Application form for the post of Account Officer (on Deputation)

Name of applicant :......

Father's name :......

Date of birth :...... (Age as on 01@12@2015) ......

(Enclose Certificate)

Parent department : (A) AG/Central Govt/Govt of MP Fin. Deptt/T & A

(Please Tick) OR

(B) Name of corporation/Board of Central Govt/ State Govt

Present Post :......

Officer & address- competent to

Provide NOC :......

Category (Please Tick) General/OBC/SC/ST

i Service history :-

1-  Date of first posting :......

2-  Designation at first posting :......

3-  Present post :......

4-  Date of posting at present post :......

5-  Present pay scale :......

6-  Basic pay in pay band + Grade Pay :......

7-  Total length of service (In years) :......

8-  Length of Service As Account Officer or :......

Higher Post (In year-please mention post & years)

9-  Home District :......

ii NOC of Department (Enclose Copy) :......

iii Educational Qualification :- (Enclose self attested certificates) Degree :- PG :-

Other :-

Computer Experience :-

iv Details of service :-

Designation

/ From / To / Place of posting: Department/Field / Brief description of work done
1 / 2 / 3 / 4 / 5

v Duration of experience in accounting of constraction works ------Years------Month

vi- Present place of posting & Designation :......

:......

:......

vii- Present address, Telephone, Mobile no. :......

:......

:......

viii- Permanent address :......

:......

:......

Telephone no.: ......

Declaration

I hereby declare that neither any Departmental/EOW or Lokayukt enquiry is pending against me nor any major penalty was ever imposed on me. I also declare that court case of any nature is not pending against me. Information given by me is true to the best of my knowledge & belief. My selection may be cancelled and suitable action may be taken, if information furnished by me is found incorrect

Signature of applicant: ......

Name of applicant: ......

Mobile No......

Date :......

Place :......

Application form for the post of Account Officer (on Contract after retirement)

Name of applicant :......

Father's name :......

Date of birth (As on 01/12/15) :...... (Age as on 01@12@2015) Year . . . . Month......

(Enclose Certificate)

Parent department from which : (A) AG/Central Govt/Govt of MP Fin. Deptt/T & A

Retired (Please Tick) OR

(B) Name of corporation/Board of Central Govt/ State Govt

Category (Please Tick) General/OBC/SC/ST

i Service history :-

1-  Date of first posting :......

2-  Designation at first posting :......

3-  Retired from the post of :......

4-  Date of Retirement :......

5-  Pay scale at retirement :......

6-  Basic pay in pay band + grade pay + Allowance:......

At retirement

7-  Total length of service (In years) :......

8-  Length of Service on the post of Account

Officer or Higher Post (In years-

Please mention post & years) :......

9-  Home District :......

ii Educational Qualification :- (Enclose self attested certificates) Degree :-

PG :-

Other :-

Computer Experience :-

iii Details of service in various offices

Designation

/ From / To / Place of posting: Department/Field / Brief description of work done
1 / 2 / 3 / 4 / 5

iv Duration of experience in accounting of constraction works ------Years------Month

v- Present address, Telephone, Mobile no. :......

:......

:......

vi- Permanent address :......

:......

:......

Telephone no.: ......

Declaration

I hereby declare that neither any Departmental/EOW or Lokayukt enquiry is pending against me nor any major penalty was ever imposed on me. I also declare that court case of any nature is not pending against me. Information given by me is true to the best of my knowledge & belief. My selection may be cancelled and suitable action may be taken, if information furnished by me is found incorrect

Signature of applicant: ......

Name of applicant: ......

Mobile No......

Date :......

Place :......

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