SCO 60-61, 3rd FLOOR, SECTOR 34-A, CHANDIGARH

Photograph

Application for the post of ____________________________

1. Name (in block letters) 2. Fathers Name 3. (a) Present Address

: : :

(b) Permanent Address

4. Category (General / Reserved) 5. Date of Birth 6. Phone No. / Mobile No 7. e-mail address 8. Bank Draft No., Date & Amount

: : : : :

9. Educational Qualification : Exam Passing Board/University Passed year

Total Marks

Marks Obtained

%age

Contd..

10. Technical Qualification Exam Passed Passing year

: Board/University Total Marks Marks Obtained %age

11. Total Experience: 12. Knowledge of Computer

: :

(Years) (Months) (For details, please see Page 3)

13. Extra Curricular activities

14. Any other achievements

15. Give names, designations complete addresses telephone nos. of References who are familiar your work & conduct

and and two with

1.

2.

Date : Place: Encl: Testimonials must be attached

(Signature of the Candidate)

Contd.

Details of Experience
Name of Applicant: _________________________________________

S. No.

Name of the Organization

Designation with pay scales

Duration From To Years / Months

Nature of Experience

Total Experience
________________________________ (Signatures of the applicant)