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Annexure -1
FORMAT OF APPLICATION
1.Advertisement No.:2.Post applied for:3.Name in full (in Block Letters):4.Father’s Name:5.Date of Birth: Date Month Year 6.Nationality:7.Religion:8.Whether belongs to (Strike out : SC / ST / MBC / BC / PH / GeneralWhichever is not applicable)9.Whether documentary proof: Yes / Nofrom appropriate authority insupport of your claim being /SC/ST/MBC/BC/PH is enclosed(Please tick)10.Address for correspondence:(in block letters with pin code)11.Permanent address :(in block letters)12.Educational qualifications (in chronological order from 10
th
Standard onwards)1
Affix passport size photograph
Sl. No.Courses passedUniversity /Institution /BoardYear of PassingSubject takenResult withDivision / Class
13.Professional Training:OrganizationPeriodDetails of TrainingFromTo14.Employment records (in chronological order, starting with the first job)
Name and address of employer /institutionPeriod of serviceDesignation of post held andscale of pay Nature of work and level of responsibilitiesFromTo
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