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dn - ogg zzlE aogg 1 22424641, rJrq - CoAL INDIA ,+s'-€ 033221008gg12231 0578, 4,

$rd - cil_rectt@yahoo.comi-{s{e - www.coalindia. in

Ref.No. : CIUC5A(|yMT/FM/CA-ICWA/1 to 79

COAL INDIA TIMITED10 NETA'I SUBHAS ROAD. COAL EHAWAI{. KOLKATA. 7O()O()1

pHoNE NO - 03s 2248-8099122424641, GRAM - COAL INDIA

FAX - 033 2210 0833 / 2231 0578,E-MAIL - ciLrectt@yahoo.com

WEBSITE - www.coalindia.in

Date: 14-04-2010

Registered A/Dwa$eFr{*5-csroam

Kolkata-5tn March.20 1 0

Sl.No. Name DOB Caste

I Sri Sudipto Sarkar 26.04.84 Gen

2 " Bipin Kumar Dugar 16.01 .86 Gen

J " Prakash Kumar Singh 10.09.84 Gen

A " Charanjeet Singh Chawla 23.10.85 Gen

5 Ms. Bhawna Kedia 22.09.86 Gen

o Md.Sahid Hussain 21.12.87 Gen

7 Ms.Saheli Dasgupta 05.05.82 Gen

I Sri Sourav Dey 01.05.83 Gen

9 Ms.Nalinee Meher 06.07.83 OBC

l0 Sri Abhishek Kumar 10.12.86 OBC

Delhi 6'n March,2010Sl.No. Name DOB Caste

l1 Ms.Anju Kumari 01.12.83 Gen

11 Sri Prateek Aearwal 04.01.86 Gen

IJ " Dileep Chawla 04.04.86 Gen

14 " Priyankar Sharma 15.09.86 Gen

15 " Kamaljeet Singh 30.08.83 Gen

16 Sri Pradeep Kumar Singh 31.12.83 Gen

l7 Vaneet Dhingra 09.08.86 Gen

l8 Shiv Shankar Khudania 09.02.87 Gen

l9 Sandeep Garg 18.04.87 Gen

20 Kundan Kumar Shahi 0l.08.83 Gen

I sl.No. I Name I DoB I Caste I

2l Gaurav Mahesh 01.10.83 Gen

22 Ms.Nidhi Jain 06.08.84 Gen

z) Punit Kumar Varshney 28.08.84 Gen

24 Ram Krishna Gare 12.02.85 Gen

25 Dursesh Kumar Mishra 01.04.86 Gen

20 Ms.Rashmi Arrawatia 26.09.86 Gen

27 Ms.Pinki 21.08.87 Gen

28 Govind Sharma 23.02.85 Gen

29 Deepak Kumar 09.11.81 Gen

30 Ankit jain 28.12.84 Gen

3l Rajesh Kumar 05.12.82 OBC/PH

)z Abhishek Anand 04.12.83 OBC

JJ Rakesh Kumar 15.02.86 OBC

J4 Mithilesh Kumar 05.01.87 OBC

35 Prakash Hemani 0t.02.87 OBC

36 Parveen Kumar 01.02.87 OBC

OM Prakash Jansid 18.12.86 OBC

38 Rajeev Ranjan 20.02.84 OBC

39 Sri Sushil Kumar Verma 14.07.82 OBC

40 " Saurabh Soni 02.05.84 OBC

41 "Shashank Shekhar Jaiswal 1 1.02.85 OBC

42 " Ajay Pal Yadav 16.02.86 oBc

43 " Lakhan Patidar 15.03.86 OBC

44 Raiendra Kumar Singh 01.02.84 OBC45 Sandeeo Panwar 16.02.85 OBC

46 Shiv Shanker Kanoiia 10.07.83 SC

50 llayaraia K T 15.06.86 OBC

51 " Santosh Kumar Das 3.10.80 oBc52 " Dilip Kumr Nayak 02.06.82 OBC

53 " Subhajit Dey 1'1 .12.84 OBC

54 " S urvaprakash Bandaru 12.07.86 OBC

55 " Sunil Kumar Gupta 31.r2.79 OBC

56 " Dinakrushna Sahoo 28.09.81 OBC

57 " Devendra M Bhankalagi 02.01.83 OBC

58 " Shar*ha Saha 25.1 I .80 Gen/PH

59 " Manoj Kumar 27,12.82 OBC

60 " Joydev Saha 07.01.79 SC

61 " Rambabu Pathak 22.01.86 Gen/PH

62 Sravan Kumar Gaddam t|.t2.84 SC

OJ Subir Kr. ChakrabortY t3.09.77 Gen/PH

Delhi - 8* April,2010

Sl.No. Name DOB Caste

64 Sri Chandan Kumar DubeY 17.06.82 Gen

65 " Devendra Kumar Sharma 19.04.84 Gen

66 Mat'uri Baviskar DiliP 09.04.89 OBC

67 Preeti Jangira 31.05.83 OBC

68 Princee Bhandhekar 03. r 0.86 SC

69 Vandana Bokolia i 3.09.87 SC

70 Pankal Kumar Singh 0s.07.88 OBC

tl Ratan Kumar 26.0r.87 SC

72 Rahul Paachal 28.05.88 OBC

73 Deep Kumar 10.1 I .83 SC

74 Inderieet Panwar 06.07.84 SC

75 Manoi Kumar 10.07.85 oBc76 Darshan Lal Karotiya 26.0t.87 SC

77 Amit Kumar 27.08.85 SC

78 Deepak Kumar 30.06.82 SC

79 Hema Shakun 08.10.85 SC

Dear Sir / Madam,q-n{qiq-n{qr,

frcq :- 6l-d ifrql { r+qq cfug $ q{ q{ ftgfr |

Sub :- Appointment in Coal lndia Limited as Management Trainee (Finance & Accounts)

qw rirrc+ ii ffi d fuc enq-d qrq d srqi oif6-d R-rio o1 gv qreTrffiR d riq{ 4 eiqer o)-d EFsqr frfr}s i sTrwt ffi{rrqrffirge"n-q+q-sw+drqqF.-16400-4osoo/-(+tns)dFrgfrig3{FiFdf6-qrtlWithreferencetoyourinterview held on the date as indicated against the names for appointment in this organization, the Chairman, Coal

lndia Limited is pleased to offer you appointment as Management Trainee (Finance/Accounts) in the scele of pay

Rs. I 6400-40500/-(E-l Grade)

qTr6l Fqfr * li{fud c|d (o gdi d rid.{) qti ora Mft-r ord a vlazit ii ld or € i t gq FFra ol {"1 €6qfr ol 5R ww{-d.n <RTNi + qff y€i q{ Fqqr 6$ren 6i I The terms and conditions ofyour appointment (as per enclosure in six

pages), in triplicate, and other prescribed forms are being sent herewith . Every page ofeach (enclosed) document is to

Le signed by you in confirmation ofacceptance ofthis offer in toto.

qfi Fqfti q{ d si *on dr. d _pv+r.

R-rio 2d Aprir 20-10 o\ qld, oe q-$ q.rvftr6(ftrtro)/Ec rs 6rf+-6 nii*6.€ qr$ \'d +q,ori.on$.m.vq., 4i6, t'ff d) afu-m. -fr tg "ci q.fi {d nrTm-{r d qrq R*E oi r ln case terms andconditions of appointment are acceptabre ro you, kindly report to GM(p)/Dy.cpM, cIL camp, IrcM,Kanke, Ranchi on20' ADril-20lq at 08 AM along with your alr

".iginui"iin."Li ior initiat medical examination. ftRrdtq sr*Fr r.*scg6 qrn qri qc anr6l ftiio 22"t A-o,'r ro o d c6 s{ d Fds qRE"T aqr-# ;fu cRrurq flq*,i"tr *^-R] 3 y.-$m1a.fy * 3rrqot T**-" iprd \d ria.t R"tR" "i,i ron beingt' \.| | vu ugltltsfound medicatly fit, vou wilr be undereoin* tr?n'.ng

lrgm z2"d r\Ei!]4lg for a period of one year. After successturcompletion of training, vour postins will [e cecirlid in dii6ii"" of rimc hw rha r.^h-^r^-r ^-rL^-!L- -. ^ r

India Limited at its discretion.

fuft r* qn ?rd ol ffi sw qgqi - rHF, fufr ua d d n-dftti..o' o) dto iir+,Sq qfre{or }EMRf, e q-drcdu-o^(orff-6)/sc Sq Erff-6 d*r6. fi.qrg.fu. dq, "rC.G.*.*.,*fd,

trff, er*ew it ifir st I qot w d rlv R.r,f{qifu-d (Rr+q o1 s)el cfr iil {F"Icfud orffi gnr 3rffird d, rqa orrr ene{T6 t- whil" "pp.*iril';; ;.dt":;

"]T]:Ii"" two copies of the appointment letter alongwith terms & conditions duly signed are to be submitted toGM(PyDy'cPM' cll- camp, IICM, Kanke, Ranchi, Jh;khand on the dare of medical examination. you will also bet"ooi""d to o.odu"" th" folto*ittn do"u-"ot. dolr.o.ol.t"d "nd "tt".t"d

(rh""u-r"i iooii"i) ,-

Prescribed Bio-dara form duty fi ed byiandi6G (iil6ticat6Declaration form duly filled in by the candidate (in duplicate)

Epr orFrsrt0ra Erd or qrqqt8 qr{q u}+qrs (a 3t-€ Tffi3,ftRftT=lal fr tft qH arit t 8 copies of recent Passport size Photographs duly attested by cazetted officer. In addition tothis,3 copies of un-attested passDort size ohotosranh.

s qluftro +r{dr ri?irfi E{ q;a.!qAttested copies (in duplicate) of Mark-sheets / certificates relating to Educational & professional q"ualificationfrom High School onwards.Bond (in the prescribed format given in Bond formno beliEutEd-inRi. 5073r-J!tr \i t ft-{ra s}ssn r: ({idr{ - qi Maniage Declaration rorm duly filled(n dupiiiatefii giii ii

*iiiri scrur qr, qR 6t{ F} (d cfrdi t) SC/ST/OBC/pH certificate, if any, issued by the Competenr Authoriry in rheoate) given under Appendix IIIA and lllB enclosed.

IT€ETr{ FIIut-q' q' qIeI SFffqIu|{ q' VI) Attestation Form with iden-fiertifi ie du-iy fillid

{*FR qr yrrs+tq $r6q C 6rd-{d iii d, Tiiifud S-erR nifyou are working in Central/State Go!1. or public Sector

Additional documents to be submitted by candidates belonging to Engineering discipline (in duplicate)

\16 3f{mfon cffr 6 qrer cFrer-qr qF rdfud d{a Sg f6Affidavit along with one attested copy to the effect that you have not undergone any Apprenticeship Trainingunder Apprentices Act.

I rian) Obligation of e.ployer in .esp-Gine*i! appointed

Schedule-V (as

(crw Tiilr) Contract Resistration Card

qR ofiq iftfRd frfu o) crd, oa {$ frfdrdq qfs Ag RcfC rS ovi d dr qe frgft 6T nkrlq R<r: l.r*w q+gr qrirn qc 16 fu frfud{ sem stffi dm lS a.arqr ;r vrq I irs{srd sncfi TiE l e?iqr fir RfrAo' * ffqiRR fuqr qr},n t If you do not report for MedicalExamination on the aforesaid date at 08 AM, this offer of appointm€nt will automatically stand cancelled unless extended inwriting by the Competent Authority. Your cadre will be decided subsequently at the discretion of Managemenr (aprlicable for

K

oq ti rqw <wriq q v{+1 ffi ol frffiq fqd {qq ffiRR ldfr or o-fir dqr I All the

3nro1 qdlF qfu€ * w ii cerrrc r-eur * gqd ar< Erd srg{* IV .r*+{ sts EFs$ ft o\ qqr or+ frrn Soon after your joining asManagement Trainee, you are required to submit Form Schedule-lv, duly filled in, ro coar India Limited.

Electrical &Mechanical ard Excavation disciplines only)

$arc Encl. - rrer sqSfiT As above. * $;

Dy.Chief personnel Manager

qle Note:- Ydfi (cRr{) o1 FrCft rrd (6 gE O n qfft rt ifr{qn, @ rrdr, q-d G erq rn eng g{frfrn or ffi 'ri t d(5tfrfu-t) vRRre-ta d 3if6rd * | Scale of Pay, DA, Perks & Allowances etc. as indicated in the terms & condition ofappointment of Management Trainee (enclosed).

qfrftfr Copv to:1. ftisrm(6rtr"6), fr .fr .sa., it* D(p),CCL, Ranchi.enav+o offi d 3t-iqiq d srq fuwl eiitt-{ sRrq d fr-ffiq cQeTor fi {-Rfud t I He is requested for necessaryaction including arrangement for Medical Examination.2 6rffi fricrfi, sng.oTr{.fi.yq.. {rff Executive Director, llCM, Ranchi.3. 5w frfo-cr uEmrfr,'ftfr q''* ersdr.T, fr.fr.w.,d-ff CMO, Gandhi Nagar Hospital, CCL, Ranchi4. frivro(orffo G on.€.),dr.gfrel fr.qfmordr d e-o.sfoe, TS ro D(p&tR),Ctl.Kotkata.

otq Eroqr Rftus10 ffigqq+s, ota rraq,, otdonr,7oooo1sf{ - 033 2248 8099 t 22424641 , IlTq - COAL tNOtA$qs 033 2210 OS33 t22s1 Os7B,vlld - ciLrectt@yahoo. comq€T{e- www.coalindia.in

?,^,##n& COA|. INDIA I.IMITED

I(| I{ETA'I SUBHAS ROAD. COAL BHAWAiI. KOLKATA. TtlO(|()I

PHONE NO _ 033 2248_80g9t22424*1, GRAM - coAL IND|AFM _ o3o 2210 oaes r zzgioiTi.E_MA|L - cilrectt@yahoo.coni

WEBSITE - www.ioatindta.inRef.No.: CIVCSA(i)/MT/F&A/CA_rCWA/BO & 81

Dear Sir / Madam.q-nqvqrkqr,

Date : 14-04-2010RegiEtered A/D

vra-fl rFa i*p-c ac' am

sub :- Appointm"n,," H, i"ff ffi IH,#J#"T m: (Finance & Accounrst

XffifuTT* S#T d qrqi 3itu-d tu6 4) sq sGTr$Rd riq{-+, sqs o}d veqr frfr}s i 3'rc-61 s6{,-i-q{her d on the date as,"0

""*,;","'.','il.-"i'Jll,r:l j#" li*T,F. ilff H":J":ffi*;m #;'Jililf I8':ff:i

t offer vou appoinbne-nt as Managemeni r;;;;'il#;;ccounts) in the scere orpay h..ro+oo+osoorle-r

#-ltrrHffS-,ln';"Tmffimrt +* w rt t ,{q s'€n4 o1 w s-6qft fr1 gfr ww *iantriplicate. and other prescribed r"""r -" rr"t" ""j,;:::#-:11"^::y"w

appornfinent (as per enclosure in six pages), inyou in confirmation otu.""pt*". $t tfr"leingnsent

herewith Every page oiiu.rt 1"n"ror.a; ao.ur"ri is to oe signed by

gm5fl gfH**ffitr ###* *,*r!E**g31yqmq^c:q dnlo *qn €sTdqdappoinnnent *" uc."ptubr" to y";:f:li'ii:;!ftHr:I'":f ,.i"frff.frdiHilnffiffi*at 08 AM along with vour all original cenihcates, r"r i"ir"i r.oi."r examination. frffiq

'TE,t q{ Bo.loo cri qri o-{ffiffiffi il; * * as

"e'l;iet "a-"io" *.r ro*o medicaly in, ro" *,u be undergoingeriod of one year. After completion of induction *f"r"g,f"rld* *o(2) weeks, g

.i e@rg.ffiHffiffiH.F*iyy .: ddrtuftftffiqqfreqrs*Rd{Friq o1 +.a on o"*""a" #rors * q6n dr. *qd oirTr.nu*y ffi::]*1 :yI.t,rigviiqiftdilii,i1;ffi:ulTH:i:H#ff#t;:ru:*.:l*i:,x,!ii',r:e";':Tqffifl'Hii:'3i1,;il;l'ition. you will also be required to nroduce

Prescribed Bio-data fofi filled by candidare (in-Declaration form duly filled in by the candidate (in duplicate)Erqr sFrFqfiqd ara fl qmd€ srq_dffi GGIcfr {IM ar{ | 8 copies of recent pa! \o q\v I ll1a 'Jlrdl{€ 3 3lldrlfi ti{r 3I|MRffiE

copies of un-attestea our.oon.ir" orlj,o#ze Photographs duly attested by Gazetted om""r. r" uoiition'to grir, s

I 1*p- zil,Tdr rids Fd- q-dEG.Fd_copies(induplicate)orvart<+rreets)i;il.ut.iffi;illfl

.ffi Fff :"(dcffij)--oGinarsa'rdA$esGdq;yar9f ,_ ,

-'--evd 'ivrcu'|rs Lo Dqucadonar & professionar quarification fiom High schoorin.Bgn-dform)toje-diule?iiEJdT

vu..iug.o".ru@

qRari'g €) (d1 qftd i SC/ST/OBC,/pH certificate, ifanv. is vrq\ q'r drectt)/YlT{r*t crqrrdr tid$

qppendix IIIA and IllB enclosed. rsued by the competent Authority in the prescribed

Attestation form@l(glven in Schedule VIIl *"I1 :ne-otq s.rolTffiE-F.$.End ffiare working in Centraystatq Gow. or public Sector

ReleaseordeiEffi GiGent-AdditionaIdocumentstobeSubmittedb.',.,',,,,",-",'.F

onging to Engineering discipline (in duplicate)c6 3rttrqrFn cfr BffiG:siz-r J--{ rr:r_..:- , rdrtrd 6.G EgAffidavit along with one aftested cor

- " s'v/ srY'r oivr'ctr sRreTsr 3Tqr€€ g€ S ci<{dj€- qrq furT-E I

qryq11 rupy to the effe"l that you have not undergone any Apprenticeship Training under

obtigationor@

( Porm Sched u te- Ii6ijised)-nrw €a'q) Schedule_V (as("t{ **r) Mdel;onrracr oa

oq i sqw ewriq s s{qi {fr +) tuffiq qfa d .rrrq turiRd Rtu 6) .d.gr., ii-fl q d{{r +.[ | All the

3rq+1 Fiq{ v*rg d w { qs'TR T60r t w" T-S 3rf,{fl- IV "-* d.-:P ft. o1 qqr or+ drn Soon after your joining asManagement Trainee, you are required ti submit Forrn" schedrt"-iu, o"ir runo,n, to coar India Limited.qR sw ffiR-o fttu o) crd, oe {$ frfo*q

"fq tg Rdr€ Ts 6{d t il *l1B:*:*" w{ ft{R qqsr qrtfl qe F6.f6 frfud {ffiffi il fl ffi.:,ffJ*Tr s q-dr *iEf rd,,r ERr Rftiq t trRa tuqr qd.n r lf vou do no*eport for Medical

ll,'-g bJ^t9 c",,p.;;;;;;"J,,li'"Xt l#;3li'fiT,jr".l?i:f ifl:ll w-irr automaticarrv '*i """-..'r* unress extended inElectrical &Mechanical and Excavation oisciplines ontyj *'-^-'w ouu$Quently at the discretion or uanug"ment (appti"atl"*#

c-crr{ Encr. _++ wfc Asabove.

t ($Rq gq 6.fit6 fiiqo'

LI":".^I* F@ oi Fsfft crd (o yE n)(f;RIFd) qRRE-ia q 3if6n t r Scate oi pa1,.appointment of Management Trainee (enclosed).

Dy.Chief personnel Manager

i:t 3 toqqr<, -i<.n{ q-fl, rd ss srq $i 3TrR g-{fthd w ffi ,ri € "ilDA, Perks & Allowances etc. as indicated in the" terms A .onai ion o,sfdfrfr Copv to:

l. Bi{s(6rfi-6), fr.S.w..dA D@),CCL, Ranchi.qrdv{o ori4r$ d sr-Jis d vn; fus{ edq:j ffirg $ fuffiw vffeq ff sRfud t j He is requested for nec(arrangement for Medical Examination. o I E€ !s requested tbr necessary action includingz. o'rffi fiA{qr, e,rd.qr{.€.\,q., d_fr 6"""r,.u" Director, llCM, Ranchi.3. 5e frtu-er ertuorft.rfrft m ere_sra_ oe.sa.,,ffi Cilo, o".jij *"g", Hospitat, ccl, Ranchi4. fticr6(6rtr6 G 3t. ir.), d.€R_qr n. +imdrdr ; ; s;' ;i ;"ti J'*, * 1,

", a.

^o, *","

ffiCOAL INDIA LIMITED

(A Go!t. of India Enterprise and a Navratna Company)*COAL BHAWAN", 10, Netaji Subhas Road, Kolkata - t00001Ph. No. - 033-22488099 12242464t Fax - 033-22100833 t223t0578

E-mail - cil rectt@.vahoo.com Website - www.coalindia.irr

1j0^T*n +^nq*t s.orfftg* frfuilI 3rffi 6 am snQfto rq * sser qri qri w A orq-61 FrgRdrll tgwr Rffiq fr{ i-E +fi ft-ea, fr.ift.sd., rfi6-{.n, dn-aa+ooa (srseu-s) or n+e of r -Your appointment is subject to your being found medically fit by the Medical Officer/Chief Medical officer ofthe Company (Centrat Hospitat, CCL Gandhinagar, RanchiASioOA (Jharkhand).

2.1 (a) lRnrur srsft + etin utqo'l {-r qqr- 16400-40500l- or i-orqqnoffie rrar sfle d 4 srgqrq drn, sfr qrd grrf,fi ft.qr qri'n r

\d qq-qrgr ffir, dETrg .rar, qd \rq

During aaining period, you will be paid E1 pay scale i.e. Rs.16400 - 4O5OO/- per month plus House RentAllowance , Dearness Allowance, Perks and Coalfield Allowance etc, as admissible .

2.r (b) sll.|ildFl vRmq qqft 6 at{n qrqrS d-t w frftq qfuq{srt d dcrd fuqr qr rr6-dr d orti fr ii rqr qrwo-ar d tdq cftsrur + etin ftn.ri or-d-Vsfua ur*rqrc il etrqr srM etm I

During your training period you are likely to be posted temporarily in various projects and will be put in acamp. lt is mandatory to stay in semi furnished hostel accommodation during ianip training,

2.1@ cfueTur d *tn erq fi-t- an frq dq Rrdt n fuE ffi qr woi $ r qrar ersg of Etssx frfuq cRd-s-nrer.it a dc vRraq d Etfi tfr6 rrrr tq qs *qr r oenft vo dq t qS dq tg qrfl qrcir iirs .d'rg-d otffi ot vttlt r

You are likely to be shifted to 3 or 4 Camp Training sites during your training period. No DA is admissibleexcept journey period during Camp Training at various project sites. Howevei, traveling expenditure will bereimbursed for the travels made by you from one camp to another.

2.1(d) qq efiq s{rqffi-qf}r{Trsr$-q sFreiq orfoq d qrrs ri?rEr{ ftor-s dq sr€.e{d.fr.cc. qr oH d e|6rcRret"T oTtrfiq C di fr enq oc-fr fui d orgwn tF-o rrm d cra +i r qTg.3n$.d.cq. qr qmq riwtrr ft-6rsd-qq rqEFt{ d w.rq sncs'r oiS tfum rmr iq.rfr *qr t

D4 as per company rules will be paid when you are in a residential / non-residential Training program atHRD Centre, llCM and training outside the company. During the posting at llCM or HRD Centre at the timeof joining the Company, no DA is payable.

2.1(e)on otd €Bqr d fdfuRr ftqq 6 lliart.n frffiq ghw d ro-<r* fi r

You will be elligible for Medical facility as per the provision of Medical Attendance Rule of cl_.

2.2 qR snq snwrq if cRrerq 6 ftg qc*sr m ori d d fiq ft{qrJqrq cRraTur q-fl qrt s ao-qn cii r

lf you are posted in Assam for training you will be entifled to Assam Allowance as admissible

2.3 derrofud qRnrur tnra S *sn snq srq r|tii 6t qr+ + srftorft c-S ih r

You will not be entitled to any other allowances during the said period of training.

cRrHEr 3l-dfu First year i.e. the Trai

?.4.^R-{FI Rd ffi d s-Frutq d eflsn q{ sRrerq d q-qft o1 ffid fuq qr soar * I qq4qqq q{ffdftd fun.rn siTS + cftsror old-rq + 3f,gsn oTrq6.r sRrc{or sqq E}.r r

The training period may be extended without notice at the discretion of the Company. your training will be inaccordance with the training program of the company as may be decided from timeio time.

2.5cRHsr 3rsft d *sn snq tRrq erDt+qq-1gsr qr vs{ srpl-1xrs w g r{rilut d 3iarld eraorcr qIR d q|' fi t

You will be eligible for leave during the training as per the provision of Apprentices Act, 1961 as amendedfrom time to time.

2.6 dqff d frgft * qrsrd q.a q.* so rfti d erq0 a-o *qr or$ qiri. Fr-sd ?lsn s.r,ooo/_ cfr qr€ d T{ *s.50,0flt/' t"t if Su cnq-d gfu6r/+d-{ * o-dtd af qrftff | Eq nRr qq otqar erq qEq f{fd sn6 d odfl foqqrf{ri6l qrdn | 50 qrF ai q;rf,q srsft ild6 oTrqd ern 6q.fr aff *qr rs ovi q-r r. so,00o/- d rrRr ia-< o-r d qr$ft | frfrso qr< d q-ce er<F d +{r ro ovi qr qffra dt orrr4} dl.o a qr&ft r *ifua nRr w otg aro iq ..s d.n r

On being appointed to the Company, you will have to serve a minimum period of SO months during which adeduction @ Rs.1000/- per month from the Stipend/Salary will be made till its accumulates to Rs.sooOO/-.The. amount will be lubject to deduction of C.M.P.F etc. Failure on your part to serve the Company for aminimum period of so(fifty) months would result in forfeiture of the said deposit of Rs.b0000/-. However, oncompletion of minimum period of service of fifty months the said amount shall be refunded to vou. Nointerest will be paid on the accumulated amount.

?.7 _oR on crgqfu< ''Rtorlqfud

q{-qrft/srq M qrft (an-dff *q-{) /*.AR6 sq t fto-ain d dMft< crsq d scrq-q{ tcr E}.r t (M ridri t )In case you belong to Scheduled Caste / Scheduled Tribe / OBc(Non-creamy layer)/pH, you may submit theCaste Certificate in triplicate as per proforma attached.

2.8 cRrerq ora d {kn R-it ffi qfir d sttc R-cr 6t{ o,n'r aa-crq s{rq-d +qrsfi 6r sqrq fo-qr q so-cr t r

During the period of training, your services can be terminated by the Company without any notice andwithout assigning any reason thereof.

2.9 tbtd 3:fuqr air iff .d cfte{r3il si q're1rsTii it sncd s-Xfr"f di of fuft ri encol cftfrefi emg e q55 g 6qqqr A qrhff I qR $$ qR ftqrfi/3rmdr qfren t e{rc ems-d d qri t a\ 3nqol ftsft erqi{ilq ft-{R qrsqlq d q|}rft |

ln case you fail to qualifi/ in the test and interviews conducted by Coal India, your probation will be extendedfor 6 months period. In case you fail to get through the performance assessment tests for second time, yourappointment will be cancelled / terminated.

3.0 ftqfrfl ftllfr Regutar Appointmenr

3.1 lRrqq ridltqio rtr 6a ai rrt si sqq-vrrq qr f+rtftc qaeruii y{ qaerrclt oi sftli qr{ ii d <re. 6ffid e.futq d onsn qr s.20,600/- - 46,500/- (€-z) +a-qqn ol ar< o-st qr& mil Tq d ftg sTrrot \,o' si d3l-40 + ftq qR{eil q{ F+fm fu'qr qrnrn t

On satisfactory completion of your training and after passing such tests and examination as may oeprescribed from time to time for the puJpose, you may be appointed on probation for a period of one ye-ar inE2 grade carrying the scale of pay of Rs.20600 - 46500/-(E2) at the discretion of the iompany. The actualpost to which you will be appointed, will depend upon your aptitude performance during the training.

3'2 oq+ 6 s-ff< d smrn qr fuqr qF{r frn *t R-+r o'nq ecars cfrfre{r 3{Efu d ffid fuar q1 sq;at p I

The period of probation may be extended without any notice or assigning any reason at the discretion of thecompany.

3.3 cRnrur crqfu -w1"-r5f" q1 o-{ *i w qd urrd Tffi o1d6-firc aft + {e,l q +Ee qftndq yrq oq *iqc qerq nQorQ em ftfu< sq+ srnrd +qr ff.qfod Ah ro_A t rAfter successful completion of your probation period and.on receipt of a satisfactory report about your;[t'fflr'#t,,?i1,ffi&:* unit or vour postins lnJ CrLTibH,r, vo"i.'"-."-r"v-il"J',in,red in writins by

3.4 sqfl enr oilqd ffid +{ro'rf, d etrn qr+qqq w y{ nVurQ Ail rrn ftqrit/oTr+sit d org<n vnsr-{drvr, frfu.*r ridff gF4Ei[, s.ri'*' qrfl Rutqd si{ "-*

,ril a #;'"ila'*i';'"-'During your regular service in the company you will be entifled to leave, medical facitities, leave travelconcession and other allowances and peiquisites as peir-ules / orders framed/issued from trme to time.

S.S +crFrEft qff Bs qtqrqiil: eo(qro) q{ +fi t

The age of superannuation will normally be 60 years.

4.0*Er d sqrRTermination of Servics

4.'t qftftm irqE d etrn vo' q-&+ d qa-n qr ssd ac& if C6.qrg o.1 f6q grrdn iF-{ 6.qfr em onqfi *qroi sqrq fuqr qr F6-dr * t

Your services, during probatione month's salary in lieu tn"l*r""n

be terminated by the company by giving you notice of one month or

4'2 fafud -o ii qrqd ffi.trd d qri + q'. fi +a q&i d q+* t--r sik ftir 6nq qirflrq 6.q{ Er*,onr+l +<r sqrq d qr wo-ff i, qa-a 6 Grqi { +il{ ;.rfi; offi ooq q1g F+qr q'.rqq r€d I Ion confirmation in writing your services can also be terminated by the company giving three months notice;iod":],n"*

assigning anv reason, the companv atwiys ietaining the righi oi giuing"y;u sarary in rieu of

4'3 qR cflq frdg s'e,rszo (qer s{q sqq qr rivile-c) { qdfud E ff crqqFii qr gq*rq d E}q crn qrn d,d\ ffid e-{-6rd d d{'q 6q+ am s|rq-d e"rd;qr* qff; s-6-fr i | 3a'rr-' !

Your services can be terminated by the company during regular service in terms of provisions of cDARules' if you are found ouilty of any acts oi omissiondommrssron and misconduct mentioned in cDARules,1978 (as amendedirom time to time).

4'4 qe 6qfl frfr-sr cqM d d-{d +ft.* fo eTrc aru}rq t oftr qrff +qrcrt + ftqe-{ { qrrs Rreq d orrurriqrcftq ro * ffiq sqq a-o sTrq srqtq qrn qri d, ;6q+ Em "rqa

+cr ao .ftiio R-{r r46rFd-ooq+adwrmdqrso-fti r

Your services can be terminated-at any time by-the company without any previous notice if the company issatisfied on medical evidence that you are unfit ano ari-lifety to. a conliaer"ot ti;;d remain unfit byreasons of ill health for discharge of duties.

cfteil{ 6 dkrc aprar 50 qr6 aft +sr :rcfu Ta *i _d T{ qr atdrifua crqsFit d erc oqfr em qrrqft +srsq*f ?5-{ fti qrt w ot*a efu/k i s.r,oool- cfr + * qq t crq n-o d o-etff crft il€ a qr},ft dcr&ar d q{dq +{ $ do+ * fifril Ea..Rr ild-'"r* ov * qri,t r .ien cii;wotE qrq tq

".ffEIIII I

During training period and In the. event of your leaving the job before the period of 50 months or in caseyour services are terminated by the company unoer tie retlvant provisions, the amount @Rs.1o0or per

month deducted from your stipend/salary would be forfeited. However, on completion of minimum period ofservice of 50 months, the total accumulated amount shall be refunded to vou. No interest will be Daid on theaccumulated amount.

6.0 i-qt d erq srff

Other Terms and Conditions of Service

6.1 lrfi qrqi f qd Rvorv1{in 3rrrd o,qff d +sr 6rS i,ft, vq-61 rffi{dr o1 ea6 *1 d ftS gs$CsIR-6 ofiicit inr rn Fr o,w drn, rrqsrtrs gi wic rv t om qn i fu orrrot d o'r{ ctcl qrn sff$ffid ai{ ord, q+*nq:rS o{n tMfta qrm * alcrq onq6} ffid w i srqi or{ or sqrqc oqcr Ett[,ft Wtor 3r:vns.{ 6r qmq o-{{ Et{n t

You shall truly and faithfully serve the Company, obey its lalvful orders, maintaining secrecy, diligently andcarefully learn and perform such work and business as may be entrusted to you, attend to your workregularly during such hours as may be prescribed and perform such duties as may be assigned from time totime and maintain perfect discipline.

6.2 orqo\ s{.r+ +qrcft + frs Tir qqq trt Etrtt sfk ffi qeqrq qI tvn d !ft A, + qftarec arQEr €T6rmftqrTSdF6id I

You shall devote your whole time to your duties and shall not carry out or be a party in any respect to anybusiness or occupation whatsoever.

6.3 silq si rc'ii srtr rgnqrffi + frc s-ffqrft iH oft oq+ d m d sTtq-6i *ilt rri S qr e$rd EM q at{gi-q qffi qfQ.r€ i, qf$ cfr srq61 qrcsr$ qrrff d,ft *r qff q<, wqn vq dsrc der qffiti'f c}ffi ff sqq onqd grer d sTr w6-ff i grem siq$ d sri t silq-d rt{rs d ffd d F6-e t, of hffi scgmqfr oi wS qd |Mo' grrff{ 6-{t qr Fsri s-{i slerqr B(d Fwrq rs+ d GT+qrft snqd dtft |

You shall be responsible for the charge and care of the Company's money, goods and stores and anyproperty entrusted to you, or in your hands and shall truly and faithfully account for or pay over or deliver, tothe proper person all money, goods and store and property which shall at any time come to your hands, orunder your charge on account of the Company.

6.4 qR snq ffi d fr {ia'{ c.n qr 3rq61 gs slqqr ol rqa ovcr d.II fu sTrr$ qrq vo i slfu6' dFfdq-S rS * tffi q.nur * sllqd qRr \.6 i orfu6 frR-d cffi q-6S d d gsor Q-cqur GIR-dR e\td oc<t sGcsrt{ {s de{ { FrCR trl q-€ e-Frq offi { eq'qu fr+it d ergwn qlq6} gw de,i { Ce c-an fuc qrt d Ytd

w fr aqtl'n t

lf you are married you will have to furnish a declaration in the attached form to the effect that you do nothave more than one wife living. In the event of your having more than one wife for any reason, you shouldmake a representation immediately and this offer of appointment in that case will be subject to your beingexempted in that behalf from the rules in force in the Company.

6,5 qfr utq Em d T& dqw sprsr lqa d.rS d{ q.q-{ qr< ii rrfifl rwlFa dA t srlrar qR q6 qrql qrdl tfu 3nct ffi c-6-dglt q++ ol fucrlr d, n-q gs$ q-cssq orTrot R-{ ffi q.+qr f{t vq R-{ ffi orqut

a-<rqdf{ 6tr ftg R-{r ffi t ffi qri sitr ffi EriT orrqd frra srq snqs{o, ofu, d ffi sF{dsr-f, fgeflqsnrEr0fi I

lf any declaration given or information furnished by you proves to be false or if it is found that you havewillfully suppressed any material information, you will be liable to removal from service without any noticewhatsoever and without assigning any reason thereof and without enquiry proceeding and to such otheraction as the Company may deem necessary.

6,6 c-{fud ftqq d lr:qn ffi d o}car sn qfuq ft& qd oiyrqrf ifvn +q{r d enq dsrqrdr Cii clh efi c-6ltsnq-6) {c ftqdl or qrcq ovr drn t

You shall be a subscriber to the Coal Mines Provident Fund and contributory Pension Scheme of theCompany in accordance with the rules and regulations thereof with which you shall abide by in all respects.

6.7 orq qR? d fo,ff fr qFr { +4r 6{i d ftg *q €ti ort{qqq-qqqwaqa;vss +*fui G ontsii icrrq srfud Eti r

You shall be liable to serve in any part of India and will be governed by the rules and regulations of serviceand administrative orders of the Company in force from time to time.

!.8 vsffi ff ftsq + iid d ffi fog qs qa d ox c'us' € roqr rrqr t, rr fur sr 3nM d *iris d oqff Enrfuc qli drd rovn ar.l di slt{ s-r61 scdFnr d ridq i Eic-ff or fuq giftq d,n ofi i-6 qrs d.n r

h respect of any matters for which no provision has been made in this letter, the provisions in the rules ororders issued by the Company shall apply and the decision of the company ""

to dn"ii "ppti"abitity

shalt befinal and binding.

6.9 offiit d *qI qr.t fffild 6-{i sre ft{df va {q r{ d ffi qFr d qrqr d R-dr€ 6ti d fuRd orr<r grdq. ?II Grt og er< r:r seer I s aiqS d srqe-*r<-c-fit-o' frisro sitr/ ercrqr 6rffft6.R.rrrr ; gg; or fuq oiftq etrnd-tr$d.n r

In- the case of any dispute as to the interpretation of any part of this letter or the rules governing the serviceof the employees or otherwise hows,oever arising the decision of the Chairman

"rr rvf"'n"ging director and /or the chief of Personnel Division of the company thereon shall be final and binding.

6.10{o Ji| d aqc ffi'or arsd qF srrfl vrtrn fu 3:rF KrEr d ftg ftg€ Frfu6rq sQrEr ?'{o, 6 qo.F. q{snqd w{ crFolg rrrt qrn 6\ra EFgqr ftftes 3il-{ {s-61 q-Fra6 dqftd d rr$ qffiqq ar go uffi tThe expression ' the Company" in the letter shall be deemed to include all or any officers or office of theCoal India Limited and its Subsidiaries for the time being placed in authority or'by virtue of his positionhaving authority over you.

6.11 qft qiT d q'ff * al rnra d ffi fr et+ d qr ftHi ii oq * 6q l q{ a-o (cRreTur irsF uF<) rm *qrii uwa {eTI 6 Fq|{it t d-dfud ord { 3{lqol i-4r rer{ qq+ *ft t reTr-+fl d *qr'c-ar{ d *c<r dca qerq E.ssd ildF sfud drft erk lo q{ i s{fuo, ss qre srffi + dsti { rrnrqkrqr q-d dr{ Tfi Etrr I

You will also be liable to serve for.a minimum period of 4(four) years (including the time spent on training) inthe Defence service for work relating to the Defence efforts anywhere in India-or abroad, if so required. theliability to serve in the Defence service will be limited to the first 'lO(Ten) years of service and wi1 notordinarily apply to the Executives above 40 years of age.

6.12 qR fiq d*q mron/rrq wEow d Qift riTd{ qr qrffio eqq if Qffi qE q* orfqa d d Gilqot {dqnffi<t * \.6 ftgfr-cqpr q{ nrgd o-sn d.n t

You will have to produce a release certificate from your present employer in case you are holding a post inany organization of the Central/State Government or public Undertaiing.

6.13 frfrrsr-qQcrur fu oerar cftsileff + Fc it o,rf.rn rcq o-sl d ftq qrq-6r o'td qr"r rrqr rg ftqI qltfl t

No Traveling allowance will be admissible to you for the purpose of reporting for medical examination or forjoining duty as Trainee.

6.t4^"isft a T..Wt srForr t fu qe fuftdt-A w Ffuaxfo qrfud s) ft ffi + ftF-€ o-gcnsf+6 6trd cfr* qa € i qr qqq 3rm e*r vid fr'-< s{rtc qi qrO o-rf or ftutq ft* qr T-' i, tS sr-flq iqqd am ffi d so qrt (cQwq rsGa)gir o-r *l d c!-drd s # sTrqd sm-qe ol *i".g rft o-c w6-ffBtThe. Company reserves the right not to accept your resignation even after completion of your 50 Months(including Training) service period, if the circumstances so warrant i.e. if the disciplinary iroceedings arepending or a decision has been taken by the competent Authority to issue a charge'sheei. '

e-Fnd+sfrACCEPTANCE OF THE OFFER

@ r* d trq sm'd e'fr Erdt of ti qs rtrsT t sar {sJt s-qc veT d snerr c-( { qei q* rq-gRS c-€rd 6t rlirftorq 6-{drf{S orcr i eir {c-ol qrel-c o-{i en { ffir-s.r-oror q r

I have read the contents of appointment letter and I hereby accept / do not accept the offer ofappointment with the terms and conditions made there under and undertake to abi'de bythe same.

RIFI :

Place :

Rqi-m '

Date :

gsr 6wrel{Full Signature

lm ( w-e etrri ;f )Name (in Capital)

IIdT :

Address:

1. (A) NAME oF rHE rNsTtrurE

(B) DFctpLtNE

: CATCWAT

: AccouNTs / FrrrnNce

ffi*IQ*&ffl*b- (FoR Goar India Limited )

: MANAGEMENTTRATNEE(FtNANcE/AccoUNTS)

NAME oF AppLtcANT (tN BLocK LEEER) :

MAR|TAL STATUS :

DArE oF BtRrH (N FTGURE)

Dlte or Btnrn (tN woRDs) ATTAGH MATRtcuLATtoN CERTtFTGATE)

PRESENT ADDRESS (wtrH plN CoDE)(WHERE tNTERVtEw /cALL LETTER ro BE sENT :

Affix PassportsizePhotograph

(aftested by GazettedOfficer

&Another photographshould be stappled

3.

4.

5.

6.

DATE oF lNTERvtEw

POST

8. TELEPHoNE No, :

MoBtLE No. :9. E.MAILADDRESS:

10. FAx No.(tF ANy) :

11. PERMANENT ADDRESS (wrrH plN CoDE) :

7.

12.

13.

Reucror,l:

gft: - G^ENL./SC/ST/OBC(NoN-CREAMv uven) /er :ENcLosE cERTIFTcATE rssuED By rHE coMpETENT Aurxonrw

IF SERVING IN GOW./PSU PLEASE INDICATE IN DETAIL(NAME OF ORGN./DESIGNATION GRADE ETC.)

14

Contd..p/2

Name of the Course Name of theUniversity

Subjects Taken

High Schoot /Matriculation / SSCExam.

Post Graduation

15. Educational

ICWA : Marks shoulf required, addl. Sheets for giving the detalb

'.""uit,"y be attached

rn support ofthe qualification, date of birth, caste etc., documentary evidence from the university/Institute should be enclosed.

A^tr ol\,/ \r.r{-.,"',i-.sr qU\,ih.'l'i '

Contd.,p/3

-3-

Declaration :

I have passed CA / ICWA (Final) all Groups in single attempt.

t,

furnished above is found to be incorrect, my candidature ;,,;";;;;;;;;,1 ;ilJ':t::::tT

Date

Signature ot theJaffi'te

List of Enclosures :

1. Certificate in support of date ofbirth,

2 caste/PH certificate (complete address of the issuing Authority should be mentioned )

t fr"il'"t iti,:fi:f:ffi::1?f.T:"nalqualification along with mark-sheets orar , date orpubrication

4' certificate in support of extra curricular activities at National/Intemational level,4rlcc, ifanv

N'8.: For Detairs of pay & perks, visit our web-site www.coarindia,nic.in

(to be executed on Rs. 50 /- Non_judicial Stamp paper)

KNOW ALL MEN By THESE PRESENTS THAT WE .........(candidates name)...............Son of ......"" "(father's name).............by caste. . . . . . . . . . . . . . . . . . .resident ofvi11ag"...... .................. p.o.DAP'S'""'""""""""'Dist" ""''..... ....State.................. (permanent address shourd be given) and at presentresiding at Village p.O......................,..p.S......................Dist...................hereinaftercalled

the Graduate apprentice and ......(father,s name)....,.by profession...(father,s profession.;. . . son of..,......" " "(grandfather's name)"""ofvi'age"""""""" "'District.'...... state....,..,........ hereinafter catedthe surety do hereby bind ourselves and our respective heirs, executors and administrators to pay to the coal Indialimited' having its registered office in Kolkata (hereinafter called "the company,,). on demand the sum ofRs.50,000/-(Rupees fifty thousand only) or the amount received by the Management Trainee as pay, alrowaaces, travering

expense and cost ofequipment etc', during the period oftraining and service in the company together with interest (asprevarent bank rate which over is ress, to be paid to the company) their successors and assigns at Kolkata.Dated this .........day of.....................two thousand and ten.WHEREAS the above bounden "" '"'.'.(candidates name).......has been selected by the company for employment.The condition ofthe above written obligation along with the terms ofthe letter ofappointment is that :(a) In the event of the above bounden ""'....'.....(candidates name).........not conforming to the instructionsregarding training and disciprine conveyed to him by an authorized officer ofthe company.(b) Getting adverse reports regarding the progress ofhis training or regarding his conduct, or(c) Failing to continue the job for which he has been selected for reasons otier than ill-health pRovIDED THATsuch ill-health has not been brought on by his own neglect, carelessness or misconduct pRovIDED FURTHERTI{AT THE opinion of Medical officer of the company or any other Medical officer nominated by the companyshall be final both in regard to the ill-health or whether the ill-hearth has been brought on by the negligence,carelessness or misconduct ofthe above bounden...............(candidate,s name)..........(d) Failing tojoin forthwith the post offered to him or(e) Refusing to serve the company or any of its subsidiaries for a minimum period of 50 months in aay capacitycommensurate with his training as directed by the Company.(f) Failing to refund the company an over-payment made to him during the course of trainingas" ' MT(Discipline)" " " " 'the training/service will be liable to termination and the above bounden...... ...(candidate's name)... .. . ....aad the said...... ...... (surety,s name)... ... ... ... . ......shall joinfly or severallyforthwith refund to the company on demand and without demur al amount at the following rates ;

Total emolument drawn durinq thePeriod oftraining (plus interesi thereonCalculated at the prevalent rate).

provided that if he is trained in India, the totalamount so repayable by the employee shallIn^no event exceed Rs.50,000/_( Rupeesfifty thousand) onlv.

AND uPoN his making such refund the above written obligation shal be void and ofno eflbct, otherwise it shallremain in full force and virtue.PROVIDED ALWAYS that it is hereby agreed and declared that the decision ofthe company as to whether the abovebounden............(candidates r

herein shall be final and bend.nrame).........has or has not performed and observed the obligations and conditions

PROVIDED FURTHER that the tiability of the said .........(surety,s name)...........hereunder shall not be impairedor discharged by reason of time being ganted or by an forbearance, act or omission of the company or any personauthorized by them (whether with or without consent or knowredge ofthe said ,..............1surety,s name)............nor shall it be necessary for the Company to use the above bounden............(candidates name)..............beforeusing said...... ...(surety's name)..... .... ....for amounts.PROVIDED FURTHER that this bond shalr in arl respects be governed by the laws oflndia.The company may, however, at its discretion alterlintemrpt the training and service for any.....................or thesaid............(surety,s name)......... in the presence of...............(Gazetted Officer).........(SEAL)

Signed and delivered by the above bounden in my presence

SEAL and Signature of Gazetted Officer

Signed and delivered by Surety in my presence

SEAL and Signature of Gazetted Officer

At .................. ........(place)

Note: Father / Elder brother can be Surety

Signature of Management Trainee

Full address - present:

Permanent:

Signature of the Surety with firll address

Full address - present:

Permanent:

Dated the

PERSONAL DATA OF AN EXECUTIVE AT THE TIME OF ENTRY INTO THE SERVICE

PART 1

1. Name of the executive: PIS No.:

2. Father's name/ Husband's Name:

3. Mother's name:

4. Name ofthe Company posted:

5. Date of Birth(in figures):

Date of Birth (in words):

6. Date of initial appointment :

7. Designation:

8. Present Grade:

9. Discipline:

'10. Sex: Blood group:

ll.Marital Status (Married/Unmarried, WidowMidower). lf married, name of Spouse:

12. Religion:

13. Whether belongs to General/SC/ST/OBC (Non-creamy layer) (based on castecertificate):

Affix AtlesledPhologroph

14. Whether belongs to minority community (yes /No):

15. Qualification (supported by documents):

16. Permanent Address:

PO- PS- Dist-_ ptN-

Telephone no.:

Mobile no. :

Email Address:

Address of office of supdt. of porice under whose jurisdiction, above ps comes

17. Present Address:

PIN -

PO- PS- Dist-- ptN-

Telephone no.:

Mobile no. :

Address of office of supdt. of porice under whose jurisdiction, above ps comes

18. Mark of identification:

19.CMPF Account no. ( to be filled up after allotment):

20. Details of dependents:

S.NoName Relation Date of

Birth /Age

occup-E6n-Name of

Employer incase of service

AnnualEarning

1.

2.

J.

21' Name of the nominee for receiving gratuity (Form L to be aftached):

22. Particulars of next kin for communication in case of emergency.

(a) Name:

(b) Relationship:

(c) Address:

Signature of the inchargeSignature of the

of the executive establishment "xecutive

concernedDate

Date

Declaration:

I,'- solemnly affirm that the above decraration is correct and Iunderstand that in the event of the decraration-oeing.rouno t" ili;;;;r*t'itt"..,yffi:i,*:",

I sha' be riabre to be oismisseJ'tror -"";i""

and otfrer ".tion-r*"r-p",

*,"

to

, ANNEXURE'N'

qR.(S.$.S.$r.2)R(DECL.[)

ftqidkd sq i s\frd u,cr€rfi tr'1. Shri/Shrimati/Kumarl......

..declaro as under :

1, fs{ eri{arFrdiqfi fegvq*'fcq-{{rThat I am unmaniod/a widower/a widow

z. fr dtcerF{d:{et{itcrg+{€qadfaavdttThat I am married and have only one wife living.

, 3. f{fi ffiqG(t €iktt vft *ws qvo rcfrrd t qer*gci qfti-6 *f{d qd rifi t rga +1 ergqRqil or*er

w{s+ctr|{iTqtt' That I am manied and my husband has no other wife or more living. Application for grant ofi exemotion is enclosed.

{-sqn t l feE.€r { fa ilg6 qi1.T4 *cqr .€-o t oltr { qcqTrsqsfi :{ fr' tfr fu fu * an {€-m ifi Tfr q}sun {i erstrdrcrqqi SFqqi {tq t q{qr+a ql tccqrlql q'fr f'wFfi t

, I solemnlv affrm that the above declaration is conect and I understand that in the event of the declaration

' being found to be inconect after my appointment I shall be liable to b€ dismissed from service.l

I

i ftdq tI Date :

' ffi ! fr qnlq'sq+rq ?E1t Sral e€ +re €tw t

Note : Please delete clauses not applicable.i ++stm(1), (2) qqr (g) tsrdrqtr

Appllcable in case of clause (1), (2) & (3) only.

6R qfi

Signature

I

I

ll

, ^./APPENDIX.III A

Form of Caste Gertiflcate

.....Son'/daughter of

..of village'/town....

of ths State'rnion Te

whichisrecogn|sedasaschodu|edcaste./SchoduledTribeund€rtheschedu|€dCasteeandscheduledTribos(Lists) Modifi;bn otder 1956 rcad with the R€organtsation Act, 1960 and the Puniab Reorganisation Acl, 1966' the

constitution(Jammu&Kashmir)schedu|6d.castesorderl956.lheconstitution(AndamanandNicobar|s|ands)'scheduled Tribes order 1956, the constitution (Dadra and Nagar Haveli) scheduled castes order, 1962'

the Constitution (Pondichery) Schedulsd Castes otder' 19o4'

tho constitution (Utter Pradesh) (Scheduled Tribes) Order' 1967'

the Constitution (Goa, Daman & Oiu) Scieduled Castes Order' 1968'

ih€ Constitution (Nagaland) Schoduled Tribes, Order' 1970

2. Shri/Smt./Kumad..............." "'

family ordlnarily reslde(s) in villageiltown

ofDistrict-/Division.'........'..........'......o

'Please delete the words which are not applicable'

Note:lThst6rm.ordina]i|y'esides,usedhsrewi||haveth6samemeaningasinsection20oftheRapresentationot the Peooles Act, 1950.

2. Authorities ompowergd to lssue cortificate are given on rsverse'

APPENDIX -III

L|st of Authorltles Empowered to lssue Cedmcates of Verlficatlon

.|. Distt|ct Magistrate/Additiona| Distr|ct Magistrale/co|lector,|Deputy comm|ssion€r/Additiona| Deputy commis.

sioner/Deputycot|€clor/lstc|a$st|p€ndaryMagistrate/cityMagislrate/sub.DjvisionatMagistrate/IalukaMagistrale/Execulive Magistrat€y'Extra Assistant Commissloner'

2. Cheif Presldency MagistEte/Additional Chief Presidency Magistrate/Presidency Magisttata'

3. Rerienue ofiic€ts not b€low the rank ofTghsildar'

4. Sub Divisional Officer of the area lvhere the candidab and/or his family nomally resides'

S.Administralol/secr€tarytoAdm|nistrator/Deve|opmentofrcer(LaccadiveandMinicoyls|and).

'(Not below the rank of 1st Class Stip€ndary Maglstrato)

l2''

bl,!r')jx U D

F1ONM OF CERTINCATE TO BE PRODUCED BY OTEER BACTCVYARI} CLASSES(NON CREAMYLAYER) ATPLyINC FIOR ApBOtNTMf,NT TO POSTS ITNDER TEE GOVERNMENT Or INDIA

[G.O.,Dept. Of Pff. & Trg., O.M.No.36033DSI94-Egt.(SCT), dat€d 23-l l-t9951

Thisistoc€rtirythat....'.........'sonof'...''.....'..'...'.

of village......... ........Disaict/Division...................................in

the...........,.....State..................,...,,.belongs to the .,............community which is

recognized as a Backward Class under :-

i(i) Govemment of Indi4 Minishy of Welfare, Resolution No.l2011/68/93-BCC@,dated the 106 September, l993,.published in the Gazette of India, Extraorctinary, pariI, Section I, No.l86, dated the 13" September, 1993.

r(ii) Government of India Ministry of Welfare, Resolution No.l20l l/9/9zl-BCC, datedthe 19-10-1994, published in th€ Gazette of Indi4 Extraordinary, Part I, Section I,No.l63, dated 20-10-l 994.

(iii) Resolution No.12011/7/95-BCC, dated the 24u Msy, 1995, published in theGazette oflndi4 Extraordinary, Part I, Section I, No.88, dat€d 25-5-1995.

Shri.....,.....,,..... ........,and/or his family ordinarily reside(s) in the. . . .. . .District/Division ofthe -.......... State. This is also to

cefiiry that he,/sh€ does not bclong to the persons/sections(Creamy layer) mentioned in Column 3of the Schedule to the Government of Indi4 Department of Personnel and Training, O.M.No.36012n2/93-Estt (SCT), dated 8-9-l 993.

District MagistrateDeputy Commissioner, etc.

Dated:

SEAL

+Strike out whichever is not applicable.

fRtrtt

*rr.+frsFsqtfdfiTts

COAL INDIA LIMITED(qr|ilRfiT{6rFssq)

(A Gov€mment of India Enterprises)er{rqloH gq:r

ATTESTATION FORMf prttfrvrd{ATltrtEr,?qifrffi ztoFiltmr#Aqvr+rrES)

(All answers must ba given in wotds and not by dots or dash€s)

,,ffi,,VARNING' 1. wgerw rn-a I rrem qe-r nl *qa 4-ra:n f6-fl qrFfff, {fii sl lsqm q6 B{qt'q-dr

tlrff ck sron *' q+r ard 6q$ q nqtrr 6 fdq q! {qr,qr{ * q*rq sfiqir qr.ft t r

The fumishing of fals6 Informatlon or suppr€ssion of any factual informa-lion in the attsstation form would be a disqualification, and is llkely to r€nderth6 candidate untit for employment in the Company underthe Govemmant.

werrdw6ric'{qqtqTt *sr<{qR €{rq Esrdrd i rt t, FFRR €qt, q$qqac( s$fdct, gqt{ftRt, d{ firsgq t, ifrEd ftq

"qt frgffi gst 5eft, rc ve

avgo nFmrt * rrs €Efrth RqF W-{t ti qfrq ffi lrq, q6d d qdrqrql vrdrtql sr y6r t qsr 6d { fr wc di q{ T6 Fqir qaqr fu qrq} sd q{iT e} fuqm t r

lf detained, arrested, proEecuted bound down, tlned convicted, acquittad debarad etc. subsequenl to the completion and submission of this form, thedetails should be @mmunicated immedlately to th3 authority to whom theattestalion form has be6n sent early, failing whlch it will be deemed to b€a suppression of iaclual information.

r. c.frcft fu +3mr"n yqe d rrsc qq-d i ffi qrwfu* r1fir q} fdcm t eh T6 qF6 + +qmr6 + t{r< ffi tft qqqqrl-*rfr d or crfi t, ds <s+1*qt eqre i' orc{ d'ft t

lf the fact that false information has been suppression of any factual Infomalion in the Attestation form comes tonotico at anytimo during lhe 6eMc€ of a person, his servics would be liable to be terminated.

a3gal-aSCHEDULE-VI

1. cF< *{ t A Ewrdi + qrq Tr (qq q{d i),<qRffi g qrq{ orqi qqi rrq * ffi ein 61 ql

sqflr e1 rerqt t erqer qtgr e Fcqt grrfir rk 6ifqq)Name in tull (in block capitals), with aliasos, ifany ( Please indicate, if you have added ordropp€d in any stage any part of your nameor sumame).

sqfqSURNAME NAME

qdqn To va (emFc lrq, qnr dt{ftrffqq*,R{ql, *rrdtsqi vR) r

Presenl Addrass in tull (i.e. Villago,Thana and District, or House Number,Lane/StreeuROad and

q{6rT( rr{r ( e{qt(fiq, q|{r, gti fudIq q61{er, d-r rrd Fss qi cfi qt{kdr tq|eq) |

Home Address in tull (i.€. Village, Thsna andDstrict. or House Number, Lano/StrceuRosdand Town name of the District Headqurters)cB Tn-d qrowlqriqflilt+fffit, ircsqin{Xow elk we i rqr<r<rq +1 frft :lf originally a resHent of Pakistan or Bangladesh theeddross in that country and the dale of migration tolndian Unlon.

(b)

4

{{ sr;if cr frq{q (f{cR 61 if,cfr) dfqqqdc( !flq firrd s cd t tr(r{ q6, qcq { qfi c{i 3rffq6 qqq ?€f{fis frq

t r ftiril { rql * nrq { ( qf6{ffi ;'# sft ?1 v< erd +r ff xur rga *lfcrq ft i c{ qrq zl s{ *1 se E} clR 6d

*qT(q6c{ t ff6,nqqnofiqrsfoqt I

;"Lil;'J; i* o*"i' "t i*idences) where vou Y"" :'19-:1-f"1T:1',tg:^:n]:'::,:t:g?fffifft",:lXft;;;iJ..*]";;;'t"vi'b'*d li""r*19,3.1i1":1^11P1:^1":?^1?fl*"f;t""1

;il: ffi;}i;;ffirid; fr fi;rhan one year ailer attainins the ase of 2t yean snould be siven :

From

r1(5,

To

fffiq rqrl 6IT[! 1tqdqan,cl{r s'd Rfl qr rd[{ d. i-<r'rfriTs,ig.i TrF) |

Resld€ntialAddr€ss in tull (ie. V lage'

Thana and District, or House No'Lane/SteauRoad and Town)

frsd <iq{ ssrrqn*ffi*5{gttFl i5I rF| |

Name of lhe DistrictHeadquarters ot lheDlace mentloned in theproc6eding Column

5. (a) qRfr*il{v{irrti*frw{5r (5ii) qk/{ Si (5Hil *.q*s d qs-{ cqn 41 qrfi qftq I

lnformation to be tr.rmisned riith rigard to son(s) and/or daughter(s) in case they are studying/llving in

I foreign counlry.

i

' rtq

' Name

llgTrdr (qq ig1v'a qqFrcTse)

Nationality (bY

birth and/or bydomicilo)

lFl rqn

Place ot blrth

csiqa{qw,q6{ c{ q-.dind tCountry in wtlichstudying iving withfull address

fircdeirrdrqaftionafi/r6+ *, griql Efi fr&Dato from which stud$ng in

the country mentionsd inprevious column.

t9

6. Tfq-dlNationality

7. (a) v<fdftDato of bifh

(b) Tdffi 3sPrsse agp

(c) nrF5*rtr+qqqssAge al Matriculation

(d6TS)(in fiS)

(rr<1{)(in words)

(a)

(b)

nrj| {r|FlPlaco of birth'(fqfl q.i vq EI rTq Frsfi u6 .fic,irr(l t)Distrlcl and state in which sltuated

F€rqti$qanlrcfrsdlqqffit:District and State in which you b€long :

(c) TE fsrdr trd {q 6t aFI eflq+ fril ffi {n fft-cTd t I

i].iiJ "io

s"" "

which vour rather o'el1y b"!"s' '

S. 1a) arv ei e{'Your religion

ol #*'*"e. urFvu-gqfr( q{ qft + q<et? 3i{ dvt rd

Are you a member ot Scheduted Casteischeduled Trib€/oBc/Physically HandicapPed?

Answer 'Yes: or'No'

10. ,roqqx ssi e{RF{ ** mJ-"rt *anrea I fiwI + rqrfr 6\ eqRla g,rt 3q i\qfdm dtrrfl t

Educational qualific"tion" .nor"ing fu".s of €ducstion with years in scfiool and colleges since 15ih year ol

age:

Eov *rtq frsrmq qr

qflfirsrfiq6rrlcName of Sdlooucollegewith tull addl€ss

cE{ d fdfq

Date ofentering

eH6tfdfUDate of leaving

r-frltfrHrExaminationpasseo

qI d{qr{ *- €rffid f6S cs c{r"iG

"n +a+o a rrsq qc+n qr erd-srcrfr {rqr qr ql+ci{6^rrr6''l rn !T

t riqsr ffi scq fl to E? qR ;; Fc; t"* "t trfu "r" y1;t .[11tr mt Govemment

11.tr elqql T'FSI arq'{ Inarr' e' rr\ " "'

i" i"io un "ppointttnt

und€r lhe cenlral or state Govemment

**" t"H,ts:ffi'"H.""Tl"xi;';;mment Lodv' or an A*-o.no''J ooov' or a Pubric undertak-

ing, or a privato Fkm ontn"r,,uoon., iill] ii"i r,,iip';-ii*r;" wlth dates, ot €mployment uP-to-date'

u

-r\.qcFl

Pedodvcclfififi,olt{zsdslrffrDesignation, employmentand nature o{ omPloyment

Frqttrd 6r T[ rrcotqctFull namg andaddr€ss ol employor

rfr${6ttrfiIr5I$TReasons for leavingprevious service

F]omnirTo

(b) qR fitgd it*i qrd rrr6T{f{'S reuqrr srqrr ql m nlq rrr6n + {flfu€ ql fifiqqrd sqfiq/ffi Erq( {svfivfrmfq qr*cqreRt er+h A t

lf|hopfsviousemp|oymentwasundertheGovt'of|nd|a/statoGovt./anUnd€rtakingownedoroontrol|edbythe Gow. of lndia or a State Govt /an Aulonomous Body/Universlty/Local Body'

fiq;*d|q tqr (€Esr{ +d) + Frqffid, ttu5 q;1aqq 5 } er<rta ecrsr qq|r q'gtld t{qq + €rfltd qa;qdi qi1

{srtmdqfrc 4 6qlsqqqRl erlq+f+cg rr5lnsrtrsq;@ *d 6 ecqsrf€rssqq qrrdfrrd{etfra1

{T{l qrr4 dE'q {q.q eqil €f,I.r4,1iqr q,l qrRfu; w c sqre q.ctr t {d ffiff lflTq-fi &ii6+t ft{l iqqc * €<!i q

qlr+r qqi qq{q * ridq i qc i est{{!r 6{i + fdq s'fl rrql qIl

lf you had left the services on giving a month's notice undor Rule 5 of the Genlral civil ssrvic€ (Temporary

s6Mcc) Rules, 1965 or any si;llar coFesponding rulos where any disciplinary proc€edings framed against

you, or 'had you boen cairJ upon o e*prain v;ur conduct -in ""v T?P,l-i!I-"-"1i: f:.T;" si"""

notice or ter;ina on of service, or at a subsequent dat6, before your servi@s adually tormrnaleo 1

12.(D(a) m emaTff FI(FITgSt?Have you ever been anested ?

O) f,r sflq 6$ qfi{*'r rt f ?

Have You ever been Prosecuted?

(c) f,r 3nrF6l6rfr Esl6|.n d rcr rrql t?Have you ever been kept under detenlion ?

(d) Rl qrq +1E,Q Yfd'4fird f4,'ql rrql t?Have you et/er b€€n bound down?

(e) fl qrc 6!ft qrqrf,q i Eqt{ q'n t?Havc you ever been fined by a Court of Law?

(0 Hr ef,rc 6S ffi qc{rc {am€cEm <}S z6{ts rc t?Haw you ewr been convlc-ted by a Court of Law for any ofience?

(g) trql €flcrsqo$tqffEd tsqrrqt qqql ffifilqfrslsqctfrfr 'Fa{Wmclf{6,(!IliTqF ERr qft5.d fsq 'lqt?Have vou ev€r begn debaned from any examination of rusticated by any universlty or

any ot'her educational authority/lnstitution?

(h) Fr qlqsrftfficto+* orq}'yo{"qr0 qqr fi*q em {q6t qftm wn+ ftq vftrdfr-d frc qc t/ erqlrq q1fril fFi rr+ t?

.H6v9vou6V6rbeendebarrBd/disquali|iedbyanyPublicsgtvicecommission/stafi.:.'. : Sebcibn cornmittoe for any lts examlnatlon/3elsction?

dafiYes/No

dn61Yes/No

drtfiYesNo

EVT6IYes/No

Eir+dYes/N9

dnfrYes/No

ETr{6I

YesNo

€rr,r{r

Yes/No

ft'J

(0 {rqSeqFRsqclq<tqqq*ror*frreffiqlqT(qd+t*qffi{t? dEdls any cass pendlng ageinst you ln any coud of law at tha time of fflling up this

attestation form? YesNo

0 t€ o6raw lw d |T{i sqq ql r[rq+ftllre ffi frrqfrqtdq q ffi qq {tqFF slFrfi'ol

ri*qndqlt*sfiq{tfttr liadts any case pending against you in any University or any other educatlonal authority/institltlon at ths tlme of fi[ing up the Attesbtion Fonn? Yos/]lo

(k) vrsrfi vt rk rrr*r0 fiqq risn t qd qvsl c{€ts/cftEaff*tst rcr t? dndWhether dischary€d/sxpell€d/wfihdrawn ftom any ttaining instltutbn under theGovemmEnt or othe]wise? Yos/No

0 cR sc{'6 Tnfril ffi c{{ 6l w( "Et" i t, Ts *sffi/Fene+{r/q}w{tqeus {stR fi {'f frc{q cf((61Rs, iqtvst fr Tq?q] qril sqq;qrqnnvffiqroqr$lfi|s/glFr6{q E66 d ftaspfl-l *'v +1r-5lt et $<k+1frq r

lf lh6 answer to any of tho above mentioned question is 'Yes' give full particulars of lhe casa/an€8u

dotention/fine/convietion/sentenc€/punsihment elc. and/or thg nature of the caso pending in the Coutu

Univsrsity/EducationalAuthority 6tc. at the time, filling up this form'

fcq!fi: (i) 5s qlcflql vrd * qriqigfficd"ffi"vr $ 5ra wndfuqt

Note: Please also see the '\tvaming" at the top of this Attestation Form.

(iD cd {tT*fi,e{{tYfi dFre6,{I{cifikql

. Specific answerto each ofthe questions should be given by striklng out 'Yes'or'No' as the case may

b€.

1 3. .flc+ *r t q] T{qiF qffi * Tq qqst v<!i fqq+ qq cftF{d df t

Name of lwo responsible petsons of your locality or two reference to whom you are known

dyqr66fiiltfrav{sv<Rlaqr-n+tvfieqndrftqdfr?srsqgsffiardw{qt q{firtlfr{v}sron+ aetrr}o'm+ fdq *t clr{dr 6i g{d a-r s+-ct t t

I certit that th3 foregplng information is 6!n?ct and completed to the best of my knowledge and belief. I am not

a\ .ars of any circumstancos wtlioh might lmpair my fllness for employment under Govemmsnl.

PIFI ;Place :

ftriq :Dats :

efiqell rFI E<ttsRSignature of Candidate

t8

v6"rl iFTlqlq-q{]DENTIW CERT'FICATES

(q6 yqrq er fffi trqfrfud qfo t u<rqfrn t'l{,.aftC)(Certificate to be signed by any on6 ofthe following)

ffiq smfi qr rq sr*fi $ ffi nqqfri qis$r0 r

Gazeited Officers of Central or State Govgmmont.

t$ ntoeqr sqwfrsn qqt s<rqSEsft<fi{qr as*qril/fudr/qFTqr6*finlsi A-r*drMember of Pediamsnt or Stats Legislatjre belonglng to the Constituency where theparcnls/guardlan ls ordlnarily resldent-er5d<ftriaFmrtzvffirSub-Divlsional Magistratevoff oers.

rislffic rrfqqn m Eq*q q,{i ing qfqf,a nr*a<n cI rqq/H ruSoqRTahsildar or N6ib/Dy. Tahsildars authorised to exercise Magisterial powers.

s{is fsr{ qfird'rt r

Block D€valopm€nt Off cers.

giFqRt I

Post Mast6r.

{sr{rd f{frrr*, r

Panchayat Inspectors.qrqo qm frarcqrqoftamq {TqF + sqtnqrd/rqnlqrqq qtr'qT rrqfi i qte eqq{rl fd'qr I I

Principal/Head Master of the recognised School/Colleg€/lnstitution wh6rc th€ candidate studied last.

nqFilaltrqftrq,

sifirsiq{................................................Tdi t qn-il tr et{ q6 fi eqrftn qrm i fa tt rrihq

qn6r0 qi fr{-crs { 5l* Wa rqe fw 'q fr{rlr q-d t I

Cer{ry that I hav€ know Shri/Smt/fumari.............

Son/daughter of Shri....

for the 14st...........,,............,.......,........Year................,....,......................months and that to the best ofmy knowledgoand belief he parliculars fumished by him/her arE @nect.

'-- t,

candidate or his

4.

7.

1.

€tl:|:Place :

frii+:Date :

ERICR

Signature

qs qr c(* stt{ TdlDesignalion or Status and Address

(6rqioq am w qd'll)(TO BE FILLED BY THE OFFICE)

fufu q'tf qfimd eiTorc, qcdh$rcirName, De8ignation, full address of the appointlng authority.

qq Frs+ ffrq lirqd qI firqR fuql trql t r

Post of which ,h6 c€ndidate is being consider€d.

rlqqi-aSCHEULE.IV

ffiirDated................

3q !q fiFfs' iFirrfi ( 3{R)qtd EFscrfflfirts*a q+r,

ro, irr$ grrtlt<rhtcFr,dr - 7oo oo1

The Dy. Chief Personnel Manager (R)Coal India LimitedCoal Bhawan10, Netaji Subhas Road,Kolkata - 700 001

Fqq :.................... ......f+gFo qr ysrq

Sub : Offer of appintment as...........

r qrqfiq+fi,. Dear Sir,

di...................... . el vSqR T6o1 *.{ tdqt t r

Persuant to appointment letter no... .............Dated.....lhave since ioined in.......................,. ......_....on...........q6 3rtq+ {fir silrH*fdStlThis is for your information and record.

jrFrfi iifqrgwlyour faithfully,

6RIPJT

Signature

-1'lq (G qeR] q)Name(in capital)*tdirtdr , 7oo oo1

Full Address...............................i......