HAL Education Committee ® FMD Building, Bangalore - 560017 Ph No: 080 ~ 2523 6066 AFFIX LATEST PASSPORT SIZE PHOTOGRAPH APPLICATION FOR THE POST 01 [NAME A Gender: 1 (Im Block Letters) 2_ | Date of Birth Age as on 01.06.2020: 3 Nationality Home Town State of Domicile : Mother Tongue : Permanent Address Mailing Address 4 5_ | Mobile Number: E-mail ID: [6 | Religion: Category: SCISTIOBCIGEN Marital Status: Father's Name: ‘Occupation: 8 | Mother's Name: Occupation Spouse's Name: Occupation: ‘Speak 9 | Languages known to Read & Wri Educational Qualification 10 Subjects 1 ‘Name of the Institute & Max. Marks | %of | Medium of Examination (Please mention core ‘University/Board ‘subjects only) Marks | obtained | Marks | Instruction Class 10 a) Year: Class 12/PUC 1. 2. ») 3. Year: 7 B.A/B Sc 7B.Com/ L BCA/B.Lib/ D.PEd 2. 1° 3 Year: 4 BEd 1 ad) - Year: 2 M.A/M.Sc/MCA/ I M.Lib/B.PEd 2 9) 3. Year: 4, ) Technical Qualification, if any . Cont...Details of Experience Name ofthe ig | Clas ® Organization! Desig | Subject | Board Institution ‘aught Total Experience | Gross | Re#som From | To Years for Salary ‘ Months | Drawn | !aving ‘Are you related to any employee of HAL or any staff of HAL Schools? If so, please specify? ‘Yes/No (@) Name & Relationship with the Employee of HAL/ Staff_of HAL Schools (b) Designation & PB No. (c) Division a) Are you an Internal candidate? If so, indicate the School/Office in which you working Yes/No 'b) Period of service rendered/rendering at HAL School/Office How soon would you join, if selected? Any other information which you wish to record? 16 Have you applied in any of the HAL Schools earlier? If yes, kindly specify Yes/No 7 DD No. & Date, Name of Bank & Branch Thereby declare that the above statements are true, correct and complete to the best of my knowledge and belief. In the event, the information is found to be false/incorrect my candidature/appointment may bé terminated without any notice. I also declare that I am a citizen of India by birth/ domicile. Place: Date: (Signature of Candidate)