APPLICATION FOR THE POST OF : ________________________________ (On contractual Basis) Project:
1. Name in Block letters:
2. Father’s / Husband’s name:
3. Date of Birth & age: ______________________; _____________ years.
4. Postal address for correspondence: Present & Permanent.
passport size photo
5. Mobile no: ; Aadhar No: ; email: 6. Educational Qualifications:
7. Prior Experience (if any):
8. Additional Information which you would like to mention:
a. Additional Academic/ professional Qualifications:
b. Trainings
c. Research Publications / reports / special projects:
d. Awards/ Scholarships/ Official Appreciations:
e. Affiliation with professional bodies/ institutes/ Societies:
f. Any other information:
9. Whether belongs to SC/ST/OBC/OC/PH/Ex-servicemen (as per GoI norms)
10. I am also willing to be considered for any lower post in case my application for the applied post is ineligible or not shortlisted for further scrutiny. (Yes / No):
SELF DECLARATION
I __________________________, Son/ Daughter of __________________________ hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I am well aware of the fact that if Information given by me is proven false/ not true, I will have to face the punishment as per the law. Also, all the benefits availed by me shall be summarily withdrawn and I may be terminated from the services without assigning any reasons.
Date: __/__ /____
Place: ______
Signature of the Candidate