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DD MM Yyyy: Please Affix A Self Attested Recent Passport Size Photograph

The document provides instructions for applicants to fill out an application format in capital letters for a job posting. It lists 25 items that must be filled including personal details like name, photo, address, qualifications, experience, references etc. Applicants must provide full and accurate information with copies of certificates, and incomplete applications will be disqualified. The last section includes a declaration that the information provided is true and complete.

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222 views2 pages

DD MM Yyyy: Please Affix A Self Attested Recent Passport Size Photograph

The document provides instructions for applicants to fill out an application format in capital letters for a job posting. It lists 25 items that must be filled including personal details like name, photo, address, qualifications, experience, references etc. Applicants must provide full and accurate information with copies of certificates, and incomplete applications will be disqualified. The last section includes a declaration that the information provided is true and complete.

Uploaded by

rpkodam
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORMAT (Please fill the Application Format in CAPITAL LETTERS only) Please Furnish Full & Detailed

d information under each Item and Enclose Xerox Copies of Certificates / testimonials Suppression of any relevant information or incomplete information will entail disqualification for appointment The applications should be strictly in the format given below, Use separate sheets when ever required.

Please Affix a Self Attested recent Passport Size Photograph

1 2 3 4 5 6 7 8 9 10 11 12 13

NAME OF THE POST APPLIED FOR POST CODE DISCIPLINE / TRADE NAME IN FULL ( As it appeared in SSLC/SSC Certificate) Gender Father / Mother Name Marital Status Nationality State of Domicile Date of Birth Age as on 31/03/2013 Religion (Hindu / Muslim / Sikh / Christian / Neo Buddhist / Zoroastrian / Others Specify) Were you domicile of J&K during the period from 1.1.1980 to 31.12.1989? if so, please enclose the proof Permanent Address Date DD Month MM Year YYYY Male / Female

..Years . Months.. Days

YES/NO Address for Communication (All future Communication will be made on this Address Only) . Dist: Pin: .

14

.. Dist: Pin:

15 16 17 18 19 20

Phone / Mobile Number E-Mail ID Nearest Railway Station Indicate your Category (SC /ST /OBC (non-creamy Layer) / GEN) Sub-Caste Are You a person with Disability? If so, Mention category (Enclose copy of Certificate) Details of Apprenticeship : Name of the Organization / Institute YES / NO ..

21

From

Period To

Trade / Discipline

HAL Ex-Apprentice Code : ______________ : Registration Number & Validity of Registration (Nurse Only) :________________

21. Educational Qualifications:


Qualification Discipline / Trade / Subjects Month & year of Passing the Exam School/ Board / university/ Institution Duration of Course (Specify whether completed or pursuing) Marks Secured Marks Obtained Maxim um Marks % of Marks Mode of Study (Regular / Part Time / Corresponde nce etc.)

SSLC / SSC PUC / HSC ITI NAC / NCTVT Diploma Graduation Post Graduation Certificate Courses Proficiency Certificate Any Other

Qualifications
22. Details of Post Qualification Experience
Sl.No Name of Organization Designation From Period To Nature of Duties Type of organization (PSU/Govt./ Private etc) Last Salary Drawn Reasons for leaving

Total Experience : ____________ years ___________ Months 24. DD Number : _______________________________ Name of Bank: ______________________________________________ Amount: ` 100 /25. Any Other Relevant Details: I hereby declare that the above statements are true and complete to the best of my knowledge and belief. In the event, the information is found to be false or incorrect; my candidature/appointment is liable to be terminated without any notice. I also declare that I am a citizen of India by birth / domicile. Place: Date: Signature of the Candidate:

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