CONFIDENTAIL: GGI/HRD/10-11

GANDHI GROUP OF INSTITUTIONS .Excellence our Essence...

APPLICATION FORM

SECTION A: PERSONAL PARTICULARS Name of the Applicant(IN CAPITAL LETTERS) : Fathers Name:Permanent Address : .... . . . Email Address : Marital Status : Single / Married / Divorced / Widowed Whether belongs to SC/ST/OBC/PH/ExServicemen (If yes please specify) Date of Birth :

Please affix your recent colour passport size photograph Gender :

Male / Female Present Address : .... . . . Contact Number(s) : Nationality : Religion :

Age on Interview Date :

SECTION B: EDUCATIONA LEVEL ATTAINED (10th Onwards) Sl. No 01 02 03 04 05 06 07 08 09 Exam (s) Passed Matriculation (Class X) Senior Secondary (Class XII) Graduation Post Graduation Ph.D / D.Sc / D.Litt Professional Qualification Other (s) if any Area of Specialization Knowledge on Computer Disciplin e/ Subject studied Name of the Institute Name of the Board / University /Institution. Year of Passi ng Percent age Secured

CONFIDENTAIL: GGI/HRD/10-11

10

Training undergone(if any)

SECTION C: EMPLOYMENT HISTORY (FROM THE DATE OF 1ST EPLOYMENT TILL

DATE, CHRONOLOGICALLY)

Sl. No 01 02 03 04

Name of the Organization / College / Industry

Post Held

Duration From To

Total year(s) of Experien ce

Last Salary Drawn

SECTION D: WORK EXPERIENCE SL NAME OF RECENT FUNCTIONAL DETAIL JOB ACHIEVEMENT/AWA PAST EMPLOYER AREA DESCRIPTION RDS(IF ANY) (Teaching / Administratio n or any other)

SECTION E: CO-CURRICULAR & EXTRA CURRICULAR ACTIVITY 1 2 What Co-curricular activity can be taken by you in our Institute What Extracurricular activity can be taken by you in our Institute

SECTION F: Any other information /facts would you like to furnish:-

SECTION G: SALARY EXPECTED Rs. I certify that information contained in this application is true and complete. I understand that false /suppression information may be grounds for not appointing or for immediate termination of employment at any point in the future if I am appointed. I authorize the verification of any or all information listed above.

CONFIDENTAIL: GGI/HRD/10-11 Date: _________________________ _______________________________ Signature:

VERIFYING OFFICER