Notification for engagement of full time Advisor (E&M) in ECL on contract basis

1 APPLICATION FORMAT For the Post of Advisor ( E&M ) in Eastern Coalfields Limited 1. Name (in block letter) 2. EIS No. (if retired from CIL) 3. Father ’ s Name 4. Present address for communication: 5. Contact No. a) Telephone b) Mobile: 6. E - mail ID: 7. Permanent Address 8. Caste (Gen/SC/ST/OBC) 9. Date of Birth: 10. Educational Qualification 11. Experience (in relevant field as per notification): 12. Detail of employment till superannuation: Name of Organization / Deptt. Last Post Held Grade Basic Pay with Grade Pay ( where applicable ) Discipline Period of last post held Remark 2 Declaration I, __________________________(Name), hereby certify that the details furnished by me in point no. 1 to point no.16 are true to the best of my knowledge and belief. Signature of the candidate with date List of Enclosures: 13. Special Achievement (If any) 14. Details of any Vigilance/Departmental/Safety/Court/Police Case (if pending): 15. Superannuation Notice No. & Date: 16.

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