Annexure No. - 1
Service Certificate / NOC
(To be submitted by all the applicants along with a copy of offer letter of the current employer)
Certificate No: Date:
Advertisement No: IISERB/ NT-01/18, dated 23/04/2018 and Post applied for :……………………
SN / Item / Description1 / Name of the employee
2 / Employee Code
3 / Name of the organisation
4 / Type of organisation / ______
{ (1) Central Govt. (2) State Govt. (3) Centrally funded Educational Institutes (CEI) (4) Central Autonomous Body / PSU (5) State Autonomous Body / PSU
(6) Private University / Organisation (7) International Organization (8) Others (please specify) }
5 / Date of Birth
6 / Type of employment / ______
{(1)Regular (2) Contract (3) Ad-hoc (4) Temporary (5) Project (6) Outsourced Job (7) Deputation (8) Others specify) }
7 / Current and Previous positions held with pay scale, in the organization.
SN / Positions held / Type of Employment / Full Pay Scale / Basic Pay / GP / Pay Level / DA % / Gross
(Pay +DA) / Duration
Start / End / From / To
1
8 / Current duties and responsibilities
9 / Type of Pension Scheme and PRAN No. if in NPS
10 / Details of any disciplinary proceedings held previously and contemplated presently, if any.
11 / Over all grading in APAR for the past 3 years. / (1) / (2) / (3) / (4) / (5)
FY : / FY : / FY : / FY : / FY :
12 / Notice period required for relieving the candidate, if selected.
Certified that the above information is verified from the personal service records of the employee and the undersigned is competent to issue the NOC / Service Certificate.
\
Signature :
Name of the Authorized Signatory :
Designation :
Office Seal :