chittaranjan locomotive works - linkingsky.com

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32 www.employmentnews.gov. in Employment News 23 - 29 November 2019 (c) Basketball : Basketball Fedrati on of India is onlJ'. to issue such certificate, should be enclosed along with recognized National S12orts Federation for the game the application form for getting exemption from paying Em[!IOllment Notice No. GMA/E-VIURectt./ of Basketball. this fee. S[!ort Quota (O.A.} 2019-20. (d) Golf: In Golf, for recruitment against the 12osts in level- 6. Selection Procedur e: Recruitment against S[!orts Quota (O[!en Advertisement} 2 or level-3 in PaJ'. Band Rs.19900-63200 or 21700- Selection will be based upon performance in sports for the llear 2019-20. Date of Issue: 26-10-2019, Closing Date: 16-12-2019, 69100; S12orts12erson havin g l. G. U. Ranking UQ to 60. Trial and Interview & Certificate produced in support of Closing Time: 17: 00 hrs . Note: The highest ranking in the year of recruitment Educational qual ificati on and sports achievements and (For the residents of Andaman, Nicobar & Lakshadweep, may be considered for the purpose. finalized by a nominated selection committee. The Closing Date:23-12-2019, Closing Time:17:00 hrs. ) (e) Archery: Certificate issued from Archer:y Federations ve n ue & date for Trials and Interview/Ce rtificate 1. Applications are invited in the prescribed format from of India will not be valid for recruitment. Certificate Verification will be intimated to the eligible candidates. eligible Sportspersons, who are Indian nationals, for other than AFI will be considered. Note: (i) All the 7. Address for submitting aQQlications: recruitment against Sports quota (Open Advt.) in CLW championships ment ioned above shou ld be Candidates should send their applications by post to for the vacancies indicated below: conducted under the aegis of recognized International/ the address mentioned below. Candidates can drop Level of Old Grade Pay No. of National/State Sports Federati ons and also recognized their applications directly in Drop Box placed at Dy. G.M.'s pay in Vlth CPC Rs. Vacancies by the Railway Sports Promotion Board. Office/CL W, in the office premises, during the off ice Level-5 Rs.2800/- 02 (f ) Cricket (Men): hou rs. Level-4 Rs.2400/- (i) At international level representation of main Indian Postal Address :- Level-3 Rs.2000/- 08 Senior Team in a test match or in a limited over one Principal Chief Personnel Officer , Level-2 Rs. 1900/- day international match or in a Twenty 20 over match GM's Building/ CLW, Grand Total 10 shall also be considered for recruitment against the P.O.- Chittaranjan , Distt.- Paschim Burdwan, 1.1 The details of sport s disciplines, event, position & post In Level-2 or 3. Pin- 713331(W.B). no of posts required are given below (read with (ii) At national level, following sports achievements in 8. How to aQQlll: para-1 above) : four (04) days/ One (01) day limited over I Twenty 20 (i) Fill up the application in t he prescribed format at SI Event Level/Cell No.of Over cricket championshi p (except Vizzy Trophy) Annexure-A on good quality A-4 size white paper after No. (VllCPC)GP posts organised under the aegis of BCC I may also be carefully reading the employment notice. Rs. (VICPC) considered for recruitment against the post in level - ( ii ) All columns of application should be filled up by t he 1 H oc key(W omen )- Goa I Level-4 (2400/-) I 02 2 or - 3. candidate in his/her own handwriting in English/Hindi Keeoer 01 , Defender 01 Level-5 (28001-) SI Details of Category Minimum Sports using blue/black ball point pen. 2 Basketball (Women) (Poi nt 02 No. Championship achievements for rectt against Level (i ii) Applicant should write in his/her own handwriting , the Guard/PosUAll Rounder) 2 or 3 sample declaration statement in the space provided 3 Basketball (Men)(Poin t 02 (i) All India Inter-state Senior/(U-23)/ Quarter-finalist in of in the application form. App li cations without the written Guard/Forward\ Level 2 (1900/ -) Elite & Plate Group (U- 19) Elite Group 4 Cricket (Men)All Rounder 01 , Level 3 (2000/ -) 02 Championship Championship . declaration will be rejected. Left Hand Middle Order (ii) All In dia Inter-State Senior/( U-23/ Quarter-Final i st of (iv) Applicant should Paste one recent passport size colour Batsman 01 Championship ( U-19) All India Inter-State photograph (not earlier than three months) on the space 5 Golf (men) 01 Championship provided in the application form. 6 Archery (Recurve/Compound) 01 (iii) All India Inter-Zonal Senior/(U-23)/ Participation- Al l (v) Applicant should enclose with the application a set of (Men) Championship (U-1 9) In dia Inter-Zonal legi ble Xerox copies (self-attested) of all certificates, Total 10 Champio nship in proof of Sports A chievements, Educationa l Note : For recruitment of sports persons, on the basis of Qualification, Age, SC/ST/OBC etc. 2. Eligibility Nonns: sports achievements in Junior National Champi onships, (vi) Cand idates shou ld enc l ose the applicat ion fee 2.1 S[!orts nonns for recruitment of S[!orts [!ersons in the age group as mentioned against each discipline shall mentioned above without fail as explained at Para-5 different Grade Pall & Pall Bands: Applicant should be currently an active player and only be considered. above. Application s without app licati on fee wi ll be 3. Educat ional Qualification: rejected. should have fulfilled the sports achievements on or The minimum education qualification is 12 1!!. (10+2} after 01 . 04. 2017 . The minimum sports norms for (vii) Candidate shou ld clearly indicate the specific category recruitment of sports persons in different Grade Pay Passed or its eguivalent examination. The No. , Sports Discipline, and Event/Position as given in ca ndid ates should possess the f urther requi site & Pay Bands for individual event are given below: academic qualification, in terms of Higher level, for Para-1 .1 above. SI. Name Grade Pay Minimum Sports Norms which they are applying on the date of submission of (viii) Candidate should wri te on the top of the e nvelope No. of Pay Pay(VI Band for Recruitment application as given below. Those who are appearing containing the applicati on as follows: Band CPC) and/or awaiting results of final examination are not " AQQlication against SQorts Quota {O[!en (In Rupees) eligible: Advertisement} Recruitment for the llear 2019-20." (i) Level-5 2800/ 29200- Rep resented the Country in /L evel- 4 2400/- 92300/ Ol ympic Games (Category-A) Posts having Educational Qualification (ix) Candidates should send their app lications so as to (PB-1) (Vlth 25500- OR At least 3rd pos1t1on in any Level I Grade reach at the address ment ioned against the category at CPC ) 81100 of the Cat egory-B Championships Pay Rs. Para-7 on or before the closing date and time. Railway I Events. Level-5 A u niversi ty degree or its equivalent Adm inistration shall not be responsible for any postal (ii) Level-3/ 2000/ 21700- Represented the Country in ( 2,800/-) examination. (in case of selection to delay. Late applications would be summarily rej ected . Level-2 1900/- 69100/ any of the Category-B Clerical ca tegory cand idate sh ou ld (PB-1) (Vlth 19900- Championships I Events. OR possess t ypi ng skill with 30 wpm in (x) Serving Government Employees shou ld send the ir CPC) 63200 At least 3rd position in any of English or 25 wpm in Hindi). applications through proper channel only i. e. through the Category-C Championships/ their office. Events. OR At l east 3rd position Level-4 12th ( 10+2) Passed with Physics and 9. Other Terms and Conditions : in Senior/ Youth/Junior National (2,400/-) Math in higher secondary examinati on or (i) Applications not fulfilling any of the terms and conditions Championships. OR At least 10th Passed + ITI or its equivalent (NAC 3rd position in National Games from NCVT) exami nat ion for technical given in this not ification shall be rejected. organized under aegis of Indian category. (ii) App li ca nt shou ld possess requis ite educat iona l Olympic Association. OR At Level-2 12th (10+2) or its equivalent examination qualificati on and sports achievements on the date of least 3rd position in All India (1,900) for NTPC & 10th Pass + ITI for technical submission of application. Inter Uni vers i ty Championship category or equivalent (NAC from NCVT) (iii) Discrepancies in the application submitted would render organized under the aegis of & or 12th (10+2) Passed with Physics and the candidate ineligible at any time during the selection. Association of Indian Level-3 Universities. OR 1st Position in (2,000/-) math in higher secondary examination. (in (iv) Eligible applicants will be issued with call letters through Federation Cup Championships case of selection to Clerical cat egory Websi te, Email & mobile n umber provided within 15 (Senior Category) cand idate sh ould possess typing sk ill days from the date of closing. Candidate should report 2.2 Categorization of International Cham[!ionshi[!s : with 30 wpm in English or 25 w pm in with the call letter. The international championships /events are categorized Hindi). (v) SC/ST candidates will be eligible for free rail travel in below should be read with Para-2.1 above: 4. Age Limits: second class for attending Sports Trial/Interview. Category-A: Olympic Games (Senior). The candidates should have- Minimum 18 llears and (vi) Selected candidates have to pass the requisite medical Category-B : World Cup (JuniorNouth/Senior). Maximum 25 llears of age as on 01.07.2019. ( Note: fitness standard prior to appointment. World Championships (Junior/Senior). Asian Games (Senior). matric ulat io n or its equivalent certifica te from (vii) In the event of appointment as Clerk-cum-Typist posts Commonwealth Games (Senior). recognized board should be submitted for date of in Group-C,candidates will be required to acquire typing Youth Olympics. birth proof). No age relaxation is allowed even for SC/ proficiency of 30 w.p.m in English or 25 w.p.m in Hindi Champions Trophy(Hockey) ST/OBC candidate. within a period of four years from th e date of Category-C: Commonwealt h Championships appointment, and till such t ime appointment will be (Junior/Senior ). 5. AQQlication Fee: p rovisional. Asian Championships/Asia Cup The UR and OBC candidates should submit with the (viii) Decisi on of CLW Administration in all matters relating (Junior/Senior ). application in Indian Postal Order/Bank Demand Draft South Asian Federations (SAF) to this recruitment shall be fina l. Games (Senior). of Rs. 500/- (issued after the date of this notification) (ix) Applicants are advised to check the list of names, whose US IC (World Railways) drawn in favour of PFA, Chittaranjan Locomotive applications get rejected, which will be published on Championships (Senior). W orks, Payable at Chittaranjan as detailed below: CLW Railway website address www.clw.indianrailways.gov.in World University Games. Th e SC/ST, women, minority candidates (Muslims, No other intimation of rejection would be communicated 2.3 The required Sports achievements of above discipline Christians, Sikhs, Buddhists & Zoroastrian's [Parsis]) to such candidates. (should be read with Paras-2.1 & 2.2 above): (a) Hockey:ln Hockey, for recruitment against the posts and candidates belonging to economically backward (x) The recruitment process is based purely on the merit of in level- 5 or level-4 in Pay Band Rs.29200-92300 or classes (whose family income is less than Rs.50,000/- the candidates. Can vassing in any form will attract 25500-81100; either represented country in Olympics per annum) have to pay Indian Postal Order/ Bank disqualification. or at least 3rd position in any of the Category-B Demand Draft of Rs. 250/-. (xi) Candidates may download recruitment notification and championship/events. Note: Heckel'. India is on lJ'. recognized National S12orts Federation for the game Note : Certificate in proof of the above relaxation in application fo rm available on CLW webs ite add ress of Hockey. application fee, issued by the authorities authorized www.clw.indianrailwaJ'.s.gov.in Continued on page 33

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Page 1: Chittaranjan Locomotive Works - linkingsky.com

32 www.employmentnews.gov. in Employment News 23 - 29 November 2019

-1~ll•It(•l111r-(~'.\1 (c) Basketball: Basketball Fedration of India is onlJ'. to issue such certificate, should be enclosed along with IM•1u•iN1• ~ 1r.1 ~ \~~ recognized National S12orts Federation for the game the application form for getting exemption from paying

Em[!IOllment Notice No. GMA/E-VIURectt./ of Basketball. this fee. S[!ort Quota (O.A.} 2019-20. (d) Golf: In Golf, for recruitment against the 12osts in level- 6. Selection Procedure:

Recruitment against S[!orts Quota (O[!en Advertisement} 2 or level-3 in PaJ'. Band Rs.19900-63200 or 21700- Selection will be based upon performance in sports for the llear 2019-20. Date of Issue: 26-10-2019, Closing Date: 16-12-2019, 69100; S12orts12erson having l.G.U. Ranking UQ to 60. Trial and Interview & Certificate produced in support of

Closing Time: 17:00 hrs. Note: The highest ranking in the year of recruitment Educational qualification and sports achievements and

(For the residents of Andaman, Nicobar & Lakshadweep, may be considered for the purpose. finalized by a nominated selection committee. The Closing Date:23-12-2019, Closing Time:17:00 hrs.) (e) Archery: Certificate issued from Archer:y Federations venue & date for Trials and Interview/Certificate 1. Applications are invited in the prescribed format from of India will not be valid for recruitment. Certificate Verification will be intimated to the eligible candidates.

eligible Sportspersons, who are Indian nationals, for other than AFI will be considered. Note: (i) All the 7. Address for submitting aQQlications: recruitment against Sports quota (Open Advt.) in CLW championships mentioned above shou ld be Candidates should send their applications by post to for the vacancies indicated below: conducted under the aegis of recognized International/ the address mentioned below. Candidates can drop Level of Old Grade Pay No. of National/State Sports Federations and also recognized their applications directly in Drop Box placed at Dy. G.M.'s

pay in Vlth CPC Rs. Vacancies by the Railway Sports Promotion Board. Office/CLW, in the office premises, during the office Level-5 Rs.2800/-

02 (f) Cricket (Men): hours. Level-4 Rs.2400/- (i) At international level representation of main Indian Postal Address:-Level-3 Rs.2000/- 08 Senior Team in a test match or in a limited over one Principal Chief Personnel Officer, Level-2 Rs.1900/- day international match or in a Twenty 20 over match GM's Building/CLW,

Grand Total 10 shall also be considered for recruitment against the P.O.- Chittaranjan, Distt.- Paschim Burdwan, 1.1 The details of sports disciplines, event, position & post In Level-2 or 3. Pin- 713331(W.B).

no of posts required are given below (read with (ii) At national level, following sports achievements in 8. How to aQQlll:

para-1 above): four (04) days/ One (01) day limited over I Twenty 20 (i) Fill up the application in the prescribed format at

SI Event Level/Cell No.of Over cricket championship (except Vizzy Trophy) Annexure-A on good quality A-4 size white paper after

No. (VllCPC)GP posts organised under the aegis of BCCI may also be carefully reading the employment notice.

Rs. (VICPC) considered for recruitment against the post in level -(ii) All columns of application should be filled up by the

1 Hoc key(W omen ) - Goa I Level-4 (2400/-) I 02 2 or - 3. candidate in his/her own handwriting in English/Hindi

Keeoer 01 , Defender 01 Level-5 (28001-) SI Details of Category Minimum Sports using blue/black ball point pen.

2 Basketball (Women) (Point 02 No. Championship achievements for rectt against Level (iii) Applicant should write in his/her own handwriting, the

Guard/PosUAll Rounder) 2 or 3 sample declaration statement in the space provided 3 Basketball (Men )(Point 02 (i) All India Inter-state Senior/(U-23)/ Quarter-finalist in of in the application form. Applications without the written

Guard/Forward\ Level 2 (1900/-) Elite & Plate Group (U-19) Elite Group 4 Cricket (Men)All Rounder 01 , Level 3 (2000/-) 02 Championship Championship .

declaration will be rejected.

Left Hand Middle Order (ii) All India Inter-State Senior/(U-23/ Quarter-Finalist of (iv) Applicant should Paste one recent passport size colour

Batsman 01 Championship (U-19) All India Inter-State photograph (not earlier than three months) on the space

5 Golf (men) 01 Championship provided in the application form.

6 Archery (Recurve/Compound) 01 (iii) All India Inter-Zonal Senior/(U-23)/ Participation- Al l (v) Applicant should enclose with the application a set of

(Men) Championship (U-1 9) India Inter-Zo nal legible Xerox copies (self-attested) of all certificates,

Total 10 Championsh ip in proof of Sports A chievements, Educationa l

Note: For recruitment of sports persons, on the basis of Qualification, Age, SC/ST/OBC etc. 2. Eligibility Nonns:

sports achievements in Junior National Championships, (vi) Candidates shou ld enclose the application fee 2.1 S[!orts nonns for recruitment of S[!orts [!ersons in

the age group as mentioned against each discipline shall mentioned above without fail as explained at Para-5 different Grade Pall & Pall Bands: Applicant should be currently an active player and

only be considered. above. Applications without application fee will be 3. Educational Qualification: rejected. should have fulfilled the sports achievements on or The minimum education qualification is 121!!. (10+2}

after 01 .04.2017 . The minimum sports norms for (vii) Candidate should clearly indicate the specific category recruitment of sports persons in different Grade Pay

Passed or its eguivalent examination. The No., Sports Discipline, and Event/Position as given in

candidates should possess the further req uisite & Pay Bands for individual event are given below:

academic qualification, in terms of Higher level, for Para-1 .1 above. SI. Name Grade Pay Minimum Sports Norms which they are applying on the date of submission of (viii) Candidate should write on the top of the envelope No. of Pay Pay(VI Band for Recruitment application as given below. Those who are appearing containing the application as follows:

Band CPC) and/or awaiting results of final examination are not " AQQlication against SQorts Quota {O[!en (In Rupees)

eligible: Advertisement} Recruitment for the llear 2019-20." (i) Level-5 2800/ 29200- Represented the Country in

/Level- 4 2400/- 92300/ Olympic Games (Category-A) Posts having Educational Qualification (ix) Candidates should send their applications so as to

(PB-1) (Vlth 25500- OR At least 3rd pos1t1on in any Level I Grade reach at the address mentioned against the category at

CPC) 81100 of the Category-B Championships Pay Rs. Para-7 on or before the closing date and time. Railway I Events. Level-5 A university degree or its equivalent Administration shall not be responsible for any postal

(ii) Level-3/ 2000/ 21700- Represented the Country in ( 2,800/-) examination. (in case of selection to delay. Late applications would be summarily rejected. Level-2 1900/- 69100/ any of the Category-B Clerical category cand idate shou ld

(PB-1) (Vlth 19900- Championships I Events. OR possess typing skill with 30 wpm in (x) Serving Government Employees should send their

CPC) 63200 At least 3rd position in any of English or 25 wpm in Hindi). applications through proper channel only i.e. through the Category-C Championships/ their office. Events. OR At least 3rd position Level-4 12th (10+2) Passed with Physics and

9. Other Terms and Conditions: in Senior/ Youth/Junior National (2,400/-) Math in higher secondary examination or (i) Applications not fulfilling any of the terms and conditions Championships. OR At least 10th Passed + ITI or its equivalent (NAC

3rd position in National Games from NCVT ) examination for technical given in this notification shall be rejected. organized under aegis of Indian category. (ii ) App licant should possess requis ite educat ional Olympic Association. OR At

Level-2 12th (10+2) or its equivalent examination qualification and sports achievements on the date of least 3rd position in All India

(1,900) for NTPC & 10th Pass + ITI for technical submission of application . Inter University Championship category or equivalent (NAC from NCVT) (iii) Discrepancies in the application submitted would render organized under the aegis of &

or 12th (10+2) Passed with Physics and the candidate ineligible at any time during the selection. Association of Indian Level-3 Universities. OR 1st Position in (2,000/-)

math in higher secondary examination. (in (iv) Eligible applicants will be issued with call letters through Federation Cup Championships case of selection to Clerical category Website, Email & mobile number provided within 15 (Senior Category) cand idate should possess typing skill days from the date of closing. Candidate should report

2.2 Categorization of International Cham[!ionshi[!s: with 30 wpm in English or 25 wpm in

with the call letter. The international championships /events are categorized Hindi).

(v) SC/ST candidates will be eligible for free rail travel in below should be read with Para-2.1 above: 4. Age Limits: second class for attending Sports Trial/Interview. Category-A: Olympic Games (Senior). The candidates should have- Minimum 18 llears and (vi) Selected candidates have to pass the requisite medical Category-B : World Cup (JuniorNouth/Senior).

Maximum 25 llears of age as on 01 .07.2019. (Note: fitness standard prior to appointment. World Championships (Junior/Senior). Asian Games (Senior). matriculation or its equivalent certificate from (vii) In the event of appointment as Clerk-cum-Typist posts

Commonwealth Games (Senior). recognized board should be submitted for date of in Group-C,candidates will be required to acquire typing Youth Olympics. birth proof). No age relaxation is allowed even for SC/ proficiency of 30 w.p.m in English or 25 w.p.m in Hindi Champions Trophy(Hockey) ST/OBC candidate. w ithin a period of four years from th e date of

Category-C: Commonwealth Championships appointment, and t ill such time appointment will be (Junior/Senior ). 5. AQQlication Fee: provisional. Asian Championships/Asia Cup The UR and OBC candidates should submit with the (viii) Decision of CLW Administration in all matters relating (Junior/Senior ). application in Indian Postal Order/Bank Demand Draft South Asian Federations (SAF) to this recruitment shall be final. Games (Senior). of Rs. 500/- (issued after the date of this notification) (ix) Applicants are advised to check the list of names, whose USIC (World Railways) drawn in favour of PFA, Chittaranjan Locomotive applications get rejected, which will be published on Championships (Senior). W orks, Payable at Chittaranjan as detailed below: CLW Railway website address www.clw.indianrailways.gov.in World University Games. The SC/ST, women, minority candidates (Muslims, No other intimation of rejection would be communicated 2.3 The required Sports achievements of above discipline

Christians, Sikhs, Buddhists & Zoroastrian's [Parsis]) to such candidates. (should be read with Paras-2.1 & 2.2 above): (a) Hockey: ln Hockey, for recruitment against the posts and candidates belonging to economically backward (x) The recruitment process is based purely on the merit of

in level- 5 or level-4 in Pay Band Rs.29200-92300 or classes (whose family income is less than Rs.50,000/- the candidates. Canvassing in any form will attract 25500-81100; either represented country in Olympics per annum) have to pay Indian Postal Order/Bank d isqualification. or at least 3rd position in any of the Category-B Demand Draft of Rs. 250/-. (xi) Candidates may download recruitment notification and championship/events. Note: Heckel'. India is onlJ'. recognized National S12orts Federation for the game Note: Certificate in proof of the above relaxation in application form available on CLW website address

of Hockey. application fee, issued by the authorities authorized www.clw. indianrailwaJ'.s.gov.in Continued on page 33

Page 2: Chittaranjan Locomotive Works - linkingsky.com

Continued from page 32

(xii) CLW, Chittaranjan reserves the right to cancel or modify recruttment process at any time wtthout assigning reasons thereof.

(xiii) The date. time and venue of the trial will be fiXed by the Railway Administration and will be intimated to the eligible candidates in due course in the CLW website. The CLW administration is not responsible for late receipVnon· receipt of intimation by the candidate in regards to the date of trial, date of document verification. etc. Therefore, the candidates are advised to visit regularly the CLW website to know the date of trial, date of document verification.etc. Request for postponement of the examination and change of center/venue will not be entertained under any circumstances. Selected candidates should report for the trial on the date mentioned in CLW webstte positively. even if the caD letter is not received.

1 O. INVALID APPLICATIONS:

Candidates are requested to read all instructions carefully before sending their applications otherwise their applications are likely to be rejected on one or more of the following reasons. 1. Applications received after the closing date and time. ii. Applications not in the prescribed format or which are incomplete/illegible

in any manner. iii. Candidates not having the required educational/technical qualifications on

the date of applying the application form in terms of the stipulation of notification.

iv. The candidate is underage/overage as on 01-07-2019 in terms of the stipulation of notification.

v. More than one application submttted by the same candidate. vi. Applications without latest photo not being pasted in the Space Provided. vii. Applications wtthout the declaration being re-produced by the candidates

in their own handwriting in the space provide in the application form. viii. Application without signature or with signatures in capital letters. ix. Copies of required enclosures as mentioned under Para·9 of the

Notification. x. Candidates name figuring in debarred list and any other irregularity. as

considered by the Railway Adml'listration, which would render the application invalid.

xi. Certificates for participation and medal winning perfonnances on letter heads are liable to be rejected and wiO not be considered for recruitment purpose.

xii. Hockey India is the only recog nized National Sports Federation for the game of Hockey; certificate issued other than Hockey India shall not be considered for recrunment against the event of Hockey (Women).

Caution: Recrunment is purely merit based. CLW have not appointed any agents or coaching centers for acting on rts behatf for this recrurtment. Candidates are cautioned against any false claims made by any unscrupulous persons/ agencies of getting them selected in this recruttment on illegal consideration. If you come across any such persons/agencies. please do inform to PCPO/ CLW, GM's Building, P.O: Chittaranjan, Dist: Paschim Burdwan, PIN-713331 (W.B) or can also inform the Chief Vigilance Officer, GM's Building, P.O: Chittaranjan, Dist: Paschim Burdwan, PIN-713331(W.B).

For Principal Chief Personnel Officer

RDS-223 CLW/Chlttaranjan

APPLICATION FORMAT Application for recrunment against sports quota for 2019-20

(AU entries to be filled up in Capttal letters) To The Principal Chief Personnel Officer, Chittaranjan Locomotive Works Chittaranjan. Paschim Burdwan 713331

Paste passport size photograph duly attested by Gazetted Officer

Sir, Sub : Recrunment against sports quota in Category ...... ...... ......... ...... .. .. Ref : Your Advertisement in .. .... ... ...... ... ... .. .... ... ... ... dated .. ... .... ...... ... .. .

1.Name: ... .. ....... .. .... .... .. ... .. ..... ..... ......... ... ... ... ... .. ... .... ...... ... ... .. .... ...... ...... .. .

2.(a)Father's /Husband's Name : ...... ... ...... ... ... ..... ... ............. ... ............. .... ...................... . (b)Mother'sName : ... ... ..... ... ............. ... ..... ... .... .. ... .................................................. ..

3. (i)Permanent Address : ......... ... ......... ............ ... ...... ......... ............ .. ...... .... .. ............ .

(i )Present Address: .............. ... .... ....... ... .. ... ..... .... ... .............. ..... .......... ................. ..

(Oi)Contact Telephone I Mobile No. : ........... .. .............. ............ .. ...... .... .. .. .. .... ........ .. Email id ... .. ........ ...... ...... .... .. ...... ...... ...... .. .... ...... ...... .. .... .... ............ . 4. Nearest Railway Station: ............ ...... .......... .. .... ........ ...... (only for SC/ST candidates) 5. Date of Birth: ............ .. .................. ...... .... ....... (Woh attested copy of certificate) 6. Sex: ... ............ ..... ... ..... ... .. ... ..... .... ...... ..... ..... ... ..... ... ... ........ .. ... ...... ... ... ... ...... .... . 7. Visible mark of identification: .. .... ...... .... .. .. .. ................ .... .......... .. ........................ . on body 8. Nationai ty: ... .. ............................. ..... ........................................... ... ...... .... .. ... .... .. 9. Religion: ... ... ......... ...... ... ...... ... ... ... ... ...... ......... ... .... ...... ...... .......... .. ...... ...... ... .. . 10. Educational Qualification: ... .. .... ...... ............ .. ........... ... ...... ......... ...... .... .. ........ .

(wtth attested copies of certificates) 11. Communfy - GeneraVSC/ST/OBC: ...... ........................ ............... .. .. (wtth attested copy of certificate for SC/ST/OBC) 12. Details of IPO/.DD: .......................... .. .. ... .. ...... .. ... .. ................... ................... .. ..

13. Game I Discipline: .... .. ........ ............. ... ... ...... .... .. ........ ... ........................ .. ... . 14. Specialty Position: ...... ...... ... ..... ... ... ........ .. ........... .......... ............... ... .. ......... . 15. Brief of the sports achievements (wtth attested copies of certijicates):-

16. Sports eligibilfy norms confirmed as per Category: ...... .................... .... .......... For the post in Level - 5141312 .. .... .. ...... ............ .. .. .

I declare that all the statements made by me in this application are true, complete and correct to the best of my knowledge and belief. In case any of my statements are found to be false or incorrect or suppressing any facts at any stage of recruitment or thereafter, the same would make me ineligible and my candidature/appointment shall be cancelled .

Place: .... ................ ..

Date: .................... ..

Space lot LT 1 of 1t1e eand1dalc in black. ink

Signature .................. .

EN 34/47