Southern Railway /  Salem Division
APPLICATION FOR ENGAGEMENT OF EX-SERVICEMEN AS GATEMEN ON CONTRACT BASIS IN ENGINEERING/OPERATING DEPT OF SALEM DIVISION
Name *
Father Name *
Aadhaar Number *
PAN (Permanent Account Number) *
Date of Birth *
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Date of attaining 55 years *
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Educational Qualification (Passed Qualification Only) *
Indicate the service (Army/Navy/Air Force) *
Rank in Military Service *
Military Service Number *
Date of Enrollment *
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Date of Attestation *
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Date of discharge *
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Total Service ( Years/Months/Days) *
Reasons for Discharge *
Ex Serviceman ID card Number *
PPO Number *
Physical Identification Marks 1 *
Physical Identification Marks 2 *
Permanent Address *
Address for Communication *
Mobile Number *
Previous experience if any in Railways *
Declaration :    I hereby declare that all the particulars furnished above are true and correct. I have gone through the terms and condition stipulated for the engagement of ex servicemen at Level Crossing Gates and i agree for my engagement as per terms specified fully, i also know that the engagement is purely on contract basis and will not any advantage or preference for any job/benefits/privileges in Railways.
Encl : Copies of Aadhaar, EXSM ID card, Discharge Certificate and Educational Qualification
Place *
Date *
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Signature of Applicant *
Submit
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