CENTRE FOR DEVELOPMENT OF ADVANCED COMPUTING, NOIDA

Application Form for the post of .

Post Code: .
Demand Draft Details:

DD No. .

DD Date ..

Issuing Bank & Branch
1.

Name
(In capital Letters)


First Name Middle Name Last Name
2. Fathers Name


First Name Middle Name Last Name
3.

Correspondence
Address




City: State: Pin:
4.

Permanent
Address




City : State: Pin:
5.

Telephone No.with
STD code &
Mobile No.


STD Code


Landline No.


Mobile No.

6.

Email ID

7.

Gender
(please tick )


Male


Female
8.

Martial Status
(please tick )


Married


Unmarried

9.

Date of Birth
(DD/MM/YYYY)


DD


MM


YYYY
10.

Age
(as on 22-10-2014)



Years


Months


Days
11.

Category
(please tick )

General

SC

ST

OBC

PH
12. Educational Qualifications (From 10
th
onwards)


Paste your latest
passport size
Photograph



Qualification

Stream/Discipline

Board/University

Year of
passing

% of
Marks

Di vision



















































13. Experience (from current to previous) Total Experience in Years: Months: ..



Name of the
Organization with
Address


Designation

Salary
Drawn

From
(DD/MM/YYYY)

To
(DD/MM/YYYY)

Job profile





































14. Candidates appl ying for the post of PSS II & PSS III:

Speed (w.p.m)

English Hindi
Typing Shorthand Typing Shorthand


15. If working in Central or State Govt. / Autonoumos Bodies/ PSU whether (please tick )
Applied Through Proper Channel : Yes / No
Submitted No Objection Certificate: Yes / No
Declaration:
I hereby solemnly declare and undertake that all information furnished by me is true, correct and
complete to the best of my knowledge and belief. I undertake that, if any stage of selection or even


after selection, any of the information furnished by me is found to be false, incorrect or misleading,
then my candidature/appointment/services will stand cancelled/terminated without assigning any
reasons thereof. I have also read the eligibility criteria and instructions attached with the
advertisement.



Date: (Signature of Applicant)
Place: