Nomination Form
ADVERTISEMENT
1
2
3NOMINATION FORM
Annexure-II
Please read the instructions provided on Page No.-3 before filling up the Nomination form: -
Course Title: __________________________________________________ Course Code: ____________
Date: From ________________________ to ________________________
First* * * *
Last* * * *
1.
Middle
Name in English:
Name in Hindi:
2.
Father’s / Spouse’s Name:
Service / Cadre &
Date of joining /
3.
4.
Grade/Rank* * * *
:
last promotion:
5.
Pay Band:
6.
Grade Pay /
Scale of Pay:
7.
Gender:
8.
Date of
Birth* * * *
:
9.
Organisation
10. Organisation
Name* * * *
:
Type* * * *
:
11. Organisation Street
12. Organisation
Address* * * *
:
City* * * *
:
13. Organisation
14. Pin
Code* * * *
:
State* * * *
:
15. Organisation
16. Organisation
Email* * * *
:
Phone* * * *
:
17. Residence Street
18. Residence
City* * * *
:
Address* * * *
:
Code* * * *
19. Residence State:
20. Pin
:
Email* * * *
21. Personal
:
22. Personal
Phone* * * *
:
Category* * * *
23.
:
24. Emergency
(SC/ST/OBC/GEN)
Contact
Details* * * *
:
25. Educational
Qualification* * * *
:
26. Service to which
belongs* * * *
:
27. Brief Service Particulars:
S.
Post Name
From
To
Scale of
Nature of Duty
No.
Pay
1 |
P a g e
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business