TAMIL NADU GENERATION AND DISTRIBUTION CORPORATION LIMITED

ACCOUNTS BRANCH - 7TH FLOOR, NPKRR MAALIGAI, 144,

ANNA SALAI, CHENNAI - 600 002

1. Applying for the Post of : Management/Industrial Trainees

2. Name of the Candidate :

(In Block Letters)

3. Father’s Name / :

Husband’s Name

4. Date of birth / : / Yrs.

Age as on (01.07.2016)

5. Gender : ____ Male / Female)

6. Community : ____ (OC/BC/MBC/DNC/BCM/SC/SCA/ST)

7. Priority Type :

8. Nationality :

9. Religion :

10. Mother Tongue :

11. Native District and State :

12. Aadhaar Card No. :

13. Communication Address : ______

______

______Pin Code: ______

Permanent Address : ______

______

______Pin Code: ______

14. Mobile Number :

15. E-mail :

16. Employment Registration :

Number (If Available)

17. Educational Qualification

a) Essential Qualification

b) Desirable Qualification

Sl. No / Qualification / Year of passing / Board /University / % of Marks

18. Work Experience

Sl
No / Name of the Employer (Name of the office/Institution) / Period
(Date/month/year) / Post held
From / To

19. Any other

20. List of documents (Photocopy) enclosed herewith (To be filled by candidates)

Si. No / Certificate Name / Put √
Mark
1 / 8th Std Certificate
2 / SSLC Mark Sheet
3 / 12th Std Mark Sheet
4 / ITI Certificate
5 / Diploma Certificate
6 / UG Degree Certificate
7 / PG Degree Certificate
8 / Transfer Certificate
9 / Community Certificate
10 / Experience Certificate
Si. No / Certificate Name / Put √
Mark
11 / Priority Certificate
12 / Computer Course
13 / Typewriting Tamil J / S
14 / Typewriting Eng J / S
15 / Shorthand Tamil J / S
16 / Shorthand Eng J / S
17 / Ration Card / Aadhaar
18 / Driving License
19
12

DECLARATION

I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of any of the information provided by me are found false or incorrect at any stage, my candidature / appointment shall be liable for cancellation / termination without notice or any compensation in lieu thereof.

Place: Signature of the Candidate

Date:

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