Staff Application Form

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STAFF APPLICATION FORM
Post Applied (specify Subject):
BIO -DATA
Recent passport
size photograph
1.
Name (In Block Letters):
..............................................................
2.
Father’s/Husband’s Name: ..............................................................
3.
Date of Birth:
..............................................................
4.
Age as on 15.06.2014:
..............................................................
5.
Nationality:
..............................................................
6.
Present Postal Address.
.........................................................................................
.........................................................................................
.........................................................................................
7.
Permanent Address:
.........................................................................................
.........................................................................................
8.
Contact Number:
.........................................................................................
9.
Email address.
.........................................................................................
10. Educational Qualification: (Matriculation Onwards)
S.
Exam Passed Board/
Year of
Percent-
Subject/Specialization
No
University
Passing
age
1.
2.
3.
4.
5.
6.
7.
11. Experience:
S.
Name of Institution
Post Held
Salary
Date of
Date of
No
Joining
Leaving
12. Any other relevant information if any:
I do hereby affirm that all the information stated above is true and correct to the best of my
knowledge and belief and if any information found wrong/incorrect at any stage my candidature
will liable to be terminated at any time without assigning any reason thereof.
Signature of the candidate
Place:
Date:

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