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. Tel 0484- 2611785 APPLICATION FOR THE POST OF .. ( Ref :Recruitment Advt No.)
NAME (in block letters)
DATE OF BIRTH
SEX
MARITAL STATUS
SINGLE
MARRIED
RELIGION
CASTE
FATHERS NAME
EDUCATIONAL QUALIFICATIONS (Start from matriculation and continue upto graduation) Name of the course Name of Institute/University Duration Aggregate % of marks Grade/ Class
Specialization
Aggregat e
% of marks
Grade/ Class
ADDITIONAL QUALIFICATIONS, IF ANY Name of the course Name of Institute/University Duration Aggregate % of marks Grade/ Class
From
To
Name of Organization
REFERENCES OF TWO PERSONS (should be other than relatives and have known the candidate for at least two years).
1)
2)
LIST OF ENCLOSURES
1. 2. 3. 4. 5. 6.
I,____________________________________ declare that the above details are true to the best of my knowledge and my appointment shall become null and void if any of these statements are found to be false at any time.
Name Date
: :