12011 /5/2019-1
~ ~ /Government of India
~ ~ R'mlf /Department of Space
***
~ ~ /Antariksh Bhavan
~ ~ R'mlf /New BEL Road,
~ /Bangalore-560 094.
1 ~ /July, 2019
~!?T:/Cont'd 02/-
-2-
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Applications of only such Officers will be considered as are routed through proper
channel and are accompanied with (i) bio-data in the proforma at Annexure-11; (ii)
ACR/APAR dossier of the Officer containing upto date APARs or clear photocopies of
ACR/APAR for at least last five years duly attested by a Group-A Gazetted Officer; (iii)
cadre clearance; (iv) clearance from vigilance and disciplinary angle; (v) statement giving
details of major or minor penalties, if any, imposed on the officer during the last ten years;
(vi) a certificate that in the event of selection, the Officer would be relieved to join the duties
of the post; and (vii) certificate of Head of Office/Forwarding Authority as in Annexure-111.
~ r =- £:)-=~
(~.'-!G fl/M. Ramadas), h-J(j
~ BITT, ~ ~, Deputy Secretary to Govt. of India
~if /To:
1 rfl+f/ Name
2 ~-fimt/ Date of birth
3 ~1~<1a1 / Nationality
4 q ~r11 ii ~ lQlJfl- m ~ m ~' fer{
Desionation & Pav Band with Grade Pav/ Level
5 ~mtooif¥tt
. Cadre I Service to which belonq
6 !?~ <il~<ldl /
Educational qualification
~ ~ efiT rfTlf 1Tftm ~ efiB ffi ~~
1Tftm Name of the Board efiT q1S[ 3fcfiT efiT >l""ra!?Rr Main subjects
Exam Year of passing Class
passed % of marks
~/Place:
~/Date:
r
~ANNEXURE-111
4 m1~1~ ~ ~ 10 cflSIT # ~ ~
~ m m ~ "4"T mer~ .:r@ ~ 1]"1fl" ~/ No major or minor penalty has been
imposed on Shri/Smt./Kum during the last 10 years period.
~~/ Signature:
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~ ~cfiT'1T+f, q~;,1+11
Name, designation of the forwarding
Officer with seal & Telephone No.
1-ti ~ 1,z:~ B"./Mobile No.
{-~ 3TI{.ir./Email ID:
~/Place:
~/Date: