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Bhartiya shiksha Vikas Mission

Application Form
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Post applied for ................................ passport size

1.Name ....................... Photo with self


attested

2.Father Name.....................
3.Mother Name ..........................
4. Date of birth ...............
5. Category:-General
6. Sex :

Male

S.T.

S.C.

O.B.C.

Others

Female

7.Permanent Address:.................................................................................................................................................................................
.................................................................................................................................................................................
.....................................................................................................District ................................................................
State : ........................................................................Pin : .................................................
Telephone No: with STD Code:Mobile NO:If any E-mail Address:-................................................................................................................................................

8. Academic Qualification:S.N.

Exam/Degree/
diploma /Passed

Uni./Board/Institute Year of Passing % of Marks

(Please mention all qualification matriculation starting to higher qualification)

9. Any Technical Qualification:S.N. Exam/Degree/diploma /Passed Uni./Board/Institute

Year of Passing

% of Marks

10.If any other works Experience:Employer Name

Designation

Period

Salary

11.Bank Demand Draft Details:Name of the Bank

Branch

D.D.Number

Amount

Date

12. Name of the district to witch candidate belongs to ............................................


13. District preferences of work if you selected
1................................2...............................3.................................4.............................

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photo with self
attested

14. Mailing Address:.........................................................................................................................................


........................................................................................................................................
........................................................................District....................................................
State:- ...............................................PIN:-..........................................................

Declaration: - I hereby declare all the statement of application is true and correct to the best of my
knowledge and belief. In the event of information being found false or incorrect my
candidature/appointment may be considered terminated without any notice. I will accept all the
legal disputes shall be subject to jurisdiction of the courts at Jaipur Rajasthan, or Rules and
regulation shall be construed in accordance with the law of India and incase of any dispute or other
matter arising in reference to a sole arbitrator appointed by the Company and shall be governed by
the arbitration and conciliation Act1996 amended from time to time. The venue for arbitration
shall be jaipur.all the cost, charges, in connection to the arbitration shall be solely borne by the
applicant who has raised the dispute.

Applicant sign

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