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DEVELOPMENT SUPPORT AGENCY OF GUJARAT (An autonomous Society promoted by Tribal Development Department of Government of Gujarat) APPLICATION FORM

Name of Post : Name: (Surname) Address : (First Name) (Middle Name)

Contact No. :

(R)

(M)

(O)

Email Address : Date of Birth Category General OBC SC (dd/mm/yyyy) format ST

Educational Qualification : Qualification Degree 1. Graduation (*) 2. Post Graduation (*) 3. Others, if any Job Experience (Last Three Jobs) 1. Name of Organization: 2. Designation: 3. Period: 4. Work Profile: 5. Remuneration (#) (2) Job Experience 1. Name of Organization: 2. Designation: 3. Period: 4. Work Profile:

Name of University

Year

Percentage

Total Experience : (Years)

From Date

To Date

5. Remuneration (#) (3) Job Experience 1. Name of Organization: 2. Designation: 3. Period: 4. Work Profile:

From Date

To Date

5. Remuneration (#) # Original Mark sheets and Last pay slip will have to be produced at the time of interview.

Date :

Signature

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