Annexure-i applicationform



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Application Form for BCs (2)

Annexure-I APPLICATIONFORM

(For theCandidatesworkingin MPCS,Madurai

Union Only) Please affix recent passport sizephoto


Post applied for

EXTENSION OFFICER (GRATE II)

AdvertisementNo .

and Date

7396/பணிக்குழு.1/2016 15.02.2021



here



1.

Name oftheCandidate

(inBLOCKLETTERS)



KAVITHA

2.

Gender( Tick inrelevant Box)

Male




Female



3.

Date ofBirth

Date

2

5

Month

0

1

Year

1

9

8

1

4.

Ageason1stJan/1stJuly of

the year ( asthe case maybe)

(incompleteyears)


40

5.

Father’s Name

PALSAMY

6.

Mother’s Name

KARUPPAYYEE

7.

Marital Status

( Tick in relevant Box)



Married




Unmarried




8.

SpouseName

Husband/Wife



CHELLAPANDY R

9.

Ifapplicant isFemale

Widow




Destitute

Widow




Others




10.

Place of Birth

KARUMATHUR

11.

Native Districtand State

KARUMATHUR, USILAMPATTI, MADURAI, TAMIL NADU

12.

If otherthan TN, Specify the

Name oftheState






13.

Mother Tongue

TAMIL

14.

OtherLanguages known

ENGLISH

15.

Nationality

( Tick in relevant Box)



Indian




Others




16.

Religion (Please specify)

HINDU

17.

AddressforCommunication

Door No. 186

StreetName:PASUMPON NAGAR,KARUMATHUR

City/ Village:KARUMATHUR

District :MADURAI

State:TAMIL NADU

Pin Code:

625514




18.

Permanent Address




Door No.

StreetName:




City/ Village:

District :




State:

Pin Code:




19.

CommunalCategory

( PleaseTick inrelevant Box)



OC

BC

MBC

SC

SC(A)

ST

DNC






















20.

Name of the Sub Caste







a.

Community Certificate No.







b..

Date of Issue

Date







Month




Year
















c.

Issuing Authority







d.

Name o f the Taluk







e.

Name of the District







21.

Are you a Differently Abled

Person?



Yes




No







If Yes, pleasespecify







22

EducationalQualification


Medium of

Instruction

Name of the Institution


Year ofPassing


Total Marks




Marks

Secured


%



Grade/ Class




a.

S.S.L.C

























b.

H.S.C.(+2)

























c.

ITI (2 Years)

























d.

Diploma

























e.

Degree(3 years)

























f.

Diploma in Co-op.

























g.

PostGraduate

Degree


























h.

P.G.Diploma in Computer

Application



























i.

Others-TYPEWRITING

























23.

Details of previous employment if any

Name and address of the institution

Designation



Salary drawn

From


To























24.

Detailsofconviction/

punishment/ Disqualification/criminal case,disciplinary proceedingsetc.,ifany









25.

FeesRemittance

Details


Amount

(Rs.)


DDNo.

Date

Name of the Bank




250







INDIAN OVERSEASE BANK




26.

MobileNo./PhoneNo

9786370141

9790516049










27.Declaration:

Ihereby,declarethatalltheparticulars furnishedinthisapplicationaretrue,correctand complete tothebestofmyknowledgeandbelief.Intheeventofanyinformation beingfound falseorincorrectorineligibilitybeingdetectedbeforeoraftertheexamination, actioncanbe takenagainstmebyMaduraiDistrictCo-operativeMilkProducers’UnionLtd,Madurai-20


Date:
Place: SignatureoftheCandidate

Encl: 1.SelfattestedXeroxcopiesofCertificate

2.DemandDraftforRs.250/-

3.Selfaddressedenvelope–3 Nos.(Size27x11cm)

4.2 copiesofHallTicketdulyfilledinandaffixingthepassportsize

Photograph.



5.Selfaddressedpostcard.

6.PassportsizePhoto– 2 Nos.

7.ExperienceCertificateissuedbytheBoardofMilkProducer’sCooperativeSociety

Concerned.


(Shouldbeenclosedalongwithapplication)
MaduraiDistrictCo-operativeMilkProducers’UnionLimited, Madurai- 20

HALLTICKET
Writtentestforthepostof………………….-……’2017
1. RollNo. :

(Willbeassignedby themanagement) Please affix recentpassport



2.NameoftheCandidate :
3.AddressoftheCandidate :
4.WrittenTest(tobefilledbythemanagement)

size photo here






Dateandtimeofwrittentest

VenueoftheExamination

………………….FN/AN






SignatureoftheCandidate Authorizedsignatorywithseal

(NotbelowtherankofDM(O))

ImportantInstructions
1. In the Hall ticketthe Roll No. need notbe filled upby the applicantat thetime of submission and the same willbeassigned by the Management whilesending Hall ticket for appearing written test. Candidateto fill up name and address only. Candidatetosign at demarked spaceand paste photo and signacrossit.
2. Candidates areinstructedtobringthisHallTicketforthewrittentest.Candidates withoutHallTicketswillnot beallowed towritethe writtentest.Candidates withoutHallTickets willnot be allowed to write the writtentest.
3. Written Test will commence from10.00 a.m.for the ForenoonSession / from

2.30p.m. forafternoon Session.


4. Candidatesappearingforthewritten testshouldbepresentatleasthalfanhour before the commencement of the written test. Candidates comingafter 15 minutesofthestartofthewrittentestwillnotbeallowedtowritethewritten test.

5. Candidatesarepermitted to write the answers with Blue orBlack ball pointpen only.

6. No mobiles and electronic devices will be allowed inside theexamination Hall.


the writtentest. Failure toreturnthe Question booklet will resultin non- evaluation of the answers ofthe candidate.

8. No candidate will be allowed to leave theExamination Hall tillthe time of closure of the writtentest.

9. Admission to written test will not confer any right ofappointment.

10.Please see Additional Information and Instructions to Candidates-1 and 2in website www.aavin.com.

11.If any error inname andaddress is noticed,the candidate should intimate promptly to the Management beforethe publication ofresult for rectification and subsequent requestwillnot be complied with.

12.Candidates shouldwrite their Roll No. only inthe place prescribed in the questionbookletforwrittentest.Writingtheirnameoranytypeofmarking otherthananswersinthebookletwillresult innonevaluationof theanswersin the writtentest.



MaduraiDistrictCo-operativeMilkProducers’UnionLimited,Madurai-20
HALLTICKET
Writtentestforthepostof………………….-…....’2017

1.RollNo. :

(Willbeassignedby theManagement) Please affix


2.NameoftheCandidate : recentpassport size photo here
3.AddressoftheCandidate :
4.WrittenTest(tobefilledbytheManagement)


Dateandtimeofwrittentest

VenueoftheExamination

………………….FN/AN






SignatureoftheCandidate Authorizedsignatorywithseal

(NotbelowtherankofDM(O))
ImportantInstructions
1. In the Hall ticketthe Roll No. need notbe filled upby the applicantat thetime of submission and the same willbeassigned by the Management while sending Hall ticket for appearing written test. Candidateto fill up name and address only. Candidatetosign at demarked spaceand paste photo and signacrossit.
2. Candidates areinstructedtobringthisHallTicketforthewrittentest.Candidates withoutHallTicketswillnot beallowed towritethe writtentest.Candidates withoutHallTickets willnot be allowed to write the writtentest.
3. Written Test will commence from10.00 a.m.for the ForenoonSession / from

2.30p.m. forafternoon Session.


4. Candidatesappearingforthewritten testshouldbepresentatleasthalfanhour before the commencement of the written test. Candidates comingafter 15 minutesofthestartofthewrittentestwillnotbeallowedtowritethewritten test.

5. Candidatesarepermitted to write the answers with Blue orBlack ball pointpen only.

6. No mobiles and electronic devices will be allowed inside theexamination Hall.

7. The Candidate should return the Question booklet to the Invigilatorat theend of the writtentest. Failure to returnthe Question booklet will resultin non- evaluation of the answers ofthe candidate.

8. No candidate will be allowed to leave theExamination Hall tillthe time of closure of the writtentest.

9. Admission to written test will not confer any right of appointment.

10.Please see Additional Information and Instructions to Candidates-1 and 2in website www.aavin.com.

11.If any error inname andaddress is noticed,the candidate should intimate promptly to the Management beforethe publication ofresult for rectification and subsequent requestwillnot be complied with.

12.Candidates shouldwrite their Roll No. only inthe place prescribed in the questionbookletforwrittentest.Writingtheirnameoranytypeofmarking otherthananswersinthebookletwillresult innonevaluationof theanswersin the writtentest.

Annexure– II

FormatforEnvelopeforsubmissionoffilledinapplications

(Pleasewritefollowingontheenvelope)

APPLICATIONFOR THE POSTOF .................................. Advertisement No.02/2017/MPCS

To
TheGeneralManager,

MaduraiDistrictCo-operativeMilkProducers’

UnionLimited, Sathamangalam, Madurai-20


From
...........................

...................................

...............................................


Annexure– V

MaduraiDistrictCo-operativeMilkProducers’UnionLtd.,

Madurai-20

ADDITIONALINFORMATIONANDINSTRUCTIONSTOTHECANDIDATES-1”

1.NameoftheDistrictCooperative :Madurai DistrictCo-operative

MilkProducers’UnionLimited, MilkProducers’UnionLimited,

Sathamanagalam, Madurai-20


2.JurisdictionoftheDistrictCooperative


MilkProducersUnion
:Madurai& Theni District

3.NameofthePostandvacanciestobefilled

upandeducationalqualificationPrescribed :



Sl. No

.

Nameofthe

Post


Scaleof


Pay

Vacancy


EducationalQualification prescribed





1.

Junior Executive

(Office)


Rs.5200-

20200+GradePay

Rs.2400/-




03

1. MustbeaGraduate in anydiscipline.

2. Mustpossess a Cooperative

Training. Exemption forB.A(Co.op)

/ B.Com(Co.op) frompossessing cooperativetraining.



3. Must havecompleted10years of service inMPCS

4. Should haveremainingserviceof minimum5years



2.

Extension Officer

(GradeII)



Rs.5200-20200 + Grade PayRs.2400/-

07

1.Mustbea Graduate in anydiscipline

and have passedinCooperativetraining and completion of 10 yearsof service in

MPCS.

(Or)


1. A passin 10thstd/SSLC examorits equivalent andhavepassedin cooperativetraining with 15years experiencein MPCS.

2. Should haveremainingservice of minimum5years

Exemption for holders of degree in B.A(Co.op) orB.Com(Co.op)from passing Cooperativetraining.


4.Numberofapplicationtobesent:

Ifacandidate iseligibleformorethanonepost,He/Sheshouldsendseparate applicationforeachpost.Thefilledinapplication,complete inallrespectsalongwithXerox copiesofrequireddocumentsandotherenclosuresshouldbesent tothe addressmentionedin theadvertisementeitherbyRegisteredPostorSpeedPost.Ifsentbyanyother mode,itisthe responsibilityofthecandidatetoensurethereceiptoftheapplicationintheofficebeforethe lastdatementionedintheadvertisement.Managementwillnotberesponsibleforpostal delay,ifany.Theenvelopecontaining theapplication shouldmentiontheposttowhichthe applicationrelatesandshouldbewrittenintheformatindicatedbelow.




5 (A)SelectionProcedure– ForthecandidatesfromMPCSonly:

Selectionwillbemadebasedonthemarksobtainedbythecandidateintheacademic qualification,experience,writtentestandoraltest.


a)Foracademicqualification 20Marks b)Experience 20Marks c)WrittenTest 50Marks d)ForOraltest 10Marks Total 100Marks
AllocationofMarks
JuniorExecutive(Office)

Sl.No.

Detail

Max.Marks



1.

Marks obtained in theprescribedacademic

qualification



20

2.

Experience

10-15Years 10Marks

16-20Years 13Marks

21-25Years 16Marks

Above25Years20Marks



20

3.

WrittenTest

50

4.

OralTest

10




Total

100

ExtensionOfficer(GradeII):


Sl.No.


Detail

Max.Marks


1.

Marks obtained in theprescribedacademic

qualification



20

2.

Experience

10-15Years 10Marks

16-20Years 13Marks

21-25Years 16Marks

Above25Years20Marks



20

3.

WrittenTest

50

4.

OralTest

10




Total

100

Annexure– IV
ADDITIONALINFORMATIONANDINSTRUCTIONSTOTHECANDIDATES-2”

1. Applications
Ifacandidateiseligibleformorethanoneposthe/sheshouldsendseparateapplication for eachpost.Thefilledinapplication,completeinall respectsalongwithXeroxcopiesofrequired documentsshouldbesenttotheaddressmentionedintheadvertisementeitherbyRegistered postorspeedPost.Ifsentbyanyothermode,itistheresponsibilityofthecandidatetoensure thereceiptoftheapplication intheofficebeforethelastdatementioned intheadvertisement. Managementwillnotberesponsibleforpostaldelay,ifany.


2. ModeofPaymentofExaminationFeewhereeverapplicable
Payment offeeshouldbemadebywayofdemanddraftonly,drawninfavour GeneralManager,MaduraiDistrictCo-operative MilkProducers’Union,Madurai-20and payableatMadurai.DemanddraftcanbedrawninanyoneoftheNationalizedBanks/ CooperativeBanks.Demanddraftsobtainedearliertothedateofadvertisement willnotbe acceptedandanyothermodesofpaymentlikecheque,postalorderandcashwillnotbe accepted.
3. QualificationinTamil
EverycandidateonthedateoftheNotificationforthepostshouldpossessanadequate knowledgeinTamil.
Explanation:Forthispurposeapersonwillbedeemedtopossessandadequateknowledgein
Tamil:
(a) Inthecaseofapostforwhichtheeducationalqualificationprescribedisthe MinimumGeneralEducationalQualificationandabove,He/Shemusthave passedtheS.S.L.C.PublicExaminationwithTamilMedium.

(OR)
(b) ThecandidateshouldpasstheTamilLanguageproficiencytest,conductedbythe TamilnaduPublicServiceCommissionwithin3yearsfromthedateofentryinto service.


4. CommunityCertificate

InthecaseofanapplicantwhoclaimstobeamemberofSC/SC(A)orSTorMBC/DCor

BC(OtherthanBMC)OFBMC,acertificatefromthefollowingauthority

notedagainsteachshouldbeproducedintheformasspecifiedinG.O.Ms.No.781,Revenue



Department,Dated2ndMay1988.


NameoftheCommunity

Competentauthoritytoissue theCertificate

1. ST

R.D.O/Asst.Collector/SubCollector/

PersonalAssistant(General)totheCollector ofChennai/ DistrictAdi-DravidarWelfare officer.



2. SC/SC(A)

TalukTahsildar

3. MBC/DC,BC(Otherthan

Muslim)andBCM



RevenueOfficernotlowerinrankthana

TahsildarorHeadQuartersDeputyTahsildar orSpecialDeputyTashildarappointedto

issueCommunityCertificate.AdditionalHead QuartersDeputyTahsildarandZonalDeputy Tahsildar.


4. ThottiaNaicker(including

Rajakambalam,Gollavar, sillavar,Thockalavar. ThozhuvaNaickerand Erragollar)includedinthelist ofMBC/DC)


HeadQuartersDeputyTahsildar.



Community Certificateshouldhavebeenissuedbythecompetentauthoritiesreferredto above,inwhosejurisdiction thecandidateclaimstohavepermanent residence. TheCertificate obtainedby thecandidatesin theformotherthantheoneprescribedin G.O.Ms.No.781,Revenue Department, Dated2ndMay1988andsolelybasedontheentriesinS.S.L.C.orTransfer CertificateorotherSchool/Collegerecordswillnotbeaccepted.


Candidates arewarnedthatifthecommunityrecordedinthecertificateproducedby themfromthecompetent authorityisnotincludedinthelistofScheduled Castes,Scheduled Tribes,MostBackwardClasses/De-notifiedCommunitiesorBackwardclasses,theywillnot beconsideredasbelongingto

Scheduled Caste, Scheduled Tribes or Backward Classes/De-notified Communities or BackwardClassesasthecasemaybe.Theywill,inthatcase,beconsideredonlyunder‘Others’ andif theyarenotqualifiedtobeconsideredunder‘Others’,theirapplicationswillberejected.


5. CommunicationwiththeManagement

i) AnycommunicationintendedfortheManagementmustbemadeinwriting

andaddressedonlytotheGeneralManager,MaduraiDistrictCo-operativeMilk

Producers’UnionLimited,SathamangalamRoad,Madurai-20

PostageStampswiththeaddresstowhichthereplyistobesent.

iii) Communicationsaskingforreasonsfornon-selectionandrequestforexemption fromagelimitorotherqualificationswillnotreceiveanyattention.


iv) TheManagementwillreceivecommunicationsonlyfromcandidates.

Communicationsinthenameofpleaderoragentwillnotreceiveanyattention.

6. Disqualification/Debarment
Disqualification:

i. Ifacandidateattemptstocanvastobringinfluenceontheauthoritiesconcernedor any memberoftheCommitteespersonally/byletter/throughrelatives,friends, patrons,officialsorotherpersons.



Debarment

(a) If theapplicant attempts any tampering, alteration with the documents or certificates, heisliabletobedebarredfromappearingforanyoftheselections conductedbytheManagementandconsequentlyfromentryintoservice.

(b)(i)Candidatesfurnishingfalseparticularsinthematterofqualificationorthenature ofpassinvarioussubjects,experiencegained,theirreligionorcommunityetc.

(ii)Suppressionofmaterialsinformationregarding


(a)EmploymentinGovernmentorLocalBodies,PublicCorporationsetc.,

(b)Informationregardingarrest,convictions/debarment/Disqualificationby anyrecruitingagency,criminalorany

disciplinaryproceedinginitiatedorfinalized,participationinagitationorany politicalOrganization,candidatureinelectionforParliament

/ StateLegislature/ LocalBodiesetc.,ifany,shouldalsobefurnished to the Managementatthetimeofapplicationi.ethedetails thereof,originalsofthe Judgment of Acquittals order / or G.O dropping further action in Departmentalproceedings oranydocumentthatmayprovethesuitabilityof suchcandidates foranappointment mustbeproducedatthestage/timeof CertificateVerification.


addressedtoitornayotherauthority, willbeviewedseriouslyandthatthe candidateresponsible forsuchactwillbedebarredfromappearingfor selectionsbytheManagement permanently orforsuchaperiodasthe Managementmaydecide.

(d)Theiradmissionatallthestagesofexaminationforwhichtheyare


admittedby theManagementviz.oralTestwillbepurelyprovisional,subject totheirsatisfyingtheprescribedeligibilityconditions. Ifonverificationany timebeforeoraftertheoraltest,itisfoundthattheydonotfulfill anyofthe eligibilityconditions,their

candidaturefortheexaminationwillbecancelledby theManagement.



7. WrittenTest

Therewillbeawrittentestforthe selectionofpostearmarkedintheadvertisement. IntheHallticket,theRollNo.neednotbefilledupbytheapplicant atthetimeof submission of application. Hall ticket duly authorized by the authority will be communicatedmentioningtheRollNo.,date,timeandvenueofthewrittentest.



8.Syllabus:

SyllabusforthepostofExtensionOfficerGradeII&JuniorExecutive (Office)willbe intherelatedsubjects.Thequestion papershouldbepreparedwithquestions relatedto Cooperation, reasoningandgeneralknowledgeetc.,andthequestionswillbeofSSLC standard.SyllabusforthepostofTechnicians willberelatedsubject,reasoningandgeneral knowledgeetc.


9.PaymentofTA&DA
CandidateisnotentitledforTravellingAllowanceandDearnessAllowance.
10.Probation



post.

Candidatesselected andappointedtoapostshould undergoprobation prescribedforthe


Atanytimebeforetheendoftheprescribedperiodofprobation,theprobationofa candidateappointedmaybeterminatedandhe maybedischargedfromtheservice.



11.Otherconditions
Thosecandidateswhohaveanoverallscoreoflessthan40%shallnotbeconsideredfor selection.

(i) SelectionofcandidatesbyManagementcarrieswithit noguaranteeofactual appointment.

(ii) TheNumberofvacanciesadvertisedisonlyapproximateandisliableto modification.

(iii) Anyclaimbyacandidatethathe/shehasobtainedahigheroradditional qualificationmadeafterthesubmissionofanapplicationwillnotbeentertained.

(iv) Theclaimsofthecandidateswithregardtothedateofbirth,educational/technical qualificationsandcommunityareacceptedonlyon theinformationfurnishedby themintheirapplications.Theircandidaturethereforewillbeprovisionaland subjecttotheManagementsatisfyingitself,abouttheirage,educational/technical

qualifications,communityetc.Mereadmissiontotheintervieworinclusionofname inthelistwillnotconferonthecandidatesanyrightforappointment.The candidatureistherefore,provisionalatallstagesandtheManagementreservesthe righttorejectanycandidatureatanystage,evenaftertheselectionhasbeen made.

(v) Thecandidatureofcandidates,iffoundineligible,shallstandcancelledevenafter declarationoftheirresult.

(vi) Acandidatefoundby theManagementqualifiedtocompetefortheAppointment mu st bepreparedtoappearwhensummonedbeforetheManagementattheplace notifiedattheirownexpenses.


12. ListofDocumentstobeproducedatthetimeofCertificateVerification/OralTest

(*ifapplicable):
(i) EvidenceofDateofBirth(SSLC/HSC/TC)
(ii) CommunityCertificatefromthecompetentauthority(i.e.Lifecard)*.
(iii) EvidenceofEducationalQualifications(SSLC/ HSC/ Diploma/ Degree/PG

degreeorProvisionalcertificateetc.)


(iv) EvidenceforTypewriting/Shorthandqualifications*.
(v) EvidenceofTamilqualification(viz.SSLC/HSC/Degree/Certificateforhaving passedTamilconductedbytheTamilNadupublicServiceCommission).
vi) ExperiencecertificateissuedbytheBoardoftheMilkProducer’sCooperative

Societyconcerned.ThiscertificateshouldbebasedontherecordsoftheSociety.
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