ELECTRONICS CORPORATION OF INDIA LIMITED

PERSONNEL GROUP:: RECRUITMENT SECTION

Application for engagement as Technical Consultant [Field Operation]-Reg.

Name of the Applicant

Code No

Date of Birth

Date of retirement

Designation at the time of retirement

[Copy of Service Certificate to be encl.]

Qualification

Mobile No & email id

Address for communication

Aadhar Card No [Copy to be enclosed]

Pan Card [Copy to be enclosed]

Bank Account Details [Copy to be enclosed] :

SB A/ c number

Branch

IFS Code

Declaration:I do hereby declare that the above information provided by me is

true and correct to the best of knowledge.

Date: [Signature of the applicant]

Place: