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FORMAT

1. Post Applied for____________________________


2. Name______________________________________
3. Fathers Name______________________________
4. Permanent & Present Address; Postal,
telephone__________
__________________________________________________________
__________________________________________________________
__________________________________________________________
5. Date of Birth____________________
6. Age as on 1-07-2004______ Yr.____Mon._______Days_______
7. Whether SC/ST/OBC/PH/Ex Ser./General
8. Educational Qualification (Commencing from SSLC or
Secondary level)
S.N.

Name
of
Exam

Yr. of
Passin
g

Board/
University

Subject
s

% of
Mark
s

Div

1
2
3
4
5
9. Technical/Professional Qualification___________________
__________________________________________________________
10. Experience as an employee
details_____________________
_________________________________________________________
11. Any other relevant information________________________
_________________________________________________________
12. Details demand draft__________________________________
__________________________________________________________

Date_________________
Place___________________

Signature

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