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KARNATAKA STATE AIDS PREVENTION SOCIETY

No. 4/13-1 Crescent Road, High grounds, Bangalore -560 001

APPLICATION FORMAT
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Post Applied For :--------------------------------------------------------- Passport Size
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I. Personal details :

i
Name
ii
Date of Birth and Age
iii
Sex
iv Address

v Tel. No./ Mobile No.

vi E-Mail

II. Academic and Other Qualifications in descending order:

Sl. Examination Passed Name of Year of % of Marks/ Specialization
No. Institution/University Passing Grade

III. Work Experience :

Sr. Organization Designation Period Job Description
No.
From To
(dd/mm/yyyy) (dd/mm/yyyy)

IV. Hobbies:

V. Any other information:

Date :
Place : (Applicant Name with Signature)