Post Applied for: Name (As Per Pesszon) [conn cian = Ae et ee ra ee a: Passport Expiry da = ~2el% i mre eee [agen Years. Be youl - beaieeeree ss [Basic Quati‘ication & Passing Year: _ _ 1 [Certification & Passing Year: _ ft _ Mumbai / Ghennai Kechin ¢ Bards |APPLICATION FORM FOR EMPLOYMENT SHELUA CONSUTARTS RECRUITMENT ©XCELLENGE | GOVT. APPROVED RECRUITMENT AGENCY | CIC No: | B-O606/MUMIPART/1000+/516137/2005 = 41203, Unive-sal Majestic 12th Floor, P.L. Lokhande Marg, | (Opp. RBK Internatonal School, Chembur (W/), Mumbai~ 400 043. ‘NDIA Tal. +91 226116 7600 (32lines) + 1 tarts.com site : www: sh sssporte: MMOL m c| ate Of Issue : Jf -OR— 2. Date of! 145 9-7al F Place of Issue NR OER ‘eight Weight tarried O Single O anguages Keown : Engicn / Hindi / Arabic / Otho" Driving Licenee :Yes/ Ho FEB Present Adaress Permanent Address { _ | 1 _ _ | ee i | Mob.) 2) 3) Home Tel JOB DESCRIPTION Country | | Designati Date doin | Til Date Exp. (Months) | lal | i [Tolal experience indian Experience Gu Experience : 7 Other Experience ‘in Country ate optisnt ——— FOROFFICE USE ONLY —— Interview Date Interview for : Remarks Grade: Oa Oa Os Os Oc Oo Gran Signature-c YehCERT. No. JH). 22°26'4 /16=17 FORM NO. XIll Date 20e0de 215: Qualified Boiler Welder's Certificate ISSUED UNDER THE INDIAN BOILER REGULATIONS, 1950 Name of Welder : une Father's Name Date of Birth Identification Mark Weight Left Hand Thumb Impression Seal and Signature of cohen eats Address of Welder Chiet Inspector of Boilers sharkn: sewneng PERIOD OF VALIDITY FROM To 13.04.2046 i : 1760402016 1B 04.9088 V}04) 2620 (Representative.of Competent Authority) and is deemed to have satisfactorily proved his ability to make sound welds as per particulars given ‘overieat and is hereby authorised to undertake such welds. He is authorised /notauthoriged to undertake Welding where radiographic examination is necessary under the Regulations 18 GRANTED this .. the seal and authority of. ea e re es al CSRSEIEHE NURFity Chief Inspector of Boilers Jharkhand