VC 34 2024-Annexure
VC 34 2024-Annexure
VC 34 2024-Annexure
Application Form
To:
Director (HR)
Unique Identification Authority of India
SCO 95-98, Ground and Second Floor
Sector 17- B, Chandigarh – 160 017
Subject: Application for appointment to the post referred to in UIDAI circular no.
____________/_____, dated ___ July 2024
Sir/madam,
I hereby apply for the post(s) in UIDAI, for which applications have been
invited by UIDAI vide its circular no._____/____, dated ____ July 2024, and furnish details
as under:
2. Basic details:
D D M M Y Y Y Y
D D M M Y Y Y Y
(c) Email:
(in BLOCK
letters)
Qualification
Name of university,
(degree, Percentage of
institution or other Discipline / branch /
diploma, Year marks / Grade
qualification-awarding specialisation
certificate Point Average
body
etc.)
2.7 If applicant is a
member of an
organised
service, full
name of the
service:
(in reverse chronological order, for preceding 10 years; enclose a separate self-
authenticated sheet, if required)
Period
Position Scale of Brief description of
Organisation (month and year)
held pay nature of duties
From To
2.9 Present post
Regular basis Deputation basis
held on:
Tick as
applicable:
(c) Parent
organisation:
2.12 Training/
courses
attended:
2.13 Details of
awards,
honours,
appreciation
etc.:
2.14 Details of (a) Name:
application
forwarding (b) Full
authority: designation:
(c) Full
office
address:
(d) Office
telephone
number:
3. Details regarding eligibility for post(s) applied for (see part 1 of this form):
or
With five years of regular service in the
Pay Matrix Level-6 of the 7th Central Pay
Commission (₹ 35,400 – ₹ 1,12,400).
or
Officers from State/ UT
Government/Public Sector Undertaking
(PSU) or Autonomous Organisation,
holding regular post in corresponding
grades with requisite experience.
Desirable:
(i) Experience of work in
Administration/Legal/Establishment/
HumanResource/Finance/Accounts/
Budgeting/Vigilance/Procurement/
Planning and Policy/Project
implementation and monitoring/E-
Governance etc.
Essential:
or
Officer from State/UT Government or
Public Sector Undertaking (PSU) or
Autonomous Organisation, holding
regular post in corresponding grades with
requisite experience.
Desirable:
Date:
Place:
Signature of applicant
Certified that the service particulars given by the applicant above have been verified from
his/her service records and found to be correct.
2. The information furnished by the said officer has been checked against his/her service
records and is correct.
5. It is certified that no penalty has been imposed on the officer during the last 10 years.
Or
The details of penalties imposed on the officer during the last 10 years are given in the
duly signed and stamped enclosed statement.2
6. Photocopies of ACRs/APARs for the last five years are enclosed herewith, duly attested
on each page by an officer not below the rank of Under Secretary to the Government of
India or an officer of equivalent rank.
Encls.: as above
Signature
Name:
Designation:
Telephone:
Email:
[Stamp of office]
Date: _____________
Place: ____________
1
Period for which the officer shall be relieved should not be less than three years. In respect of officers borne on
any cadre of services or posts of the Central Government or a State Government, this confirmation regarding
the relieving of the applicant officer in the event he/she of she is selected should be made only with the requisite
approval or no objection or “cadre clearance” from the relevant cadre controlling authority. In case no
authority is specified as such in respect of the parent organisation, such authority as is competent to approve
the relieving of the officer on deputation is to be considered as the cadre controlling authority for the purposes
of this circular.
2
Please strike out whichever is not applicable