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engagement of retired government servants in bpr&d on contractual ...

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held <strong>on</strong> c<strong>on</strong>tract basis, please state:-(a) The date <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g>itial appo<str<strong>on</strong>g>in</str<strong>on</strong>g>tment : ______________________________(b) Period <str<strong>on</strong>g>of</str<strong>on</strong>g> appo<str<strong>on</strong>g>in</str<strong>on</strong>g>tment <strong>on</strong> C<strong>on</strong>tract _________________(c) Name <str<strong>on</strong>g>of</str<strong>on</strong>g> the parent <str<strong>on</strong>g>of</str<strong>on</strong>g>fice/organizati<strong>on</strong> towhich you bel<strong>on</strong>g : _________________________________________10. Additi<strong>on</strong>al details about present employment: _____________________Please state whether work<str<strong>on</strong>g>in</str<strong>on</strong>g>g under:-(a) Central Government ____________________________________(b) State Government _____________________________________(c) Aut<strong>on</strong>omous organizati<strong>on</strong>s _________________________________(d) Government Undertak<str<strong>on</strong>g>in</str<strong>on</strong>g>gs _________________________________(e) Universities _____________________________________________11. Are you <str<strong>on</strong>g>in</str<strong>on</strong>g> Revised Scale <str<strong>on</strong>g>of</str<strong>on</strong>g> Pay? If yes, give the datefrom which the revisi<strong>on</strong> took place and also <str<strong>on</strong>g>in</str<strong>on</strong>g>dicate thepre-revised scale: ___________________________________________12. Total emoluments as per m<strong>on</strong>th now drawn : _______________________13. Additi<strong>on</strong>al <str<strong>on</strong>g>in</str<strong>on</strong>g>formati<strong>on</strong>, if any, which you would like tomenti<strong>on</strong> <str<strong>on</strong>g>in</str<strong>on</strong>g> support to your suitability for the post. Enclosea separate sheet, if the space is <str<strong>on</strong>g>in</str<strong>on</strong>g>sufficient: ________________________14. Whether bel<strong>on</strong>gs to SC/ST: _________________________________15. Remarks, if any __________________________________________Date :______________________Signature <str<strong>on</strong>g>of</str<strong>on</strong>g> the CandidateAddress______________________________________________Teleph<strong>on</strong>e/Cell ______________E-mail ID:___________________Note: A character certificate from a Gazetted Officer or a Member <str<strong>on</strong>g>of</str<strong>on</strong>g> Parliament or a Member <str<strong>on</strong>g>of</str<strong>on</strong>g> LegislativeAssembly or Pr<str<strong>on</strong>g>in</str<strong>on</strong>g>cipal or Head <str<strong>on</strong>g>of</str<strong>on</strong>g> the Department <str<strong>on</strong>g>of</str<strong>on</strong>g> the Institute the candidate attended last should also accompany theapplicati<strong>on</strong>.

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