MANDATORY DECLARATION FORM

SELECT POST

Declaration

  I am aware and made to understand that in case of any miss information / wrong information / suppression of fact / falsifications/forgery of documents submitted by me hereinafter, my project specific contractual engagement shall be terminated forthwith without any compensation.

BASIC DETAILS   (NB: Your Basic Details Should Be As Per Your Aadhaar Card)


ADDRESS DETAILS   (NB: Your Address Details Should Be As Per Your Aadhaar Card)


Mailing Address Detail*
Permanent Address Detail*

EMERGENCY DETAILS


ACADEMIC QUALIFICATION DETAILS (School/Pre-Degree Level)


TECHNICAL/PROFESSIONAL QUALIFICATION DETAILS


License Details (For Drivers/Conductors)


× Caution! Driver / Conductor PSV Experience Less Than 5 yrs

LANGUAGE KNOWN (Please Tick Only)


Language Bengali Hindi English
Can Speak
Can Write
Can Read

REFERENCE DETAIL (Professional [i.e.- previous/current employer, not from relation] If Any)


EPF DETAILS (If Any)

 Check this if you do not have EPF or UAN

ESIC DETAILS (If Any)

Check This If You Do Not Have ESIC Number

BANK DETAILS


Upload Documents   (NB: Upload Scanned Copy Of Following Documents, Permissible File Size For Each Upload Is 60 KB And Format JPEG/PNG)


  I, the undersigned hereby certify that the information furnished above is true to the best of my knowledge and belief. I'am fully aware of any information is found incorrect/false, my engagement with the Company stands cancelled forthwith. I also agree to take up the assignment on purely Contract basis for an applicable period and i'am willing to be posted in any location/s as per the requirement of the Company.