ONLINE APPLICATION FORM FOR DEPUTATION (INCLUDING SHORT-TERM CONTRACT) BRIC SECRETARIAT The last date for receiving the application is midnight of 21st December 2025 Post Applied For (Administrative Positions:): *Select PostDirector (Administrations)Director (Finance)Section OfficerPost Code *PERSONAL DETAILSName of the Applicant (in Block Letters): *Date of Birth *Present Designation: *Present Pay Level in the Pay Matrix: *Parent Organization/Department: *Address for CommunicationAddress for Communication: *Pin Code: *Email Address *Phone/Mobile *0 / 10EDUCATION QUALIFICATIONEducationExamination Passed *Year *Board/University *Subjects *Class/Division *Select DivisionFirst DivisionSecond DivisionThird DivisionNo DivisionDetails of Employment (in chronological order):Office/Organization *Post Held *From *To *Pay Level *Nature of Duties *Nature of Present Employment: *Please Select Present EmploymentPermanentDeputationContractualAd-hocWeather the applicant meets the eligibility criteria as per the RRs: *Please SelectYesNoWhether any vigilance/disciplinary case is pending or contemplates against the applicant ? *SelectYesNoIf yes, provide details:Whether any penalties (major/minor) imposed during the last 10 years ? *SelectYesNoIf yes, provide details:Education Qualification Certificates *Upload (.pdf), Max 2 MBChoose FileNo file chosenDelete uploaded fileAPARs of last 5 years *Upload (.pdf), Max 2 MBChoose FileNo file chosenDelete uploaded fileVigilance ClearanceUpload (.pdf), Max 500KBChoose FileNo file chosenDelete uploaded fileIntegrity Certificate *Upload (.pdf), Max 2 MBChoose FileNo file chosenDelete uploaded fileCadre Clearance *Upload (.pdf), Max 500KBChoose FileNo file chosenDelete uploaded fileStatement of Penalties (if any)Upload (.pdf), Max 500KBChoose FileNo file chosenDelete uploaded fileOther (Please specify)Choose FileNo file chosenDelete uploaded fileCERTIFICATE TO BE FURNISHED BY THE FORWARDING AUTHORITYUpload the FormatThis is certified that: The particulars furnished by the applicant have been verified and found correct. No vigilance/disciplinary case is either pending or contemplated against the applicant. The applicant has not been awarded any major/minor penalties during the last 10 years. Integrity of the officer is certified. The APARs for the last 5 years are enclosed. The cadre clearance is granted.Date: _____________Place: _____________(Signature with seal) Head of Office/ Competent Authority Name: _____________ Designation: _____________Upload Certificate furnished by the forwarding authority *Upload (.pdf), Max 4 MBChoose FileNo file chosenDelete uploaded fileDECLARATION *I hearby declare that the information furnished above is true and correct to the best of my knowledge and belief. I undestand that if any information is found to be false or incorrect, my candidature is liable to be cancelled at my stageRecent Passport-size Photograph. *Upload (.jpg/.png) Max 100 KBChoose FileNo file chosenDelete uploaded fileSignature *Upload (.jpg/.png), Max 50 KBChoose FileNo file chosenDelete uploaded fileApply
