Application Form Dmrc

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Application Form: DMRC

ADVT No. DMRC / OM / HR / I / 2010

(To be Filled in English Capital Letters by the Candidate only) Post Code: Name of Post:

Recent Passport size Photograph to be pasted duly attested on Photo as well as on application

Discipline (Tick) (Applicable for Post Code - 10 / Maintainers only) Electrician[ ], Fitter [ ], Electronic Mechanic[ ], Ref & AC Mechanic[ ]

Personal Details :
Candidate's Name: Correspondence Address: (Don't write your Name again) City/Town: Tel No. (with STD Code): Candidate's Email ID: Father's Name : Gender (Male/Female): Date of Birth (dd/mm/yyyy): Age as on 01.07.2010 Pin : Mobile : State:




Whether Yes [ ] / No [ ] (select Yes only if disability is minimum 40%, otherwise select No) Physically Handicapped: OA (One Arm) BL (Both legs) OL (One leg) (Tick the correct one) If YES: (eligible for post Please attach the prescribed medical format of Disability (available on DMRC’s website code-11 only): Community/Caste GEN (1) : Whether JK Domicile: Whether EX Serviceman: Length of service in Armed forces Two marks of Identification (other than mole): 1. 2. Yes Yes YY OBC (2) No No MM DD SC(3) ST(4)

(Tick the correct one)

(Tick the correct one) (Tick the correct one)
(For ExSM only) as on 01.07.2010

Yes [ ] / No [ ]
Whether DMRC (If yes, Please mention your post, Employee No. and service duration Employee Post : Emp No.: Length of continuous service in DMRC as on 01.07.2010 : ______(YY)______(MM) Page 1 Continued on page 2

in DMRC.)

Qualifying Exam Details (Specify only the qualifying examination which makes you eligible to apply) :

Name of
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Application Form: DMRC

Name of qualifying exam for eligibility: Discipline: Duration : % of marks obtained : Month & Year of passing : Name of Institute : Details of Experience & other qualifications as required mandatory for the post of Store Assistant (post code-11): -Please attach separate sheet with this application form

Demand Draft Details :
DD Number: Issuing Bank Name: Date: Amount :

(* DD should be issued by State bank of India in favour of "DELHI METRO RAIL CORPORATION LIMITED", payable at SBI Service Branch, New Delhi (Code No-7687))


Please write the following declaration in your Own hand writing in running hand and not in Capital Letters in the space provided below:

Declaration : " I hereby declare that all the statements made by me in the application are true and complete to the best of my knowledge and belief and nothing has been concealed or suppressed. I also understand that in case, any of my statement is found untrue during any stage of recruitment or thereafter shall disqualify me for the post applied for and/or I shall be liable for any other action under the extant rules." Copy the above declaration in your own hand writing here :

(The candidate must copy this declaration in their application in order to avoid rejection) Left Hand Thumb Impression : (Central ridges should be clearly Candidate's Signature : visible)


Place :

(The candidate must put left hand Signature should not be in thumb impression in order to avoid capital letters rejection) .

Important Instructions : Before Submission the Candidate must note that : 1. The Application form is correctly and completely filled up. 2. Signature should not be in capital letter. 3. Application without Declaration , Signature and thumb Impression will be summarily rejected. 4. Demand draft of requisite amount as notified in the Advertisement should be strictly drawn only on State Bank of India in favour of "DELHI METRO RAIL CORPORATION LIMITED, payable at Service Branch, New Delhi (Code No-7687)" 5. Photograph must be attested by Gazetted Officer. 6. Attach all the Testimonials / Enclosures as notified...
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