Application Form: DMRC http://www. applicationnew. com/dmrc9/Application. htm ADVT No. DMRC / OM / HR / I / 2010 DMRC APPLICATION FORMAT (To be Filled in English Capital Letters by the Candidate only) Post Code: Name of Post: Recent Passport size Photograph to be pasted duly attested on Photo as well as on application Discipline (Tick) (Applicable for Post Code – 10 / Maintainers only) Electrician[ ], Fitter [ ], Electronic Mechanic[ ], Ref & AC Mechanic[ ] Personal Details : Candidate’s Name: Correspondence Address: (Don’t write your Name again) City/Town: Tel No. with STD Code): Candidate’s Email ID: Father’s Name : Gender (Male/Female): Date of Birth (dd/mm/yyyy): Age as on 01. 07. 2010 Pin : Mobile : State: YY MM DD Whether Yes [ ] / No [ ] (select Yes only if disability is minimum 40%, otherwise select No) Physically Handicapped: OA (One Arm) BL (Both legs) OL (One leg) (Tick the correct one) If YES: (eligible for post Please attach the prescribed medical format of Disability (available on DMRC’s website www. delhimetrorail. com) code-11 only): Community/Caste GEN (1) : Whether JK Domicile: Whether EX Serviceman: Length of service in Armed forces Two marks of Identification (other than mole): 1. . Yes Yes YY OBC (2) No No MM DD SC(3) ST(4) (Tick the correct one) (Tick the correct one) (Tick the correct one) (For ExSM only) as on 01. 07. 2010 Yes [ ] / No [ ] Whether DMRC (If yes, Please mention your post, Employee No. and service duration Employee Post : Emp No. : Length of continuous service in DMRC as on 01. 07. 2010 : ______(YY)______(MM) Page 1 Continued on page 2 in DMRC. ) Qualifying Exam Details (Specify only the qualifying examination which makes you eligible to apply) : Name of 1 of 3 03-08-2010 15:38 Application Form: DMRC http://www. pplicationnew. com/dmrc9/Application. htm Name of qualifying exam for eligibility: Discipline: Duration : % of marks obtained : Month & Year of passing : Name of Institute : Details of Experience & other qualifications as required mandatory for the post of Store Assistant (post code-11): -Please attach separate sheet with this application form Demand Draft Details : DD Number: Issuing Bank Name: Date: Amount : (* DD should be issued by State bank of India in favour of “DELHI METRO RAIL CORPORATION LIMITED”, payable at SBI Service Branch, New Delhi (Code No-7687))
SBI Please write the following declaration in your Own hand writing in running hand and not in Capital Letters in the space provided below: Declaration : ” I hereby declare that all the statements made by me in the application are true and complete to the best of my knowledge and belief and nothing has been concealed or suppressed. I also understand that in case, any of my statement is found untrue during any stage of recruitment or thereafter shall disqualify me for the post applied for and/or I shall be liable for any other action under the extant rules. Copy the above declaration in your own hand writing here : (The candidate must copy this declaration in their application in order to avoid rejection) Left Hand Thumb Impression : (Central ridges should be clearly Candidate’s Signature : visible) Date: Place : (The candidate must put left hand Signature should not be in thumb impression in order to avoid capital letters rejection) . Important Instructions : Before Submission the Candidate must note that : 1. The Application form is correctly and completely filled up. . Signature should not be in capital letter. 3. Application without Declaration , Signature and thumb Impression will be summarily rejected. 4. Demand draft of requisite amount as notified in the Advertisement should be strictly drawn only on State Bank of India in favour of “DELHI METRO RAIL CORPORATION LIMITED, payable at Service Branch, New Delhi (Code No-7687)” 5. Photograph must be attested by Gazetted Officer. 6. Attach all the Testimonials / Enclosures as notified in the Advertisement . 7. The andidate meets all eligibility conditions desired for the post as notified in the Advertisement failing which his/her candidature will be summarily rejected at any stage of verification & Scrutiny of Application during the selection process. The Correct & Complete application form should be submitted by Ordinary post addressed to “DMRC Ltd. , Post Bag No-9, Lodhi Road, New Delhi-110003. ” Latest by 23. 08. 2010. Legend* : BL-Both legs affected but not arms. , OL-One leg affected (right or left) OA-One arm affected, —————————————-Page 2 -(END OF APPLICATION FORM)————————— of 3 03-08-2010 15:38 Application Form: DMRC http://www. applicationnew. com/dmrc9/Application. htm Annexure A PROFORMA FOR MEDICAL CERTIFICATE FROM AN EYE SPECIALIST TO BE SUBMITTED BY CANDIDATES WHILE APPLYING FOR THE POST OF STATION CONTROLLER/TRAIN OPERATOR , CUSTOMER RELATIONS ASSISTANT & FIRE INSPECTOR IN DELHI METRO RAIL CORPORATION (DMRC) I have checked up Km/Smt/Shri ________________ who has applied for the post of SC/TO/ CRA/ Fire Inspector in DMRC. Acuity of vision/colour vision of Km/Smt/Shri ________________ has been tested in view of the following standards required for appointment in DMRC.
Recent Passport Size attested Photograph to be Pasted Here SN Post applied for Medical Standard Aye-One Distant Vision Near Vision 1. SC/TO/ CRA/Fire Inspector 6/6, 6/6 without glasses/contact lens. No surgery allowed. Sn: 0. 6,0. 6 (must clear fogging test) Colour Vision on Ishihara Normal Km/Smt/Shri______________________________________________ fully conforms to the above vision standards (to be signed by Eye Specialist) Place: Date: Stamp : Name of Doctor : Regd No. : (without registration no. of Doctor, this Medical Certificate will not be valid) 3 of 3 03-08-2010 15:38
