Post on 01-Jun-2018
8/9/2019 Www.esic.Nic.in CV Form Rec Civil 28.1.2015
http://slidepdf.com/reader/full/wwwesicnicin-cv-form-rec-civil-2812015 1/2
PPEND IX II
UR RI U LU M V IT E P RO FO RM
1.
Name and
Address
in Block Letters)
2. Date
of
Birth
in Christian era)
3. Date
of
retirement under
Central
State Government
Rules
4 Educational Qualifications
Whether Educational and other
qualifications required for the
post
are
satisfied. if
any
qualification has been treated
as
equivalent
to the one
prescribed in the Rules, state
the authority for the same)
Qualifications/
Qualifications/
Experience
Experience possessed by the officer
Required
Essential
1)
2)
3)
Desired
1)
2)
6
Please state clearly whether in
the light of entries made by
you above, you meet the
requirement of the post
Details of Employment, in chronological order.
Enclose a separate sheet duly authenticated by your signature, if
the space below is insuff icient
Office/Institution
Post held
From To Scale of Pay and Nature of duties
Basic Pay in detail)
8
Nature of present employment
i.e.
Ad-hoc or
Temporary or Quasi-Permanent or Permanent
9
In case the present employment is held on deputation/
contract basis, please state:-
a) The date of initial appoi tment
b) Period of appointment on deputation/contract
c) Name of the parent office/organization to which
you belong
10.
Additional details about present employment.
Please state whether working under indicate
the
name of your employer against the relevant column)
a)Central
Government.
b)State
Government
8/9/2019 Www.esic.Nic.in CV Form Rec Civil 28.1.2015
http://slidepdf.com/reader/full/wwwesicnicin-cv-form-rec-civil-2812015 2/2
WW
c)
Autonomous
d )
Government
Organization
e)
Universit ies
Undertaking
f) O thers
l
Please state whether you are w orking in the sam e
Departm ent and are in the feeder grade or feeder to
f ee d er g ra d e
2
A re you ~n R evised S cale of P ay? If yes, g ive the date
from whlc~ the revision took place and also indicate
t he p re -re vis ed s ca le
3
T ota l e mo lu me nts p er m on th n ow d ra wn
4
In
case of other than C entra l Governm ent pay
s tru ctu re e qu iva le nt p ay a nd C en tra l G ov ern me nt m ay
a ls o b e i nt im a te d
5
A dd it~ on ~1 in fo rm atio n, if a ny , w hic h y ou w ou ld lik e to
m en tio n In s up po rt o f yo ur su ita bility fo r th e p os t.
T his a mo ng o th er th in gs m ay p ro vid e in fo rm atio n w ith
regard . to i) .a~ ditional academ ic qualifications ii)
p ro fe ss io na l tra in in g a nd iii) w ork e xp erie nc e o ve r a nd
above prescribed in the Vacancy C ircular/
A dv ertis em en t) N ote : E nc lo se a s ep ara te s he et, if th e
space is insu f fi c ien t ).
6
P le as e s ta te w he th er y ou a re a pp ly in g fo r d ep uta tio n
IS T C)/ A b so rp ti on /
re -e m plo ym en t B as is .
Officers
u nd er C en tra l S ta te G ov ern me nts a re o nly e lig ib le fo r
+Absorpt ion+.
candidates
of
non=Government
Organizations
ar e
eligible
only
fo r
Shor t
Term
Contract.)
7
W h eth er b elo ng s to S C/S T
8
R em ark s T he c an did ate s m ay in dic ate in fo rm atio n
w ith regard to i) R esearch publications and reports
a nd s pe cia l p ro je cts ii) Awards/ Scho la r ship /O f fi c ia l
A p pr ec ia ti on i ii) A ff ili ati on w it h t he p ro fe ss io na l b od ie s/
in stitu tio ns / so cie tie s a nd iv) a ny o th er in fo rm atio n
Note:
Enclose
a
separate
sheet
if the
space
is
insuff icient)
have care fu ll y gone th rough the vacancy c i rcu la r l advert isementand a m w e ll a w a re t ha t t he C u rr ic u lu m V i ta e d u ly
s up po rt ed b y d oc um e nts s ub m itt ed b y m e w il l a ls o b e a ss es se d b y th e S e le ct io n C o m mi tt ee a t t he ti me o f s ele ct io n f or th e
post.
S ignatu re o f the Cand ida te
Address- · · · · · · · · · · ·_ · · ·
Date__
Countersigned
Employerw i th Sea l)