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IMPORTANT: APPLICATION WITHOUT DECLARATION, SIGNATURE AND THUMB IMPRESSION WILL BE SUMMARILY REJECTED.
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| ADVT No. DMRC / OM / HR / I / 2010DMRC APPLICATION FORMAT(To be Filled in English Capital Letters by the Candidate only) | Recent Passport size Photograph to be pasted duly attested on Photo as well as on application     |

Post Code: | Name of Post: | Discipline (Tick) (Applicable for Post Code - 10 / Maintainers only) |
  |   | Electrician[     ], Fitter [    ], Electronic Mechanic[     ], Ref & AC Mechanic[      ] |
 
Personal Details : |
Candidate's Name: | |
Correspondence Address:(Don't write your Name again) |     |
City/Town: |   | Pin : | State: |
Tel No. (with STD Code): |   | Mobile : |
Candidate's Email ID: | |
Father's Name : |   |
Gender (Male/Female): |   |
Date of Birth (dd/mm/yyyy): | |
Age as on 01.07.2010 |   | YY | | MM | | DD |
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Whether PhysicallyHandicapped:(eligible for post code-11 only): | Yes [   ] / No [   ]  (select Yes only if disability is minimum 40%, otherwise select No) |
|   If YES: | OA (One Arm) |   | BL (Both legs) |   | OL (One leg) |   | (Tick the correct one) |
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| Please attach the prescribed medical format of Disability (available on DMRC’s website www.delhimetrorail.com) |
Community/Caste : |   GEN (1) |   | OBC (2) |   | SC(3) |   | ST(4) |   |  (Tick the correct one) |
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Whether JK Domicile: |   Yes | | No | | (Tick the correct one) |
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Whether EX Serviceman: |   Yes | | No | | (Tick the correct one) |
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Length of service in Armed forces |   YY | | MM | | DD | | (For ExSM only) as on 01.07.2010 |
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Two marks of Identification (other than mole): | 1.2. |
Whether DMRC Employee | Yes [   ] / No [   ]
(If yes, Please mention your post, Employee No. and service duration in DMRC.)
Post :                                                                      Emp No.: Length of continuous service in DMRC as on 01.07.2010 : ______(YY)______(MM)...