INDEX CARD
1. Name in full
(In Block Letter) :-
2. Designation :-
3. Present place
of posting with Date of joining :-
4. Whether the
station has been notified as difficult :-
5. Educational
Qualification :-
6. Date of Birth :-
7. Date of
Superannuation/Retirement :-
8. Whether
SC/ST/OBC :-
9. Present
Residential Address :-
10. Permanent
Home Town Address :-
11. Contact No :-
12. IRLA No :-
13. Date of
appointment in service with entry
Grade
&Designation :-
14. Date of
appointment in AE Grade :-
15. Past postings
with full details in each Cadre/Grade (From entry grade) :
|
S.No.
|
Designation
|
Period
|
Name of station
(mention whether difficult or not)
|
|
1.
|
|
|
|
|
|
2.
|
|
|
|
|
|
3.
|
|
|
|
|
|
4.
|
|
|
|
|
|
5.
|
|
|
|
|
|
6.
|
|
|
|
|
|
7
|
|
|
|
|
|
8
|
|
|
|
|
|
9
|
|
|
|
|
|
10
|
|
|
|
|
16. Details of training undergone :-
17. If spouse is employed, give details including
Present place of posting :-
18. Mother Tongue and other languages known :-
(Name of Assistant
Engineer with signature)
Verification/Recommendation by the Head of Engineering
Wing
The above particulars have been verified from the
service record and found to be correct.
Signature of the Head of the Office