Application Format may be downloaded from Website:
| | MAHANAGAR TELEPHONE NIGAM LIMITED [ A Government of India Enterprise ] |
Important Notes: (i) Before filling this form, read detailed advertisement carefully. (ii) All entries should be made in capital letters with BLACK/BLUE ball pen only. (iii) The Application be downloaded from our website www.mtnl.net.in and filled in ENGLISH Language only. (iv) Please do not attach any certificate (original or photocopies) of the certificates EXCEPT photocopy of Caste Certificate in respect of SC/ST/OBC (NCL) candidates and PH Certificates (as applicable), claiming concession in Application, if any controlling office letter for internal candidate.
1. POST APPLIED FOR(a) Senior Management Trainee (Telecom), (b) Senior Management Trainee (Marketing | 2. post Code | 3. DATE OF BIRTH | 4. GENDER (Male/Female) | 5. AGE AS ON 01.07.2012 | ||||
| DAY | MONTH | YEAR | YEAR | MONTH | DAYS | |||
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6. Name (in capital letters) (for S. No. 6 & 7 please write in the order name, middle name & surname and keep one box blank in between.
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7. Father's/Husband's Name (in capital letters)
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| 8. | Choice of Examination City [Chennai/Delhi/Kolkata/Mumbai] | | 9. | Nationality [Indian/Non-Indian] | | 10. Whether claiming age relaxation?
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11 (A) Category (please tick (ü), as applicable) 11(B) 11(C)
| Category | | If Physically Handicapped | | Whether belongs to Ex-servicemen /J&K/any others – please specify | ||||
| SC | ST | OBC [NCL] | UR | Write whether Hearing Impairment or Locomotive Impairment | Write Percentage of disability | |||
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Note : OBC candidates who don’t come under non-creamy layer should indicate their category as UR
| 12. | Are you MTNL Employee? (write Yes/No) | If yes, whether application is forwarded through Controlling Officer (Write Yes/No) | Staff/Emp. No. | GM/CGM Unit (MTNL Delhi/Mumbai/CO) |
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13. Educational Qualification (write, as applicable)
| Do you possess relevant educational qualification experience as per requirement (write : Yes/No) |
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| Degree / Course | Name of the Degree / Course completed | %age of marks obtained |
| BE / B.Tech/BSc | | |
| MSc./MBA / M.Tech. | | |
14. Post Qualification Experience Details, (write, as applicable)
| Please indicate total post qualification experience in the relevant field | | | Do you possess relevant post qualifications experience as per requirement (write : Yes/No) |
| _____ year _____ months | | | |
15. Address (in capital letters) where the applicant wants to receive the communication.
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Signature of Candidate á
16. Academic/Professional Qualification (starting from the highest degree/course level as applicable)
| Name of Degree/ Course with Discipline | Name of Institute and University | Year of Passing | Aggregate Marks | |||
| Max. Marks | Marks Obtained | %age of marks | Class/ Division | |||
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17. Post Qualification Experience – as on …………… starting from last [TOTAL EXPERIENCE _____ YEARS _____ MONTHS_____ DAYS]
| Name and Address of the Orgnisation | Indicate whether Govt./ PSU/ Autonomous/Pvt] | Post (s) held and Scale of Pay | Period of Service (From – To) [MM/YY] | Total Experience in Years | Job Responsibilities, in brief |
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Note: You may attach additional sheet to the hard copy for Qualification/Experience if the space above is insufficient.
18. Permanent Address (in capital letters)
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19. Application fee: (Demand Draft/Pay Order only in favour of " Mahanagar Telephone Nigam Limited", payable at "New Delhi")
| DD No. | Date | Name of Bank | Branch Address | Branch Code | Amount (Rs.) |
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| (applicant should write Name, Post applied for and Mailing Address in capital letters, on the reverse side of the Demand Draft/Pay Order) | |||||
20. Check List
| S.No. | Enclosure | Reference no. of the Certificate/Document | Date of Issue | Tick-Mark (ü) |
| 1. | Application form duly filled & signed | | | |
| 2. | Two photograph pasted | | | |
| 3. | Demand Draft of Rs……../- (as applicable) | | | |
| 4. | Caste Certificate (if applicable)/ Non-creamy layer certificate for OBC | | | |
| 5. | Certificate of Disability (in case of PWD) of 40% or more | | | |
| 6. | Forwarding letter from the Controlling Officers (in case of internal candidates) | | | |
DECLARATION TO BE SIGNED BY THE APPLICANT
I ……………………………………………………………………………………S/D/W of ……………………………………………………………. employee No. …………………………………( in case of internal candidates only) do hereby declare that all the statements made in the application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any particular information given above being found false or incorrect, my candidature for the post applied is liable to be rejected or cancelled and in the event of any mis-statement or discrepancy in any of the particulars being detected even after my appointment, my services are liable to be terminated forthwith without any notice to me.
Place:
Date: (Signature of the Applicant)



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