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Sr. No. .
DESHBANDHU COLLEGE
(UNIVERSITY OF DELHI)
KALKAJI, NEW DELHI 110019
Post Applied for : ...
Advertisement No. :.Dated ...
1. Category of the Candidate (SC/ST/OBC/PwD/UR)..
2. Name (in Block Letters)
:
..
(Name in Hindi)
:
..
3. Fathers /Husbands Name
:
..
4. (i) Date of Birth(in figures)
:
..
(ii) Age
:
YearsMonths...
5. (i) Nationality ..(i) Gender.. (ii) Marital Status
6. Postal Address :
...
Telephone No. (if any) E-mail (if any) ..
7. Permanent Address : ..
..
Telephone No. (if any) Mobile No.
E-Mail (if any) .
8. Are you Ex-Serviceman / Disabled Defence Personnel / Dependent of Defence Personnel died in
action? if so, attach certificate ..
...
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9. Educational Qualifications :
Name of the University/
Examination
Board
Passed
School /
College
Divison
%
Year of
Passing
Subjects Offered
10. Are you attending any part time / whole time course of study ? If so, state the name of the
course and institution you have joined.
11. Working Experience, if any:
Office in which worked/
working
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Designation
Length of Experience
From
To
Total Experience
12. Knowledge of Computer/Typing/Shorthand? Give Details :
..................................................................................................
Typing Knowledge (Yes/No) :
Hindi (WPM): ............... English (WPM) :.........................
Shorthand (Yes / No) :
Shorthand Speed(WPM) : ..
13. Any Other Information :
..................................................................................................
14. If Suffering from Serious illness /disease: .
15. a) Have you ever been Debarred or punished for adopting unfair means in any examination by
the Institution / Board or University? If so, Please specify.
..
b) Have you at any time been convinced by a court for any criminal offence? If so, give the name
of the court, case numbers and offence.
..
16. Time required to join (if selected): .
17. Demand Draft No. . Date Amount .
Name of the Bank & Branch
Date : ..
Signature of the Applicant
DECLARATION :
I declare that all statements made in the Application Form are true to the best of my knowledge and belief.
Date ..
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Signature of the Applicant