FORMAT FOR APPLICATION
Post Applied for :
Employment News No. Dated
1. Name in Full ( Block leters ):
2. Father’s / Husband’s Name:
3. Nationality:
4. Date of Birth:
( Attested coppy of school Certificate showing Date of Birth must be
enclosed)
5. Age on the last date of submission of Application:
6. Category ( GEN / OBC / SC / ST ):
7. Whether Ex.servicemen
( Attested copies of ex.servicemen certificare issued by the competent
author ity and dscharge certificate must be enclosed )
8. Person with disability:
( Refer ix of Sl No.8 General Note in advertisement )
9. Full Address for Communication:
10. Contact Phone Number Mobile No.
E-mail id
11. Academic / Technical & Professional Qualifications:
Name of Year of Subject % of Name of Remarks
Exam passing marks recognized
passed obtaine University /
d Board
Examination
( Attested copy of all Educational qualificational certificates to be enclosed )
12. Experience / if any
( Attested copies of Certificates to be attached)
13. Whether belongs to Departmental Candidates
14. Whether Govt. Servant:
If in Govt. Service , indicate : Post held
Date of entry in Service
Declaration
I hereby declare that all the statements made in this application are true ,
complete , and correct to the best of my knowledge and beleif. In rhe event
any information being found false / incorrect or inteligibility being detected
before or after the written test / trade , test my candudature will stand
automatically cancelled.
Place : ( Signature of the
Candidate )
Date : Name
Left thumb Impression