APPLICATION FORM FOR THE POST OF ASSISTANT LINEMAN (RECRUITMENT AGAINST CRA-289/ 2016)
Note: Fields marked with "*" are mandatory.
Post Applied For Post Code-289
Name*
(Strictly as per Matriculation Certificate)
    
Father Name (Sh./Mr.)*
Date of Birth*
(Eg:04-Mar-1985)

(Same as Matriculation/ Secondary Certificate)
Are you Domicile of Punjab?*
Category*
Gender*     
Marital Status*
Nationality*
Service Details in Case of Ex-Serviceman (Self)
                                         Date of Entry Date of Discharge
In Case of Sports Person        
Certificate Issuing Authority Game
Gradation Position held
Knowledge of Punjabi
Have you passed Punjabi of at least Matriculation or its equivalent level ?* Are you a Sikh Migrant?
(1984 Riots Affected)
Note : For 1984 riots affected Sikh Migrants upto the extent that they will have to acquire punjabi qualification within two years after joining the service failing which their services shall be liable to be terminated.
Serving Employee of PSPCL PSEB/Pb. Govt
Are you serving regular employee of PSPCL/PSTCL/Pb. Govt?*
Period of service rendered at PSPCL/PSTCL/erstwhile PSEB/Pb. Govt upto 01-01-2017:  Years       Months         Days  
                                                      
Permanent Address
Village/Town/City* District*
State / UT* Pin Code*
         
   
       
Correspondence Address*
Village/Town/City* District*
State / UT* Pin Code*  
Contact Details
Email id* Mobile No*
Confirm Email ID* Confirm Mobile No*
Landline No
Apprenticeship Details
Agency* From Date To Date
Circle* Division* Sub-Divsion*
Qualification Detail Board/University Year of Passing Marks Obtained Total Marks # Percentage #
Matric*
ITI*
NAC*  
Any Other Qualification
# Please calculate percentage of marks from CGPA / OGPA in advance as per university/Board/Council conversion formula.