Application Format (To Be Submitted In A4 Size Paper)
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1
2APPLICATION FORMAT (To be submitted in A4 size paper)
1.
POST APPLIED FOR :
2.
Name of the applicant :
Affix passport size
(in capital letters)
photograph duly
3.
Father’s name:
signed by the
(in capital letters)
candidate
4.
Date of Birth :
Day
Month
Year
5.
Gender - Please tick ( √)
:Male
Female
6.
i) Caste/Category - Please tick (√)
:General
OBC
SC
ST
Caste/Community Certificate should
( Non Creamy Layer)
be attached
ii) Religion
:
iii) Whether Physically Challenged
Yes
No
Please tick (√)
If yes, type & percentage of Disability: Locomotor
Hearing impaired
Disability Percentage:_______%
Decibels : __________
iv) Ex-servicemen
: Yes/No
(in case of Ex-servicemen, no. of years rendered)
7.
State of Domicile
:
8.
Postal address
:
:
:
:
9. Academic & Professional Qualification
:
Examination
Name of
University
Specialization
Year of
Marks
% of
Passed
Course
/ State
passing
obtained
marks
SSC
Intermediate
Degree
PG Degree
Diploma
10. Experience:
Name of
Period
Nature of organization
Work experience
organization &
Address
From
To
11. Bank Demand Draft :No.:
Amount Rs.
Dt.:
Bank:
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Parent category: Business