APPLICATION FORMAT FOR RECRUITMENT

(ONE FORM FOR ONE POST ONLY)

1.

Post Applied For

---------------------------------------------------------

PASTE RECENT

APPLICATION FORM AND REGISTRATION

FEE OF 500/- TO BE PAID ONLY
ON SUBMISSION OF THE FORM PLEASE
INSIST ON RECEIPT OF THE APLICATION FEE.

2.

PASSPORT SIZE
PHOTOGRAPH

Personal Details
a) Name

b) Fathers Name/Husbands Name

c) Date of Birth

d) Age as on today

e) Sex

f) Marital Status

g) Passport Details (No. &

h) Place of Issue Passport

Valid upto)
i) Category (SC/ST/OBC/GEN)

3.

Nationality

Address for Correspondence

Permanent Address

Address

Tel. No.
Mobile No.
E-Mail

(Signature of Candidate)
KISAN SEWA KENDRA,KISAN BHAWAN, JANPAT NEW DELHI 110001 Email:- info@kisancallcenter.org
Website: kisancallcenter.org, Phone: +91-7529934145

4 (a).
Sl.

Academic Qualifications in descending order

Examination Passed

No.

Professional Qualifications

Sl.
No.

Examination Passed

Sl.
No.

Year of Passing

Institution/University

4 (b).

4 (c).

Name of

Name of
Institution/University

% of Marks/

Specialization

Grade

Year of Passing

% of Marks/
Grade

Specialization

Certification (if any)

Course/ Certification

Field

Name of
Institution/University

Year of Passing

(Signature of Candidate)
KISAN SEWA KENDRA,KISAN BHAWAN, JANPAT NEW DELHI 110001 Email:- info@kisancallcenter.org
Website: kisancallcenter.org, Phone: +91-7529934145

5 (a)

Employment Records
(Current Employment Record)

Sr.
No.

Organization

5 (b)

Past Experience :

Sr.
No.

Organization

Designation

Designation

Pay Scale(CDA with

grade pay/IDA) or
CTC

Period
From
To
(dd/mm/yyyy (dd/mm/yyyy)

Job Description

Pay Scale(CDA with

grade pay/IDA) or
CTC

Period
From
To
(dd/mm/yyyy (dd/mm/yyyy)

Job Description

(Signature of Candidate)
KISAN SEWA KENDRA,KISAN BHAWAN, JANPAT NEW DELHI 110001 Email:- info@kisancallcenter.org
Website: kisancallcenter.org,Phone: +91-7529934145

Total Post Qualification Experience in years :

7.

Any other information relevant to the job :

Note :
1. If the sheets above are not sufficient please attach extra sheets, wherever necessary.
2. Mentioned the list of documents attached alongwith the form.
(a)
(b)
(c).

I certify that the information given above is true and correct.

(Signature of Candidate)