JANUARY 2012 AICL-ENGG-TECHNICAL OFFICER For AICL Office Use Only Tech.GD/PI DATE : ___________________ ROLL NO : ____________________ Tech.GD/PI TIME / SLOT : __________________ ___________________ Authorised signatory Remarks : To be filled in by the candidate FORMAT OF APPLICATION To, Air India Charters Limited Mumbai Paste Recent colour Photograph & sign across POSITION APPLIED FOR : TECHNICAL OFFICER PLACEMENT AT 1. : THIRUVANANTHAPURAM Full Name : ( In BLOCK letters ) _______________________________________________________________________ First Middle Surname 2. Father’s Full Name : _____________________________________________________ 3. Date of Birth : (DD / MM / YYYY) ______________________________________ 4. Place and State of Birth : _________________________________________________ 5. Religion : __________________________________ 6. Gender 7. Nationality : ________________________________ 8. a) Mailing Address: _______________________________________________ : Male / Female ____________________________________________________________ City : _____________________ State: ____________________________ Pin No.: ________________ 1 JANUARY 2012 AICL-ENGG-TECHNICAL OFFICER b) Telephone No. : Residence with STD Code : ______________________ Mobile : ______________________________________________________ c) Email address : ________________________________________________ 9. a) Whether SC / ST / OBC / Unreserved : SC ST OBC Unreserved (Indicate Category to which you belong by marking ‘ ’ in the appropriate box.) If SC/ST – attach copy of the Caste Certificate. If OBC - furnish Certificate including the “Non-Creamy layer clause”. OBC Community should be as per the Central List of OBCs published by Government of India. b) Whether Ex-Serviceman : YES / NO If ‘Yes’, furnish details of service, position held, date of release, details of experience after release (attach copies of relevant documents) c) Whether working in any Govt., Semi-Govt. / Public Sector Undertaking or autonomous body : YES / NO If “Yes”, enclose “No Objection Certificate” 10. Educational Qualifications : (Matriculation / SSC onwards) Examination / Courses Passed Name of the Board/ University / Institution Month & Year of Passing Duratio n Percentage of marks (Class / Division) 10th (SSC) 12th (HSC or Pre-Degree) BE / B Tech I Year Ist Semester IInd Semester II Year Ist Semester IInd Semester III Year Ist Semester IInd Semester IV Year Ist Semester IInd Semester Aggregate Percentage 2 JANUARY 2012 11. AICL-ENGG-TECHNICAL OFFICER (A) Final Year Project (Give Title) (B) Give description in 4-5 sentences. 12. Fluency in languages: Tick appropriate column Languages Read Speak Write Remarks* a) English b) Hindi c) Local (Specify) _______________ d) Mother Tongue (Specify) ____________ e) Others (Specify) ____________________ * Indicate whether any Certificate / Language Course done and the duration of the course, along with a copy of such Certificate. 13. Extra Curricular Activities : Any other Degree Any other Diploma Additional Qualification Sports Cultural Activities Hobbies and interests 14. Industry Training, if any : Industry Name Duration Location Subject 3 JANUARY 2012 15. AICL-ENGG-TECHNICAL OFFICER Work Experience (in chronological order) :Name of the Company 16. Post held Period From To Nature of Job Particulars of Demand Draft (in favour of Air India Charters Ltd. payable at MUMBAI) : Name & Address of the Issuing Bank & Branch Date of Issue Demand Draft No. Amount (Rs.) Rs.500/- 17. Relatives working in Air India Charters Ltd / Air India Air Transport Services Ltd / Hotel Corporation of India Ltd / Alliance Air / Air India Limited. Name Designation Company Relationship Declaration : I hereby certify that the foregoing information is correct to the best of my knowledge and belief. I have not suppressed any material fact or factual information in the above statement. I am aware that in case I have given wrong information or suppressed any material fact or factual information, or I do not fulfil the eligibility criteria according to the advertisement, then my candidature will be rejected / services terminated without giving any notice or reasons therefor. Place : Date : ____________________ (Signature of applicant) 4 JANUARY 2012 AICL-ENGG-TECHNICAL OFFICER List of Documents to be submitted only at the time of Technical GD and or Personal Interview : (Originals (along with the a set of photocopy) to be brought for verification only) Please tick “ “ i) 05 additional passport size coloured photographs ii) SSC / Matriculation Mark-sheet iii) School Leaving Certificate or SSC Passing Certificate iv) HSC (12th Std) / Pre-Degree Mark-sheet and Passing Certificate v) Bachelor's Degree Mark-sheet 1st Semester vi) Bachelor's Degree Mark-sheet 2nd Semester vii) Bachelor's Degree Mark-sheet 3rd Semester viii) Bachelor's Degree Mark-sheet 4th Semester ix) Bachelor's Degree Mark-sheet 5th Semester x) Bachelor's Degree Mark-sheet 6th Semester xi) Bachelor's Degree Mark-sheet 7th Semester xii) Bachelor’s Degree Mark-sheet 8th Semester xiii) Degree Certificate / Provisional Degree Passing Certificate xiv) Certificate of Other Qualifications, if any xv) Caste Certificate in case of SC / ST / OBC candidates xvi) Experience Certificate (s) xvii) Certificate of Extra Curricular Activities /Sports xviii) Domicile Certificate, wherever applicable xix) Discharge Certificate in case of Ex-Servicemen 5