FORMAT OF APPLICATION FORM (To be filled in block letters) To,
The General Manager Ordnance Factory Dehu Road, Pune 412 101.
Subject: Application for the Post-
____________________________________________ Reference: OFDR
Advertisement published in the Employment News dated____________ 1.
Full Name in Block Letters (as per SSC/10th Std. Certificate) 2.
Fathers/Husbands Name(in Block Letters): 3.Nationality 4. Religion
5.Date of BirthDay:_______ Month: _______ Year:______ (as per the
SSC/10th Std.Certificate) 6.Category (General/OBC/SC/ST) 7.Whether
Ex-Serviceman ?YES/ NO If YES, Date of entry in Armed forces Date
of discharge from Armed Forces 8.Whether you are a person with
disability (PWD) ?YES/NO If YES, nature of disabilityExtent of
disability (in %) 9.Address for correspondence in full withPIN-Code
Nearest Railway Station 10. Whether you are employed in
Central/State Govt. Service/PSU ? YES/NO If YES, name of the
organizationDate of Appointment & post held 11.Details of
Demand Daft or Postal Order No. & Date: No.Date 12.
Academic/Professional Qualifications (Starting from Matriculation
or Equivalent Examination) Exam PassedBoard/UniversityYear of
PassingSubjectsDiv & % of Marks 13.NCVT Trade 14. Whether
Ex-Trade Apprentice of Ordnance Factories YES / NO (Strike off
whichever is not applicable) If Yes, furnish following details in
respect ofNCVT (NAC/NTC) examination passed by you (Enclose
marksheet) MonthYearMaximum marksMarks obtained 15Experience, if
any Post HeldPay Scale Nature of duty Period Name of EmployerFromTo
16E-mail address : 17Mobile No. : Left Hand Thumb Impression Please
paste your recent passport size photograph and sign on it. Please
do notstaple it. DECLARATION
I_____________________________________________, do hereby declare
that all the statements made in this application are true, complete
and correct to the best of my knowledge and belief. In the event of
any
informationbeingfoundfalse/incorrect/incompleteorineligibilitybeingfoundbeforeorafterrecruitment
test/appointment, my candidature will stand automatically
cancelled. Signature of the applicant Place:________________ Date:
________________ DECLARATION FOR OBC CANDIDATES ONLY ** I,
_______________________________________son/daughter of
Shri_________________________________
residentofvillage/town/city_________________,District________________
,State______________________,herebydeclarethatIbelongtothe_____________________community
whichis recognized as a backward class by the Government ofIndia
forthe purpose of reservation in services as per orders contained
in the Department of Personnel and Training Office Memorandum No.
3601/22/93-Estt (SCT) dated 08.09.1993. It is also declared that I
do not belong to persons/section (Creamy Layer) mentioned in column
3 in the Schedule to the above referred Office Memorandum dated
08.09.1993 _______________________________
Date:_________________Signature of the applicant UNDERTAKING FOR
EX-SERVICEMEN ONLY ** I understand that, if selected on the basis
of the recruitment/examination to which this application relates,
my appointment will be subject to my producing documentary evidence
to the satisfaction of the appointment authority that I have been
duly released/retired/discharged from the Armed Forces and that I
am entitled to the benefits admissible to ex-servicemen in terms
ofEx-Servicemen (Re-employment in Central Civil Services and Posts)
Rules, 1979, as amended from time to time. 2.I also understand that
I shall not be eligible to be appointed to a vacancy reserved
forEx-Servicemen in regard to the recruitment covered by this
examination, if I have at any time prior to such appointment,
secured any employment on the civil side (including Public Sector
Undertaking, Autonomous bodies/Statutory bodies, Nationalized banks
etc.) by availing concession of reservation of vacancies admissible
to Ex-servicemen. _______________________________
Date:_________________ Signature of the applicant ** Strike off
whichever is not applicable Encl: (1*) 02 Passport size
photographs, (2*) Self-Attested copy of caste certificate, (3*)
Self-Attested copies of
qualification(4*)Self-AttestedProofforDateofBirth(SSC/10thStd.Certificate),(5*)Non-CreamyLayer
Certificate (only for OBC candidates), (6*) Self-Attested copy of
Discharge certificate, (7*) Self-Attested copy
ofPWDcertificate,(8*)NCVT(NAC/NTC)examinationmark-sheet,(9*)IPO/DDNo________________
(*Strike off whichever is not applicable)
