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No.36-1/2014-BSNL{Sporr,i}

C,:rt:-d 2{'l' February, 2014

To

All Secretaries
BSNL Circle Sports & Cultural Bor;:ds

subject:- paner of umpires/Rerrees for rrt

Ind;;r ssrur. -rL,urn,:rn.lc:nts/r,eets for
2014-:15
and 2015-16.
It has been decided tc
A

da

BS N

r rou

rn

am e n

s/ M

:,': :lJ

:,]ff i il:;: j#ilt ;:':'Jff ;:,t;: ::J;:::

of BSNL having technicar quarificatir:,n in

ary [,srli: rar ]rncrri en(i rresifous to iake up the
responsibility of Um pireslRef*reet rla,/
ap1,lv :1111.11,1 l]:;f,lt C r(l,r :iicrt:; and
Cuirufei

Board

2. While forwarcling appiifatir li.r en.rgilrr:lrrrr11

:x; Un.;,i..r:s/Referees, the BSNt
Circle Sports and Cultural Board may
cit,_.ci( rhe ,fl)ritctty o| q u a lilir:ations/ce
rtlficales et(.
of the employees and forward tiie s; nle
rviih t,r,:ir rr:com rr:1dtrti01:;,

3. Application

duly recommencsd by i{-,rretarv, lISNL

Circl{}
Board may be forwarded so as to reach
thjs ofticr: latest by 10.01.?g14.
I

.t

-J_-*

Ass

tt.

Copy for information and necessary action to (Through Circle intranethr)

Endorsement No: WLF/31-4lH RT/IV/SCB/20 dated at Ambata O5-03-2014

1.

2.
3.

4.

All ssA/unit heads. They are requested to adhere to the instructions contained in
Para I while forwarding the aoolication ftrr empanelment as umpire/Refree so as
to reach this office latest by 08-03,2014 for onward submission to BSNL He New
DelhiCircle Secretaries of recoqnized l.tn ion,,i:lisociatio ns.
Distt Secretaries BSNLETJ/ N i-l'E tjnions r:ircle Office Ambata.
Notice Board.

AD(PR & Sports)

PROFORMA FC}R PRf P

1.

Name of Official

Designation and aomplete Crlfice

Address & Tele. No.

3,

Date of Birth

4.

Date of Appointment in Departfient

and oate of supera nnualion.

5.

Discipline in which qualifietl

6.

CoLirse, Diploma

etc., the yei.r

in which qualified
(Enclose Photoccpy o{ Ceriifj;nte

7.

lnstitution/5tate l.s:ccr.rl
National Federation from

o.

i}

I,r

',,rhi :fr

Qualilied
(Enclose Photoco;)v oJ ( ert.ifi(:e :e

;;

8. txperience in Sports field

9.

Previous experienr.e in such o; pel

10. Residential Add ress

with Tele no.(R )/MoL'ile

Dared:

JJ_

.Sigrlature & Name of the cfficial

Secretaa!.
ll.!l,lt. Cir{:le Spcrts & Cultural Board.