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AERB Job Application Form

1. The document is an application form for a position at AERB (Atomic Energy Regulatory Board). It requests personal details like name, address, contact information, education history, work experience, and references. 2. The form includes sections for identifying information like photo, nationality, physical details, family details of relatives working at AERB or DAE. 3. Applicants are asked to attach documents proving identity, education qualifications, experience, and category if applicable. A checklist is provided to ensure all necessary documents are submitted.

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sunil_3679
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© Attribution Non-Commercial (BY-NC)
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8 views4 pages

AERB Job Application Form

1. The document is an application form for a position at AERB (Atomic Energy Regulatory Board). It requests personal details like name, address, contact information, education history, work experience, and references. 2. The form includes sections for identifying information like photo, nationality, physical details, family details of relatives working at AERB or DAE. 3. Applicants are asked to attach documents proving identity, education qualifications, experience, and category if applicable. A checklist is provided to ensure all necessary documents are submitted.

Uploaded by

sunil_3679
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PROFORMA FOR APPLICATION Passport size 

photo duly 
signed by the 
APPLICATION FOR THE POST OF ______________________ IN AERB candidate 

1. Advertisement No. : AERB/01/2011

2. Category/ Discipline (I, II, III) : ____________________

Name in full beginning with surname


3. : ______________________________________
(in block letters)
Address (In Block Letters)
4.
_____________________________________
i. For Correspondence with Pin
: _____________________________________
Code
_____________________________________

ii. Permanent Address with Pin Code ______________________________________


______________________________________
: _______________________________________

5. Email Address : ______________________________________

6. Telephone & Mobile Nos. : ______________________________________

7. Mother’s Name : ______________________________________

8. Father’s Name : ______________________________________

9. Nationality : ______________________________________

10. Date of birth : ________________________________


(Date) (Month) (Year)
11. Sex : Male / Female

12. Height : ____________cms

Weight : ____________kg

Mark of identification : ______________________________________

13. Marital status : _______________________________________

Whether applicant belongs to Scheduled SC ST OBC


14. :
Cast/Scheduled Tribe / Other Backward
Classes
(a) Do you have any physical disability (in
15. : Yes / No
case yes, please enclose relevant
certificate)

(b) If Yes, Tick the appropriate OH VH HH


15. :

(OH: Orthopaedically Handicapped, VH: Visually Handicapped, HH: Hearing Handicapped)

17. Educational and Professional Qualifications: (From Class X Board Examination)

Examination University/Board/ Year Subjects Class/ % of Marks


Institution
Grade

18. Work Experience (particulars of all previous and present employment are to be
furnished)

Name & Post Whether Central / Period Permanent Reasons for


address of State Govt. or or leaving
Employer Central-State Govt. From To Temporary
Autonomous Body

Note: Details of work experience covering posts held specific areas of work and major assignments
should be given on a separate sheet of paper.

19. Details of relatives employed in Atomic Energy Regulatory Board or Department of Atomic
Energy

S. No Name Relationship Unit Post


20. Postal Order / DD :

Sl. No Name of the Bank / Post Postal Order / DD No. Date Amount
Office

21. List of documents (as per check list to be attached to the application)

I certify that all the information given above is correct. I understand that furnishing false
information makes my service liable for termination. If appointed, I agree to abide by the rules and
regulations of the organisation.

Place :

Date : Signature of the candidate


Check list for the candidates (to be attached to the application)
Put X in the boxes applicable

1. Self addressed envelope attached :

2. Photograph affixed on the application :

3. Additional photograph attached :

4. Application signed :

5. List of documents attached:

a) Proof of Date of Birth :

b) SC/ST/OBC Certificate :
(if applicable)

c) Certificate of Physical Disability :


(if applicable)

d) Proof of Educational qualifications :

f) Work Experience Certificate :

g) Discharge Certificate from :


Defence Service (if applicable)

h) Sheet giving description of Work :


Experience

i) Check List :

6. Postal Order/D.D. attached :

Date ___________ Signature of the candidate

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