Annexure I. APPLICATION FORM (for the posts below Manager Cadre)



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Annexure I APPLICATION FORM (for the posts below Manager Cadre) Please affix recent Post applied for passport size photo Advertisement No. and Date 08/ 05-02-2016 1. Name of the Candidate (in BLOCK LETTERS) 2. Gender (Tick in relevant Box) Male Female 3 Date of Birth Date Month Year 4 Age as on 1 st Jan of the year (as the case may be) (in completed years) 5. Father s Name 6. Mother s Name 7 Marital Status Married Unmarried (Tick in relevant Box) 8 Spouse Name Husband / Wife 9 If applicant is Female Widow Destitute Widow Others 10 Place of Birth 11 Native District and State 12 If other than TN, Specify the Name of the State 13 Mother Tongue 14 Other languages known 15 Nationality Indian Others (Tick in relevant Box) 16 Religion (Please specify) 17 Address for Communication Door No. City/Village: Street Name: District: State: Pin code:

Permanent Address 18 Door No. Street Name: City/Village: State: District: Pin code: 19. Communal Category OC BC MBC SC SC(A) ST DNC (Please tick in relevant box) 20. Name of the Sub Caste a. Community Certificate No. b. Date of Issue Date Month Year c. Issuing Authority d. Name of the Taluk e. Name of the District 21. Are you a Differently Yes No Abled Person? If yes, please specify DW Inter Ex-Service man Freedom Burma / Owner Physically Orphans Not 22. Whether caste dependents of Fighter Ceylon of the Handi-capped appliccoming under Marri- Ex-service man, and Repatri- land exclusively able priority? age dependents of Thiyagis ate acquired Ortho serving Army fortamil by Govt. personnel s language If yes, tick the relevant box a. Certificate No. b. Date of Issue Date Month Year c. Issuing Authority d. Name of the District e. Name of the Taluk 23. Educational Medium of Name of the Institution Year of Total Marks % Grade / Qualification Instruction passing Marks Secured Class a. S.S.L.C b. H.S.C (+2) c. ITI/Teacher Training (2 years)

d. Diploma e. Degree (3 years) f. Diploma in Co -Operation g. Post Graduate Degree h. M.Phil i. Ph.D j. PG.Diploma k. Typing Tamil l. Typing English Shorthand in m. Tamil Shorthand in n. English o. Others Name and address of the Institution Designation Scale of Pay From To 24. Details of Previous employment if any 25. Details of conviction / Punishment / Disqualification / criminal case, disciplinary proceedings etc., if any 26. Mobile No / Phone No 27. Declaration: I, hereby, declare that all the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the examination, action can be taken against me by Salem DCMPU Ltd. Date: Place: Signature of the Candidate Encl : 1. Self attested xerox copies of Certificates 2. Self Addressed envelope -3 Nos. (Size 27 x 11 cm) 3. Self addressed post card

Annexure II Format for Envelope for submission of filled in applications (Please write following on the envelope) APPLICATION FOR THE POST OF.. Advertisement No. -.. 2015 To The General Manager, The Salem District Co-operative Milk Producers Union Ltd Sithanur Thalavaipatty Salem - 636302 From.....

Annexure iii The Salem District Cooperative Milk Producers Unions ADDITIONAL INFORMATION AND INSTRUCTIONS TO THE CANDIDATES 1. Name of the District Cooperative Milk Producers Union and address : The Salem District Cooperative Milk Producers Unions Ltd Sithanur Thalavaipatty Salem 636302 2. Jurisdiction of the District Cooperative Milk Producers Union : Salem and Namakkal Districts 3. Name of the post and vacancies to be filled up and educational qualification prescribed Sl.No Name of the Post Required Qualification Pay Scale No.of posts 1 Extension Officer Grade II 2 Junior Executive (Office) 3 Junior Executive (Lab) 4 Technician (Operation) 5 Technician (Refrigeration) Must be a graduate in any discipline and have passed in Cooperative Training and completion of 10 years of service in MPCS (or) 1.A Pass in 10 th std /SSLC exam or its equivalent and have passed in Cooperative Training with 15 years experience in MPCS. 2.Should have remaining service of minimum 5 years. Exemption for holders of degree in BA (Co-op) or B.Com (Co-op) from passing Co-operative Training 1. Must be a Graduate in any discipline 2. Must have passed in Co-operative Training Exemption for holders of degree in BA (Co-op) of B.Com (Co-op) from passing Co-operative Training. 3. Must have completed 10 years of service in MPCS 4.Should have remaining service of minimum 5 years 1. A pass in 10 th Std /SSLC or its equivalent 2. Must possess 2 years diploma in Lab Technician issued by the Government / Government approved institutions 3. 10 years experience in MPCS 4. Should have remaining service of minimum 5 years 1. Must be a holder of ITI Certificate in trade concerned. 2. 5 Years experience in MPCS 3.Should have remaining service of minimum 5 years. 1. A pass in 10 th Std / SSLC or its equivalent 2.ITI Certificate in Refrigeration & Air Conditioning Mechanic with NTC 3.Must possess 5 years experience in MPCS 4.Should have remaining service of minimum 5 years 13 4 3 3 2

2. No. of application to be sent If a candidate is eligible for more than one post he / she should send separate application for each post. The filled in application, complete in all respects along with xerox copies of required documents particularly mark sheet and other enclosures as mentioned in S.No.8 should be sent to the address mentioned in the advertisement either by Registered Post or Speed Post on or before last date. If sent by any other mode, it is the responsibility of the candidate to ensure the receipt of the application in the office before the last date mentioned in the advertisement. Management will not be responsible for postal delay, if any. The envelope containing the application should mention the post to which the application relates and should be written in the format indicated below 3. Selection Procedure -For the posts below Manager cadre Selection will be made based on the marks obtained by the candidate in the academic qualification and oral test as follows:- Allocation of Marks 1. Extension Officer Grade II 1 Marks obtained in the prescribed academic qualification 20 10-15 years - 10 marks 16 20 years - 13 marks 21-25 years 16 marks Above 25 years 20 marks 20 2. Junior Executive (Office) 1 Marks obtained in the prescribed academic qualification 20 10-15 years - 10 marks 16 20 years - 13 marks 21-25 years 16 marks Above 25 years 20 marks 20

3. Technician (Lab) / Junior Executive (Lab) 1 Marks obtained in the SSLC / X Std 10 2 Marks obtained in Diploma 10 up to 10 years 10 marks 11-15 years 13 marks 16-20 years 16 marks and above 20 years 20 marks 20 4. Technician (Operation) 1 Marks obtained in the SSLC / X Std 10 2 Marks obtained in ITI 10 up to 10 years 10 marks 11-15 years 13 marks 16-20 years 16 marks and above 20 years 20 marks 20 5. Technician (Refrigeration) 1 Marks obtained in the SSLC / X Std 10 2 Marks obtained in ITI 10 up to 10 years 10 marks 11-15 years 13 marks 16-20 years 16 marks and above 20 years 20 marks 20 4. Qualification in Tamil Every candidate on the date of the Notification for the post should possess an adequate knowledge in Tamil Explanation : For this purpose a person will be deemed to possess an adequate knowledge in Tamil : (a) In the case of a post for which the educational qualification prescribed is the Minimum General Educational Qualification and above, he/she must have passed the S.S.L.C Public Examination with Tamil Medium. [OR] (b) The candidate should pass the Tamil language proficiency test, conducted by the Tamil Nadu Public Service Commission within 3 years from the date of entry into service.

5. Disqualification/Debarment Disqualification: i. If a candidate attempts to canvas to bring influence on the authorities concerned or any member of the Committees personally / by letter/ through relatives, friends, patrons, officials or other persons. ii. iii. If a candidate appeals to examiner in the answer books to value liberally / award more marks / be sympathetic etc., If a candidate writes anything unconnected to the question or any irrelevant / impertinent matter. iv. Candidates should write their Roll No. only in the place prescribed in the question booklet for written test. Writing their name or any type of marking other than answers anywhere in the booklet will result in non evaluation of the answers in the written test. Debarment (a) If the applicant attempts any tampering, alteration with the documents or certificates, he is liable to be debarred from appearing for any of the selections and examinations conducted by the Management and consequently from entry into service. (b) (i) Candidates furnishing false particulars in the matter of qualification or the nature of pass in various subjects, experience gained, their religion or community etc. (ii) Suppression of material information regarding (a) Employment in Government or Local Bodies, Public Corporations etc., (b) Information regarding arrest, convictions / debarment / disqualification by any recruiting agency, criminal or any disciplinary proceeding initiated or finalized, participation in agitation or any political Organisation, candidature in election for Parliament / State Legislature / Local Bodies etc., if any, should also be furnished to the Management at the time of application i.e the details thereof, originals of the Judgement of Acquittals, order / or G.O dropping further action in Departmental proceedings or any document that may prove the suitability of such candidates for an appointment must be produced at the stage / time of Certificate Verification. (c) Making false or vexatious allegations against the Management in petitions addressed to it or any other authority, will be viewed seriously and that the candidate responsible for such act will be debarred from appearing for the written test and selections by the Management permanently or for such a period as the Management may decide 6. Payment of TA & DA (d) Their admission at all the stages of examination for which they are admitted by the Management viz. oral Test will be purely provisional, subject to their satisfying the prescribed eligibility conditions. If on verification any time before or after oral test, it is found that they do not fulfill any of the eligibility conditions, their candidature for the examination will be cancelled by the Management. Candidate is not entitled for travelling allowance and Dearness Allowance.

7. Probation post. Candidates selected and appointed to a post should undergo probation prescribed for the At any time before the end of the prescribed period of probation, the probation of a candidate appointed may be terminated and he may be discharged from the service. 8. List of Documents to be produced at the time of Certificate Verification /Oral Test (*If applicable) : (i) Evidence of Date of Birth (SSLC / HSC / TC) (ii) Community Certificate from the competent authority (ie. Life card)* (iii) Evidence of Educational Qualifications (SSLC / HSC / Diploma / Degree / PG Degree or Provisional certificate etc.) with Mark Sheets. (iv) The employee should produce Experience Certificate issued by the Board of the Milk Producers Co-operative Society concerned. This certificate should be based on the records of the society. (v) Evidence of Tamil qualification (viz. SSLC /HSC / Degree/ Certificate for having passed Tamil conducted by the Tamil Nadu Public Service Commission).