Application Form

Post Applied For

Affix
Pass Port
Photograph

1.
2.
3.
4.
5.
6.
7.
8.

Name of the candidate:

Fathers Name:
Sex :
Male
Female
Date of Birth:
DD_____/MM____/________Year
Nationality :
_________________________
Marital Status :
Married
Single
Category:
General(UR) SC ST
Permanent Address:
________________________________________________________
________________________________________________________
9. Correspondence
Address:_________________________________________________
10. Present employment: None Ad hoc Permanent Temporary
11. Education Qualification:
Examination Board/University Marks (%)

Duration

Year

12. Mobile Number +91..

13. E-mail .
14. Demand Draft No Bank..Date
I hereby declare that all statements made in this application are true, complete and correct
to the best of my knowledge and belief, if found false or incorrect or ineligible before or
after, my candidature is liable to be cancelled.

Date..
Place.

Signature of Candidate