in English - Karnataka State Pollution Control Board

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M.Sc. (Chemistry/Bio-Chemistry) or. 7. ... 2nd yr/. 2nd semester degree. 3rd yr/. 3rd semester degree. 4th semester degree .... A pass in PUC with Science.

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Assistant Environmental Officer Tick in the appropriate box M.Sc. B.E./B.Tech/M.E./ Candidate M.Tech/P.H.E. Candidate Name of the Bank

D.D. Amount

Affix Recent Passport size photograph here

D.D. Number and Date

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

A

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B

R

Age

Sub Caste

B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman 8. Government employee

Yes

No

9. Working as Contract employee in KSPCB Qualification:

Yes

Semester/Year

1st semester/yr

Total Marks

Marks Obtained Percentage

2nd semester/yr 3rd semester 7. M.Sc. (Micro-Biology)

Candidates must have secured First Class in 1. M.E./M.Tech, PHE Env or industrial pollution control with any basic degree in engg. or 2. B.E. (Civil Env) B.E. (Env) or 3. B.E. (Civil) with atleast two elective subjects in Env. Engg. or 4. B.E./B.Tech (Chemical) 5. M.Sc. (Env.Science) or 6. M.Sc. (Chemistry/Bio-Chemistry) or

Qualification (Tick for the appropriate)

No

4th semester 5th semester 6th semester 7th semester 8th semester

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Scientific Assistant Name of the Bank D.D. Amount D.D. Number and Date

Affix Recent Passport size photograph here

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

A

R

Age

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B Sub Caste ---B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman ------8. Computer Knowledge

Yes

No

9. Government employee

Yes

No

10. Working as Contract employee in KSPCB Qualification: Qualification A Degree in Science with Chemistry as one of the optionals Knowledge in computer operation is essential (i.e.DOS, Windows, Internet, M.S.Office Etc.)

Yes Semester/Year st 1st yr/ 1 ndsemester degree 2nd yr/ 2rd semester degree 3 yr/ 3rd semester degree 4th semester degree

No Total Marks

Marks Obtained

Percentage

5th semester degree 6th semester degree

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Stenographer Name of the Bank D.D. Amount D.D. Number and Date

Affix Recent Passport size photograph here

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

A

R

Age

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B Sub Caste -----B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman --------8. Computer Knowledge

Yes

No

9. Government employee

Yes

No

10. Working as Contract employee in KSPCB Yes

Qualification:

Qualification Pass in SSLC or equivalent examination AND Must have passed senior grade examination in Kannada and English Shorthand and Typing examination conducted by the Karnataka Secondary Education Examination Board. Knowledge in computer operation is essential (i.e. DOS, Windows, Internet, M.S.Office etc.,)

SSLC

No Total Marks

Marks Obtained

Percentage

Kannada Shorthand senior English Shorthand senior Kannada Typing senior English Typing senior

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Junior Data Entry Operator Name of the Bank D.D. Amount D.D. Number and Date

Affix Recent Passport size photograph here

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B

A

R

Age

Sub Caste

B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman ----8. Computer Knowledge

Yes

No

9. Government employee

Yes

No

10. Working as Contract employee in KSPCB Qualification:

Yes Qualification

SSLC A pass in SSLC, Senior Typing in English & Kannada Kannada Typing and knowledge of senior computers. English Typing senior

No Total Marks

Marks Obtained

Percentage

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Second Divisional Assistant Name of the Bank D.D. Amount D.D. Number and Date

Affix Recent Passport size photograph here

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

A

R

Age

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B Sub Caste -B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman 8. Computer Knowledge

Yes

No

9. Government employee

Yes

No

10. Working as Contract employee in KSPCB Yes

Qualification:

No Total Marks

Qualification Pass class in SSLC or equivalent examination, knowledge in computer operation (i.e. DOS, Windows, Internet, MS Office etc)

Marks Obtained

Percentage

SSLC

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Field Assistant Name of the Bank D.D. Amount D.D. Number and Date

Affix Recent Passport size photograph here

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

A

R

Age

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B Sub Caste --B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman ------8. Computer Knowledge

Yes

No

9. Government employee

Yes

No

10. Working as Contract employee in KSPCB Qualification:

Yes

Qualification

II year

A pass in PUC with Science subjects or equivalent examination, knowledge in computer operation (i.e. DOS, Windows, Internet, M.S.Office Etc.)

PUC with Science subjects

No Total Marks

Marks Obtained

Percentage

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature

Karnataka State Pollution Control Board Application format for Direct Recruitment Notification No: .............................................. Date of Advertisement: ......................... Name of the Post applied for: Peon/Watchman Name of the Bank D.D. Amount D.D. Number and Date

Affix Recent Passport size photograph here

1. Applicants full Name: 2. Father/Husband Name: 3. Postal/Permanent Address: 4. Date of Birth and Age: D

5.

D

M

M

Y

E

A

R

Age

Gender Male Female 6. Nationality: 7. A. Claiming reservations: tick in the appropriate box. GM SC ST Cat-1 2A 2B 3A 3B Sub Caste --B. Other Reservations: tick in the appropriate box Kannada Physically Project ExRural Medium challenged Displacement Person Serviceman ------8. Government employee

Yes

No

9. Working as Contract employee in KSPCB Yes

Qualification:

No Total Marks

Qualification

Should have passed 7th std. Examination. Knowledge of Kannada in writing and reading is essential

Marks Obtained

Percentage

7th Standard Examination

Self Declaration: The information provided in the above application is complete and correct. If found incorrect my application can be rejected and civil/criminal case can be lodged against me. Place: Date: Applicants signature