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Application Form
Fields mentioned with * sign are mandatory
If payment not done in earlier attempt please click here
POST APPLIED FOR *
1. Name of the Applicant (in Block Letter)  *
2. Email ID *
Optional Email ID 
3. Gender * Male Female
4. Father's/Husband's Name *
5. CATEGORY : *
6. Date of Birth * mm/dd/yyyy
7. Nationality *
8. AGE ON (mm/dd/yyyy) *
(Y) (M) (D)
9. Marital Status Married    Unmarried
10. (i) Present Address * check if both addresses are same.
   (ii) Permanent Address
11. Phone No. *
 
12. Qualification (Matriculation onwards)
(10th and 12th Qualifications are mandatory)
 *
Examination passed Name of University / Board Month of passing Year of passing Subjects Division % of Mark
Other Qualification :
   
13. Post Qualification Experience(Starting From Current Employment to Past Employment in Chronological Order.) *
Name & Address of employer Post Held & Level/Grade From To   Jobs Handled (job description) & Nature of Job(Contractual/Regular) Mention Govt./PSU/Semi Govt./Autonomous Body/Private Individual Exp. Pay Scale Mention IDA/CDA with Grade Pay Monthly CTC Annual CTC
Total Experience :*
Other Experience :
14. Languages known *
1. Language Examination Passed
2. Language Examination Passed
3. Language Examination Passed
4. Language Examination Passed
 
15. Extra Curricular activities/professional attainments
(a) Academic
(b) Publications
(Name of publications/journals, etc)
(c) Sports/literary/cultural activities
(d) Membership of professional societies / organizations / institutes
 
16. Why do you consider yourself suitable for the post ? *
(Please write a statement of 250 words)
 
17. Have your any relative employed in this company before ? If so, name designation and relationship.
18. Any defect or impairment in :
Hearing Yes No
Sight Yes No
Limbs Yes No

19. Whether any disciplinary proceedings initiated against you or had you been called upon to explain your conduct in any manner by your previous employer YES  NO

If Yes, Reason:
20. Fees :
21. Preferred Place of Interview : *

 *  I solemnly declare that all the particulars furnished in this application are true and correct to the best of my knowledge and belief. I clearly understand that any misstatement of facts contained therein or willful concealment of any material fact will render me liable to appropriate action as may be decided by the company.

Place: * Date:
Photo: *
Signature: *
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