GAIL (India) Limited (A Government of India Undertaking) (A Maharatna Company)

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1 GAIL (India) Limited (A Government of India Undertaking) (A Maharatna Company) Please affix your recent passport size colour photograph and sign it across APPLICATION FORM FOR EMPLOYMENT I. POST DETAILS Post applied for : Pay Scale : Grade : II. PERSONAL DETAILS (in BLOCK letters) 1. First Name : 2. Middle Name : 3. Last Name : 4. Date of Birth (DD/MM/YYYY) : 5. Father s/ Spouse s Name : 6. Category : (Tick in appropriate box) 7. Name of the Caste/ Tribe [In case of SC/ ST/ OBC (NCL*)] : SC ST OBC (NCL) GEN *NCL Non Creamy Layer 8. Other Category, If Applicable (Tick in appropriate box) (i) Persons with Disabilities (PWD): (ii) Ex-Serviceman : (iii) Domiciled in J&K between & : YES YES YES NO NO NO Page 1 of 6

2 9. Details (In case of PWD) (Tick in appropriate box) (i) Type of Disability : OH VH HH (ii) Percentage (%) of Disability : 10. Details (In case of Ex-serviceman) (i) Rank : (ii) Corps/ Regiment Number: (iii) Date of Joining : (iv) Date of Discharge : (iv) Date of start of precommissioning training, if any: (vi) Any Courses during Service: (vii) Length of service : 11. Nationality : 12. Religion : 13. Sex : MALE FEMALE 14. Marital Status : 15. Present Postal Address Permanent Address PIN: PIN: (i) Telephone (Landline) : STD CODE : Number : (ii) Telephone (Mobile) : 16. Present Id. : Page 2 of 6

3 III. EDUCATIONAL DETAILS (10 th onwards) Exam / Degree Passed 10 th Branch/ Discipline School/ College/ Institution Year of Joining Year of Passing Board / University Percentage of Marks obtained Mode (Full time / Part time / Distance) Page 3 of 6

4 IV. PARTICULARS OF RELEVANT POST QUALIFICATION EXPERIENCE Total Post Qualification In Line Experience: Years Months Days (Post qualification in line experience should be as per the Job Specifications) Name of Organization/ Company Type of Industry Location Employment period [From (Date) To (Date)] Post held Pay Scale [ If Govt. / PSU organization ] Basic Pay P.M Total Pay P.M. Nature of Jobs [Please provide details of experience starting from the present Job. In case you have served at different positions (on account of promotion in a particular organization, then, please give details of different positions held in that organization with dates and Pay Scales]. * Separate column should be used for experience in case of change in grade/ designation due to promotion in the same company. Page 4 of 6

5 V. HAVE YOU APPLIED IN GAIL DURING THE LAST TWO YEARS? If Yes, Give Details. VI. List of the Documents/ testimonials attached in support of age, category, qualification, experience etc. Sl. No Document Name VII. APPLICATION FEE DETAILS Details of application fee paid (If Applicable) Demand Draft No./ Pay Order No. Amount Date Bank Name Branch Name City Page 5 of 6

6 VIII. DECLARATION I Certify that- 1. I am/ I am not employed in Govt./ Statutory Organization/ Public Sector Undertaking. 2. In case of my employment in Central /State Government/ Public Sector Undertaking / Semi Government Organization, I will produce NOC or forwarding letter from my present Organization at the time of Test/ Interview. I declare that all information given in this application form are true to the best of my knowledge and belief. If any of the information is found to be incorrect or distorted at any stage, I shall have no objection to cancellation of my candidature. Date: (Name & Signature) Page 6 of 6