APPLICATION FOR THE POST OF …………………………………………………………………………..

1) Name .........................................................................................................
Affix Passport
2) Father’s / Husband’s Name ........................................................................ Size Photograph
3) Date of Birth ............................................................................................... duly attested by
Gazetted officer
{Attested copy of certificate to be annexed)

4) Educational Qualification : {attested copy of certificates to be annexed)

Sr.No. Class Year Marks Percentage

5) Experience, (if any) : {attested copy of certificates to be annexed)

Sr.No. Job Held Organization From To

6) Category ....................................................................................................
{Attested copy of certificate to be annexed)
7) Permanent Address ...........................................................................................................................
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8) Correspondence Address ..................................................................................................................

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..........................................................................................................................................................

9) Mobile Number...........................................................................................
10) Name & Registration No. of Employment Exchange, (if any)..............................................................
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