Indian Ordnance Factories

भारतीय आयधु नमा �णय�

Adver�sement No. 10201/11/0567/1415

Direct Recruitment Chargeman

APPLICATION FORM

Registra�on No. : 14EC122098

Registra�on Date & Time : 27-07-2014 12:53:01

Trade : Electronics

Center Choice 1 : Aruvankadu (near Ooty) Center Choice 2 : Chennai

Unit Choice 1 Unit Choice 2 Unit Choice 3

Ammuni�on Factory Khadki Small Arms Factory Machine Tool Prototype Factory

Applicant's Name :(First Name) (Middle Name) (Last Name)

DAYANANDHAN

Father's Name : SUBRAMANI

Mother's Name : VIJAYAKUMARI

Spouse's Name :

Date of Birth : 20-12-1990

Gender : Male

Na�onality : Indian

Category : OBC

Whether Departmental Candidate : No

Whether Ex-Servicemen : No

Physically Handicapped : No

Candidates who had ordinarily been domiciled in the State

of Jammu & Kashmir during period from 1st Jan 1980 to

31st Dec 1989

: No

Whether belong to Minority Community : No

Medium of Examina�on : English

Educa�onal Qualifica�on (General) :

Educa�onal Qualifica�on School / Inst. Year of Passing

SSLC/10th SHRI AMRITHA HIGHER SECONDARY SCHOOL TIRUPATTUR 2007

Technical/Non Technical Qualifica�on (General) :

Qualifica�on Trade/Discipline Ins�tu�ons Year of Passing

Three Years Diploma Electronics IRT POLYTECHNIC COLLEGE BARGUR 2010

Page 1 of 2

Indian Ordnance Factory https://www.i-register.co.in/ioforeg/frmApplicationPrint.aspx

1 of 2 7/31/2014 6:25 PM

Address For Correspondence

City/Town/Village

District

State

Tel No.

:

:

:

:

:

:

:

:

15/30-THEN AGARAKARAM STREET TIRUPATTUR

VELLORE

VELLORE

TAMIL NADU - 635601

04179-226401

Email ID : irtdaya@gmail.com

Mobile No. : 7708820099

Nearest Railway Sta�on : JOLARPETTAI

Payment Details :

Bank Name Branch Code Challan No. Deposit Date Deposit Amount

STATE BANK OF INDIA 00934 014950345 30-07-2014 100

Declara�on :

I have not submiAed any other applica�ons for this examina�on. I am aware that if I contravene this rule, my applica�on will be rejected summarily by the commision.

I have read the provisions in the No�ce of the examina�on carefully and i hereby undertake to abide by them.

I further declare that I fulfill all the condi�ons of eligibility regarding age limits, educa�onal qualifica�ons, and technical qualifica�ons etc., prescribed for admission to the

examina�on. I understand that in the event of ineligibility being detected at any point (before or aGer the examina�on), may candidature/appointment is liable to be

cancelled.

I also declare that I do not stand debarred by any of the Ordance Factories as on date and have never been convicted by any court of law. I also declare that no charge sheet

is pending against me in any court of law. Further declare that I have never been dismissed or removed from Govt. Service or my service been terminated during proba�on.

*For Candidate belonging to OBC:

I declare that I belong to the community which is recognized as a backward class by Govt. of India for the purpose of reserva�on in service as per orders contained in DepA.

of Personnel and Training office memorandum No. 36012/22/93- Esst. (SCT) dated 8.9.1993. I also declare that I do not belong to the person/sec�ons(creamy layer)

men�oned in column 3 of the schedule of the OM men�oned above and modified vide Govt. of India DOPT OMs men�oned in the no�ce. I further declare that I am in

possession of OBC Cer�ficate in the prescribed format given in the No�ce of the examina�on.

For all Candidates:

I hereby declare that all statements made in this applica�on are true , complete and correct to the best of my knowledge and belief. i understand that in the event of any

informa�on being found suppressed/false or incorrect ot ineligibility being detected before or aGer the examina�on, my candidature/appointment is liable to be cancelled.

Please Paste your Color

Photograph 3.5 x 3.5 cm not

older than 3 months.

Registra�on No. : ______14EC122098________

Name : _________________________

Date : _________________________

Place : _________________________

________________________________________________

Signature of the Candidate

Note To Candidates :

* Please keep one photocopy of the Acknowledgement Slip for future reference.

* OBC Candidates MUST ENCLOSE the Photo Copy of Non CREAMY LAYER CERTIFICATE as prescribed in Annexure III given in Full No�ce.

* UR/OBC Candidates, who are eligible to pay fees MUST ENCLOSE Original Bank PAY IN SLIP alongwith the Registra�on Slip duly signed and Photo

affixed.

* The Envelope must be sent by Ordinary Post to the below address.

* Do not write 'Indian Ordnance Factories' in the Postal Address.

Post Box No. 2091Chennai – 600020.

Page 2 of 2

Indian Ordnance Factory https://www.i-register.co.in/ioforeg/frmApplicationPrint.aspx

2 of 2 7/31/2014 6:25 PM