Executive Summary:
This document contains an application form (Annexure I) for a position within the SEZ Falta. The form collects personal and professional details of the applicant, including employment history, qualifications, and contact information. It also includes a certificate to be completed by the Head of the Department, verifying the applicant's eligibility and integrity.
Key Points / Main Content:
Application Form Details (Part A):
* **Post and Personal Information**: Includes the post applied for, name, contact details, present office, and cadre.
* **Employment History**: Requires a chronological list of employment, including post held, dates, scale of pay, and nature of duties. Additional sheets can be attached.
* **Present Employment Details:** Requires specification of whether the applicant is working under the Central Government, State Government, Autonomous Organization, Government Undertakings, or Universities.
* **Qualifications and Experience**: Asks for educational, essential, desirable, and other qualifications.
* **Additional Information**: Allows applicants to mention additional information supporting their suitability.
* **Identification and Declaration**: Includes identification marks, language proficiency, SC/ST status, and a declaration by the candidate.
Head of Department Certificate (Part B):
* **Eligibility Verification**: Requires the Head of Department to confirm whether the officer meets eligibility requirements.
* **Vigilance and Penalty Status**: Asks about pending vigilance cases and any major/minor penalties imposed in the last 10 years.
* **Cadre Clearance and Integrity**: Requires confirmation of cadre clearance and issuance of an integrity certificate.
Impact Analysis:
Applicants:
* Impact: Must complete the application form (Annexure I) accurately and provide all required details regarding their employment history, qualifications, and personal information.
* Action Required: Fill out all sections of the application form, attach necessary documents, and sign the declaration.
Head of Department (HOD)/Head of Office (HOO):
* Impact: Required to certify the applicant's eligibility, vigilance status, any penalties, cadre clearance, and integrity.
* Action Required: Review the applicant's information, complete Part B of the form, and provide the necessary certifications with a rubber stamp and signature.
Key Entities Referenced
Falta Special Economic Zone (FSEZ): A Special Economic Zone, likely located in Falta, West Bengal.
Department of Commerce (DoC): The government department responsible for commerce related activities.
SHASHI RANJAN SHARMA: The name of the individual who generated the document from eOffice.
ASSISTANT DEVELOPMENT COMMISSIONER: Designation of the officer, SHASHI RANJAN SHARMA, in the Falta SEZ.
Central Government: One of the options to select under which the applicant is currently working
State Government: One of the options to select under which the applicant is currently working
Autonomous Organization: One of the options to select under which the applicant is currently working
Universities: One of the options to select under which the applicant is currently working
1047781/2024/SEZ FALTA
1
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm1047781/2024/SEZ FALTA
2
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm1047781/2024/SEZ FALTA
3
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm1047781/2024/SEZ FALTA
4
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm1047781/2024/SEZ FALTA
5
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm1047781/2024/SEZ FALTA
PART –A Annexure-I
APPLICATION FORM
1. Post Applied for :
Name of the SEZ :
2. Name (Hindi/English) :
(BLOCK LETTER)
3. Post held : On Regular Basis On Ad-hoc On Deputation
Basis
Effective date of holing :
of post
Level of Pay in Pay :
Matrix
Total period of holding :
of post
Total Emoluments at :
Present
Name of Present Office : Present :
& Address with Office
Tel/Mob./E-mail Cadre :
4. Details of Employment in Chronological order(enclose a separate sheet, duly authenticated by
your signature, if the space below is not sufficient)
Sl. Name of Post held From To Scale of Nature of
No. Office/ Pay and Duties
Organisation Basic Pay
(Enclose a separate sheet, if the space is insufficient)
Additional details about present Employment. Please state
whether working under: Central Government/ State
Government/ Autonomous Organization/ Government/
Undertakings/ Universities
5 Qualifications/Experience possessed by the Officer
Educational Qualifications
Essential Qualifications
Desirable Qualifications
Other Qualifications
Whether Educational and other
Qualifications required for the
post are satisfied. (If any
qualification has been treated as
equivalent to the one prescribed
in the Rules, state the details of
6
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm1047781/2024/SEZ FALTA
the same
6. Additional information, if any, which you would like to
mention in support of your suitability for the post.
(Enclose a separate sheet, if the space is insufficient)
Identification Marks Language Known
Mother Able to Read Able to Able to Speak
Tongue Write
7 Whether belongs to SC/ST :
Declaration: I have carefully gone through the vacancy circular/advertisement and I am well aware
that the Curriculum Vitae duly supported by documents submitted by me will also be assed at the time
of selection for the post.
-----------------------------------------------------------------
(Signature of the Candidate)
Place: Address for :
Communication
Date:
Phone No.(Office) :
Mobile No. :
E-mail :
------------------------------------------------------------------------------------------------
PART-B
Certificate
(To be given by the Head of the Department)
8. Whether the Officer meets eligibility requirements as on the closing date of Yes/No
application
9. a. i. Whether any Vigilance case is pending or being contemplated Yes/No
against the Officer
ii. If, yes, please give details
b. i. Whether any Major/Minor Penalty has been imposed on the Yes/No
proposed Officer during last 10 (ten) years.
ii. If, yes, please give details.
iii. Indicate whether any Penalty is in operation as on date.
c. Whether Cadre clearance for the Officer by the Competent Yes/No
Authority has been granted
d. Whether Integrity Certificate issued Yes/No
--------------------------------------------------------------------------------------
(Signature of the HOD/HOO)
(With Rubber Stamp)
Date: Phone No. (Office) :
Mobile No. :
E-mail :
7
File No. Advt./43/2013-FSEZ(Vol.-II) (Computer No. 3175548)
Generated from eOffice by SHASHI RANJAN SHARMA, ADC(SRS)-SEZ FALTA, ASSISTANT DEVELOPMENT COMMISSIONER, Department of Commerce (DoC) on 22/10/2024 05:13 pm