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Application Form

The document is an application form for the position of Director (CEO) at TCoE India, requiring personal information, educational qualifications, and employment details from applicants. It includes sections for government and private sector candidates, a statement of purpose, references, and a declaration of truthfulness. Applicants must also provide a passport-sized photograph and may need to attach additional documents like resumes and certificates.

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Sekhar Gavvala
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16 views3 pages

Application Form

The document is an application form for the position of Director (CEO) at TCoE India, requiring personal information, educational qualifications, and employment details from applicants. It includes sections for government and private sector candidates, a statement of purpose, references, and a declaration of truthfulness. Applicants must also provide a passport-sized photograph and may need to attach additional documents like resumes and certificates.

Uploaded by

Sekhar Gavvala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form for the Position of Director(CEO) TCoE India

i. Applicant Type

Please select the category under which you are applying:


Passport Size
photograph duly
☐ Government - Deputation Candidate attested
☐ Government – Absorption Basis
☐ Private Sector/External Applicant

ii. Personal Information

• Full Name (in block letters):


• Date of Birth (DD/MM/YYYY):
• Age as of [Closing Date]:
• Gender: ☐ Male ☐ Female ☐ Other
• Nationality:
• Current Address:
Address Line 1:
Address Line 2:
City: State: PIN:
• Permanent Address:
Address Line 1:
Address Line 2:
City: State: PIN:
• Contact Details:
Mobile Number:
Alternate Phone Number:
Email Address:

iii. Educational Qualifications

Attach self-attested copies of certificates.

Degree Discipline Institution/University Year of Grade/Percentage


Completion

iv. Employment Details

a. For Government/Deputation Candidates


Provide details of your current and previous appointments:
Organization/Department Designation/ Duration Scale of Key
Post held (From-To) Pay and Responsibilities
Basic Pay (Max 100
words)

i. Date of Retirement (as per rules):


ii. Are you currently receiving a government pension? ☐ Yes ☐ No

b. For Private Sector/External Candidates

Provide details of your professional experience:

Organization/Company Designation Duration (From- Key Responsibilities


To) (Max 100 words)

Are you currently affiliated with any telecom-related organization? ☐ Yes ☐ No


If yes, provide details:

i. Specific Expertise

S. Area of Experience Brief Details of Working Experience


No. (Max 100 words)
1 Digital communications and ICT
Technologies
2 Startups and Incubation Programs
3 Technology Commercialization
4 Public-Private Partnerships (PPPs)
5 National or International Telecom
Policies
6 Telecom and cyber security, and
emerging telecom technologies
7 Strategic Revenue Generation Models

ii. Statement of Purpose

Attach a typed Statement of Purpose (max 500 words) explaining:


a. Your vision for TCoE India
b. How your expertise and experience align with the CEO role
c. Your plans to contribute to innovation and growth in the telecom sector
iii. References

Provide details of two professional references:

Name Designation Organization Contact


(Email/Phone)

iv. Additional information, if any, which you would like to mention. Also, enclose
your resume.

v. Declaration

I, the undersigned, declare that the information provided in this application is true and
complete to the best of my knowledge. I understand that providing false information may
result in disqualification or termination of the recruitment process.

Date:
Place:

Signature of the Applicant:

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