ST / PD candidates are exempted from examination fee of Rs.1000/-. The filled up application format with copies of required certificates and Demand Draft/Bankers Cheque as examination fee should be submitted through ORDINARY POST ONLY to the following address on or before 28-01-2012. THE POST BAG NO. 23, LAJPAT NAGAR POST OFFICE NEW DELHI - 110024 The candidate must super scribe the envelop with POST APPLIED FOR-----------------, NAME OF DISCIPLINE: ------------------- , and CATEGORY APPLIED IN : ----------------------, as the case may be. Applications received after due date shall not be considered and no correspondence shall be entertained in this regard. Candidature of a candidate is liable to be rejected at any stage of recruitment process or after recruitment or joining if any information provided by the candidate is found false or is not found in conformity with eligibility criteria mentioned in the advertisement.
C.E.(HR&A), MPPGCL

MPPGCL

APPLICATION FOR RECRUITMENT AS ET/MP/PO/LO (ADV. NO. 02 dated 06-01-2012 )

PAGE 3

Das könnte Ihnen auch gefallen