Haryana Water Resources (Conservation, Regulation and Management) Authority
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Application Form
Post Name :
Consultant For Evaluation of Impact Assessment Reports on Honorary Basis
Applicant Name :
*
Father Name :
*
Mother Name :
*
Date of Birth :
*
Nationality :
*
Email Address :
*
Mobile No :
*
Permanent Address :
*
Correspondence Address :
*
If same as permanent address
Previous Employment Detail :
*
Retired Officer From CGWA
Retired Officer From CGWB
Any Other Govt./Semi Govt Organization
Last Pay Certificate :
*
(Upload last pay certificate only in pdf file)
Current Nature of Employment:
*
Select
Yes
No
Candidate will also certify that he/she is not Associated with any company conducting impact assessment :
*
(Upload Self Declaration, only pdf file)
Link Self Declaration Format
Resume/CV :
*
(only pdf file)
Educational Detail :
*
(Post Graduation)
Select
M.Sc in Geology
M.Sc in Applied Geology
M.Sc in Hydrology
M.Sc in Hydrogeology
M.Tech in Geology
M.Tech in Applied Geology
M.Tech in Hydrology
M.Tech in Hydrogeology
Any Other
(Upload Certificate only in pdf file)
Graduation :
*
(Upload Graduation Certificate only in pdf file)
Other Qualification(if any) :
(Upload Certificate only in pdf file)
Experience in Years :
*
Experience in evalution/preparation of reports regarding impact assessment of ground water extraction :
*
Select
Yes
No
Passport Size Photograph :
*
(only jpg file)
Identity Proof :
*
Aadhaar card
Voter ID card
PAN card
Passport
Driving license
Ration card
(only pdf file)
Details of any criminal cases pending or conviction, if any. :
Declaration : I hereby declare that the information furnished above is correct and nothing stated herein is false and nothing has been concealed. If on verification at any stage before or after the selection, it is found that a candidate does not fulfil all or any of the eligibility conditions or there is an issue of conflict of interest, his/her candidature/selection shall be liable to rejection.
Undertaking : I shall not engage myself in any work related to Impact Assessment report for Ground Water extraction, while working with the Authority.
Apply