OM GRAMIN WELFARE TRUST

APPLICATION FORM
Advt. Published in 'karmosangsthan' Dated : 06/05/2016
POST APPLIED FOR_____________________________ POST CODE :
( Mention the name of the post applied for )

Sir,
I beg to apply for the post ________________________________________ In your Judgeship I beg to
submit my particulars as per the prescribed format, given below:

1. Name of the candidate in full(use block letters):

2. Name of Father / Husband:

.
3. Date of birth (DD/MM/YYYY format)

4. Age As on 01.01.2016:

5. Sex (Male/Female) :

. Marital Status:

Married/Unmarried

Yes

No

6.Address in full (Permanent):

Pin:

Phone:

7.Address in full (For Correspondence):

Pin
7. Nationality:

8. Religion

9.Category(SC/ST/OBC-A/OBC-B/GEN/Ex - Serviceman):......................................................................................

(Other than General category provide supporting document)

10. Educational Qualification (Attached supporting documents)
Examination

University/Board

Year of
Passing

Class or
Division

% of Marks

Subjects Taken

Remarks

11. Other Qualification (If any) :.

12.Have you been employed? If so, give the details:
Name of the
Employer

Designation

Period
From

To

Gross Monthly
Salary

Reason for
leaving

Remarks if
any

13. Have you got any knowledge in Computer Operations/Typing:......................................................................

if so give details.
14. Extra Qualifications:

15. Hobbies

(give attested supporting documents)

16..Language Efficiency (Please Mark Y/N:

Read

Write

Speak

Bengali
English
Hindi
17. Please state the No., Date and amount and branch of bank deposit.
Declaration
I, hereby declare that, (a) all statements made in this application are true, complete correct to the best of my
knowledge and belief. in the event of any information being found false, my candidature is liable to be cancelled.
(b) [only for candidates, service under government] I have obtained 'No objection Certificate form my appointing
authority in writing. {Strike out the portion (b), if not applicable}
Date

Place

________________________
Signature of the applicant

Deadline for submitting application is "16.06.2016" (by post or in person).

Date of Examination : 24/07/2016 ( If any change, it will be mention at Admit Card).

Reg. Office Address :- 1/18 Poddar Nagar, Ground Floor, Kolkata - 700 068
Filling up / submission of application from and other related instructions:
)

Capital Word Form

Xerox Copy Self-Attested

identity card(Voter Card Residential Proof (Aadhaar Card

or Ration Card) Xerox Copy Self-Attested Residential Proof

)

PAN Card / Aadhaar Card / Madhyamik Admit Card / School Leaving

Certificate Self-Attested
)

(+)

Admit Card

Joining Latter

) Xerox Application From

English Capital Word

)
)

Speed Post Collection Center

) () , General Knowledge, Current
Affairs, Mathematics Micro Finance
) Application Fees /- ( )

(D.D.) SC, ST, OBC -

/- ( ) OM GRAMIN WELFARE TRUST Payable at Kolkata

)

SL

Post Name

1
2
3
4
5
6
7
8

Divisional Manager
Sub Division Manager
Internal Risk Manager
Branch Manager
Junior Credit Officer
Back office Staff
Office Assistant
Office Boy

Post Code No Of Vacancy
Qualification
Salary
L-8
L-7
AB-1
L-5
L-1
A-3
A-2
A-1

18
36
08
215
1765
430
215
215

Minimum Graduate
Minimum Graduate
Minimum Graduate
Minimum H.S Passed & Computer knowledge

Minimum Madhyamik Passed

Minimum H.S and Computer knowledge
Minimum H.S & Basic Computer knowledge

Minimum 8 Passed

Rs.20000- 24500
Rs.18000-19500
Rs.14000-17500
Rs.12000-14500
Rs.6500/Rs.7000/Rs.6000/Rs.4500/-

Last Date Of Application Submission = 16/06/2016

website: www.omgraminshg.com