1. 2. 3. 4. 5. 6. 7. Application for the position Department _______________________(PPDB / PPDCL / PPMU / CEP / DoPP) Advertisement Reference Name (Block letter)__________________________________S/O C.N.I.C No. Domicile Postal address. Date of Birth Religion Age Photograph (Paste Here)
8. 9.
Contact Phone (with city code)/Mobile /Fax (if any) Permanent Address.
10. Sr. No. 1 2 3 4 5 6
Academic Qualifications (Metric onwards). (Please attach separate sheets if necessary)
Degree/ Diploma/ Certificate Metric FA/F.Sc. BA/B.Sc. Post Graduation Computer Courses Others Institution/ College University/ Board Year of Passing Marks obtained Total marks % age/ grade Major Subjects
11. Sr. No. 1 2 3 4 5
Related Experience (Post qualification). (Please attach separate sheets if necessary)
Institution/ Employer Position Held Nature of Job Job Period From To Description of major assignments / tasks
12. Sr. No. 1 2
Trainings/Courses/research Publications etc. (Please attach separate sheets if necessary)
Trainings/ courses attended/ Research Publications etc. Institution Year Duration / Period Major areas / Subjects