ANNEXURE-I
FORMAT OF APPLICATION FOR THE POST OF TECHNICAL MEMBER, NATIONAL COMPANY LAW APPELLATE TRIBUNAL (NCLAT)
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1.
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Name in Full (IN BLOCK LETTERS)
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Attested copy of passport size photograph to be pasted
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2.
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Post applied for:
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3.
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Date of Birth
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4.
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Father’s Name
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5.
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Whether SC/ST/OBC
(Attested copy of the relevant certificate to be attached)
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6.
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i) Correspondence Address
ii) Telephone No. - Res./Off.)/Mobile
iii) Fax No.
iii) Email Id (mandatory)
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7.
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Permanent Address
(Including Telephone/Fax Number)
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8.
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Present occupation/Profession/Service
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9.
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Professional income/emoluments for the last three years (give year-wise details)
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10.
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Educational Qualifications in the reverse chronological order:
(Attested copies of Degree/Diploma to be attached)
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Name of University/ Equivalent Institution
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Degree
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Year of Passing
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Percentage of Marks Obtained
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Academic Distinction
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Subject/ Specialisation
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11.
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State whether the relevant eligibility criteria satisfied as specified in para 2 and para 3.
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12.
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Details of present and previous employment in reverse chorological order in format given below:
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Name and address of employer
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Designation, scale of pay including present pay.
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Whether regular/ deputation/ adhoc
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Period of service
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Nature of duty/ experience
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From
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To
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13.
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i) Details of professional career (As applicable)
ii) Eligibility under qualifications mentioned in para 2 of the circular:-
(a) Number of years of experience,
(b) Relevant field of experience,
(c) Details of such experience alongwith period,
(d) Field of specialization, if any.
(Attested copies of relevant supporting documents, along with those establishing eligibility, to be enclosed).
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14.
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Any other special qualifications or experience or publication to the applicant’s credit including experience in dealing with matters as specified in the qualifications.
(Attach separate sheet, if required)
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15.
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Period of notice required for joining the post
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16.
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Names & Address of two referees in responsible positions (Not being relatives) in case of candidates not in Government Service
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It is certified that the information furnished above is correct and true to the best of my knowledge. In the event of my selection I shall abide by the terms and conditions of services attached to the post as and when framed by the Government.
Place:-
Date:-
(Signature)
Name: _________________
Annexure II
(Certificate to be furnished by the Employer/Head of office/Forwarding authority)
Certified that the particulars furnished by ---------------------------- are correct and he/she possesses educational qualifications and experience mentioned in vacancy circular. It is also certified that:-
(i) There is no vigilance or disciplinary case pending/contemplated against Sh. /Smt. -----------------.
(ii) His/her integrity is certified.
(iii) His/her CR/APAR dossier in original is enclosed/photocopies of the ACRs/APAR for the last five years duly attested by an officer of the rank of Under Secretary to the Govt. of India or above, are enclosed.
(iv) “No major/minor penalty has been imposed on him/her during the last ten years.”
(v) A list of major/minor penalties imposed on him/her last ten years is enclosed.
Signature------------------------------
Name and Designation---------------------
Tel. No.-------------------------------
Office Seal
Place :
Date:
List of enclosures:
1.
2.
3.
4.
5.
(Strike out which is not applicable)
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