National Green Tribunal_ APPLICATION FORM

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    11/26/2014 National Green Tribunal: APPLICATION FORM

    https://j obappl y.i n/ngt/Fil l_Appl icati onNext.asp?R egNo= 650233&em ai lID= shil ulawani ya@gm ai l.com

    National Green Tribunal 2014Application Form for Post Code: 05

    * Application No.*650233*

    * Application for the Post of Peon/Orderly/Court Attendant (Post Code: 05)

    *

    State your option to join, ifselected, for only twoBenches in order ofpreference

    Preference1: DELHIPreference2: BHOPAL

    NOTE: The Appointee is liable to be posted in any of the existing Benches of NGT or those that are being set up or thosethat may be set up in future, as per requirement.

    Personal P articulars

    * Candidate Name Mr. SHELENDRA

    LAVANIYAN *Father's Name SHRI KRISHNA KUMAR

    LAVANIYAN

    * Address f or Communi cati on VI LL-KHUTI PURI POST-PENTHGAWN

    DIST-HATHRAS STATE-UTTAR PRADESH

    * City HATHRAS *Pin Code 204213

    State UTTAR PRADESH

    * Email-ID [email protected] Alternate Email-ID [email protected]

    Contact No. - Mobile No. 9758863681

    * Permanent Address VILL-KHUTIPURI POST-PENTHGAWN

    DIST-HATHRAS STATE-UTTAR PRADESH

    * City HATHRAS *Pin Code 204213

    State UTTAR PRADESH

    * Date of Birth 15-Aug-1993

    * Gender Male *Nationality INDIAN

    * Category GEN *Whether Ex-serviceman? NO

    *Are you a person withDisabilities?

    NO

    If yes, Nature of Disability& Degree

    Whether Guide/Scribe isrequired at the ExaminationCentre?

    ..................................Signature of Candidate

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    11/26/2014 National Green Tribunal: APPLICATION FORM

    https://j obappl y.i n/ngt/Fil l_Appl icati onNext.asp?R egNo= 650233&em ai lID= shil ulawani ya@gm ai l.com

    Application No.: 650233

    *650233*

    Qualification Detail:

    Academic/Professional

    Qualification

    Discipline/

    Specialization

    University/BoardMain Subjects Year of

    Passing

    DurationPercentag

    Matriculation - U P BOARD HINDI,ENGLISH,MATH,SCIENCE,ART,SOCIAL

    SCIENCE 2007

    1 Year 0Month

    65

    ITI U P BOARD HINDI,ENGLISH,MATH,SCIENCE,ART,SOCIAL

    SCIENCE 2007

    1 Year 0Month

    65

    12th SCI ENCE U P BOARD HI NDI ,ENGLI SH,MATH,PHYSI C,CHEMI STRY 2009 1 Year 0

    Month 48.20

    GraduationDegree Name:

    YearMonth

    Professional/PGDegree Name:

    YearMonth

    Any OtherQualification:

    YearMonth

    Experience Details(Backwards from Present Position):

    Office/Instt./OrganisationType ofOrganisation

    Designation

    Period ofEmployment

    Nature ofappointment(Regular/Adhoc/Deputation

    Scale ofPay/BasicPay/PayBand withGradePay

    Remarksif any

    From(MM-YYYY)

    To(MM-YYYY)

    - -

    - -

    - -

    - -

    - -

    #Applicants not holding the posts in Pay Band/Grade Pay as per Central Government pay scale should indicatethe equivalent pay scale vis--vis Central Government pay scales (with proof)

    ................................Signature of Candida

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    11/26/2014 National Green Tribunal: APPLICATION FORM

    https://j obappl y.i n/ngt/Fil l_Appl icati onNext.asp?R egNo= 650233&em ai lID= shil ulawani ya@gm ai l.com

    Application No.: 650233

    *650233*

    Whether you are employed under Central/State/PSU/Semi Government organization? NO

    If Yes, whether you have applied through proper channel?

    Declaration

    I solemnly declare and affirm that the information given above is correct to the best of my knowledge and belief. In the event of anyinformation being found false or incorrect or ineligibility being detected before or after the interview/ selection/ engagement, my candidaturemay be treated as cancelled and, I shall be liable for any action as the Tribunal may deem fit and proper.

    Place

    Date Signature of Applicant

    (To be signed prior to despatch)

    Kindly save this page by using 'SAVE AS' option given in the browser before taking the print out.

    Print (Please Print the form for Further Reference)

    ..................................Signature of Candidate

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