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HR/71/10/05) APPLICATION FORM
1 2 3 4 5 6 7 Post applied for : Discipline: Name of the candidate (In Block letters): Father/Husband’s Name: Date of Birth ( D-M-Y): Age as on 30.11.2010 (Years-Months-Days): Correspondence Address with Contact No.: Passport Size Photograph Post Code:
Permanent address with Contact No.:
9 10 11 12
E-Mail Address : Category (SC/ST/OBC/PH) with copy of certificate : Nationality / Religion: Educational / Professional Qualification from Matriculation onwards: Examination Passed a) University/Board Month & Year of Passing %age of Marks Main Subjects
Details of Experience (In Chronological order): As on 30.11.2010 13 Organization & Address a) Position held From Period To Scale of Pay & Basic Pay Total Emolument last drawn Brief description of duties/jobs
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NOIDA-201 301 (U.P. Place: Date: (Signature of the candidate) Page 2 of 2 .NO. HR/71/10/05) APPLICATION FORM b) c) d) e) f) 14 15 16 Total Post Qualification Experience (As on 30. any of the above information is found false.PROJECTS DEVELOPMENT INDIA LIMITED A-14. In case.11. SECTOR-1.2010) (Years-Months-Days) Details of Computer Knowledge and application Software used Other. Encl: as above.) (ADVT. my candidature shall stand rejected. if any I declare that the information furnished above by me is true to the best of my knowledge and belief and that nothing material has been concealed.