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I.
2.
4.
5.
Name of Applicant
(In Block letters)
Complete Address
for communication
Grade and
Percentage
Subject
Major
Minor
1
2
6.
Details of Experience :
Period with date
No.
Name
of
the post
1 cars
7.
Complete
details of
employer
Total experience
Months
Days
1
2
Additional information of qualification/achievement etc. if any
Declaration:
I hereby declare that all the information furnished above is true and correct to the best of
my knowledge. If any information is found to be false or incorrect or anything is found to
have been concealed, I will be disqualified for selection or if appointed, will be liable to
termination without any notice or compensation
(Signature of Candidate)