| Place for Affixing Passportsize Photo |
APPLICATION FORM
Application for the position: ____________________________________________________________________
1. Name (in block letters) :
2. Father’s Name :
3. Date of Birth (in Christian era) :
4. Correspondence Address :
5. Address (permanent) :
6. Contact Telephone No. / Mobile No. :
7. Email :
8. Educational Qualification (beginning with Matriculation onwards)
| Qualification | Year of Pass | University / Board | % of Marks | Class / Division |
Note: Originals of the testimonials should be produced at the time of verification / interview.
9. Please state clearly whether in the light of entries made by you above, you meet the requirement of the post :
10. Details of employment, in chronological order, enclose a separate sheet duly authenticated by your signature, if the space below is insufficient.
| Office / Institution | Post held | Experience (From / To / Total) | Pay / Emoluments drawn | Nature of duties in detail (attach sheets if required) |
11. Additional information, if any, which you would like to mention in support of your suitability for the post. This among other things may provide information about
(i) Candidates should enclose a detailed CV.
(ii) Additional academic qualification.
(iii) Professional training.
(iv) Work experience over and above experience in the vacancy circular / advertisement (Note: enclose a separate sheet if space is insufficient).
12. Additional details about the present employment. Please state whether working under:
(a) Central Government
(b) Autonomous organization
(c) Public Sector Undertaking.
I have carefully gone through the vacancy circular / advertisement and I am well aware that the Selection Committee will also assess the Curriculum Vitae duly supported by documents submitted by me at the time of selection for the post.
(Signature of the applicant)
Date: _____________________
Place: _____________________