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Application Format

The document outlines the application format for a job position, requiring personal details, educational qualifications, work experience, and a declaration of truthfulness. Applicants must provide supporting documents and a recent photograph. It emphasizes the importance of accuracy in the information provided, with consequences for any discrepancies.

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smmaniks1435
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18 views2 pages

Application Format

The document outlines the application format for a job position, requiring personal details, educational qualifications, work experience, and a declaration of truthfulness. Applicants must provide supporting documents and a recent photograph. It emphasizes the importance of accuracy in the information provided, with consequences for any discrepancies.

Uploaded by

smmaniks1435
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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Format for Application

Advertisement No. : Please refer the Advertisement details*


Affix self-
Position Applied for : attested
recent passport
Post Code : size photograph
here.

1. Name in full (in Block letters):

2. Father’s/Husband’s Name:

3. Permanent Address including:


Phone, fax, e-mail

4. Address for correspondence:

5. (a) Date of Birth : Date: Month: Year :

(Attested copy of proof of age to be attached)

(b) Age as on (01.04.2024): Years Months Days

6. Whether SC/ST/OBC/EWS/GEN:

(If SC/ST/OBC/EWS/GEN, documentary proof to be furnished separately)

7. Nationality:

8. (a) Educational Qualifications in chronological order beginning from SSLC (10th onwards):

Name of the Year of Name of the Subject studied/ Elective/ Division/% Medium of
Examination Passing Institute/College/ Branch/ Stream/ Major of marks Instructions
Passed Board/ University (Part I, Part II & Part III, obtained
etc).
(b) Professional/Technical Qualifications (If any):
Name of the Examination Year of Details of Board / Subject Division/
Passed Passing Course University Studied % of
marks
obtained

(A brief write-up to be given at the end indicating the relevance of past experience to the
Post applied for)

9. Work Experience in chronological order, starting with the first job: -


Total Nature of work
Name & address of Period of service Designation of post
length of & level of
Employer From To & scale of pay
service responsibilities

10. Whether presently in any job. If yes then job is in Govt./PSU/Autonomous Institutions/Private:

11. Whether permanent/temporary/ad-hoc in the present job:

12. Any other information relevant:

Declaration & Certificate

I hereby declare and certify that all the statements made in this application are true and
correct to the best of my knowledge and belief. If any of the particulars furnished by me are
found to be incorrect or suppressed, my candidature is liable to be rejected at any stage
during or after selection process. Further, I understand that, if it is found after my
appointment at the Centre that the particulars furnished by me are incorrect or suppressed,
my services are liable to be terminated without any notice.

Place....................................... Signature of the Candidate..............................

Date........................................ Name.………………………..........................

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