(MINISTRY OF COMMERCE & INDUSTRY, GOVT.

OF INDIA)
A-10/A, Sector-24, NOIDA

APPLICATION FORM FOR ENGAGEMENT OF CONSULTANTS

App. No:

Name:
Affix latest
Post Applied For:
passport size
Gender: photograph

Date of Birth:

Age as on 01/01/2024 (DD/MM/YYYY): (yy) (mm) (dd)

EDUCATIONAL / PROFESSIONAL QUALIFICATIONS

(Attach self-attested copies of Certificates/Mark sheets)
YEAR OF
QUALIFICATION INSTITUTE BOARD/ UNIVERSITY MARKS%
PASSING

WORK EXPERIENCE (In descending order) – add extra sheets if required

Name of the Organization

Designation Held

Period TO

[1]
 Work Details

PREVIOUS JOB EXPERIENCE

PERIOD
ORGANIZATION DESIGNATION
WORK DETAILS
NAME HELD
FROM TO

[2]
 PERSONAL DETAILS

E-mail id

Mobile No.

Emergency Contact No.

Current Address:

Permanent Address:

Marital Status

Statement of Purpose:
(Stating how the applicant proposes to contribute to the organiza tion in about 200
words- Attach separa te sheet)

[3]
Declarati on

I certi fy that the a b ove inf or ma ti on is corre ct and true to the be st of my

knowledge and belief.

Yours faithfully,

Place:
Date:

(Signature of the candidate)

[4]