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
Please Select Post
Applicant Name :
*
Please enter Applicant Name
Father Name :
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Please enter Father Name
Mother Name :
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Date of Birth :
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Nationality :
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Email Address :
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Mobile No :
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Permanent Address :
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Correspondence Address :
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If same as permanent address
Please enter Correspondence Address
Previous Employment Detail :
*
Retired Officer From CGWA
Retired Officer From CGWB
Any Other Govt./Semi Govt Organization
Last Pay Certificate :
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(Upload last pay certificate only in pdf file)
Upload pdf only.
Please upload Last Pay Certificate .
Current Nature of Employment:
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Yes
No
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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
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Please upload Self Declaration
Resume/CV :
*
(only pdf file)
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Please upload resume.
Educational Detail :
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(Post Graduation)
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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
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(Upload Certificate only in pdf file)
Upload pdf only.
Please Upload Post Graduation Certificate.
Graduation :
*
(Upload Graduation Certificate only in pdf file)
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Please Upload Graduation Certificate.
Other Qualification(if any) :
(Upload Certificate only in pdf file)
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Experience in Years :
*
Please enter Experience Years
Experience in evalution/preparation of reports regarding impact assessment of ground water extraction :
*
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Yes
No
Please Select
Passport Size Photograph :
*
(only jpg file)
Upload jpg only.
Please Upload Passport Size Photographs.
Identity Proof :
*
Aadhaar card
Voter ID card
PAN card
Passport
Driving license
Ration card
(only pdf file)
Upload pdf only.
Please Upload Identity Proof
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.
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