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Application Form - Attendant

This document is an application form for non-faculty positions at the Indian Institute of Management Rohtak. It requests information such as the applicant's name, photo, date of birth, gender, marital status, nationality, educational qualifications, work experience, language proficiency, technical skills, references, address, and a declaration signed by the applicant. The form also specifies documents that need to be attached, such as self-attested copies of certificates, mark sheets, and experience letters.

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Lalit Kaushik
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© © All Rights Reserved
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30 views

Application Form - Attendant

This document is an application form for non-faculty positions at the Indian Institute of Management Rohtak. It requests information such as the applicant's name, photo, date of birth, gender, marital status, nationality, educational qualifications, work experience, language proficiency, technical skills, references, address, and a declaration signed by the applicant. The form also specifies documents that need to be attached, such as self-attested copies of certificates, mark sheets, and experience letters.

Uploaded by

Lalit Kaushik
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIAN INSTITUTE OF MANAGEMENT ROHTAK

Application Form (For Non-Faculty Positions)


Position applied for

: _________________________________

1.

Name

: ___________________________________

2.

Fathers/Husbands Name

: ___________________________________

Photo

3.

Date of Birth

: ___________________________________

Self Attested

4.

Male/Female

: ___________________________________

5.

Whether belongs to SC/ST

: Yes/No

If yes:

SC

ST

(If applicable attach documents)

6.

Marital Status

: ___________________________________

7.

Nationality

: ___________________________________

8.

Educational Qualifications

(Secondary/Matriculation onwards. Self- attested copies of certificates and mark sheets should be attached).

Board/
University

Qualification

9.

Date of
Commencement

Date of
Passing

%
Marks

Course Duration
(years)

Gross
Salary

Reasons for
Leaving

Work Experience (Post-qualification): (Starting from the most recent)


(Attach self-attested copies of certificates)

Organization

Designation

Date of
Commencement

Date of
Leaving

Pay Scale

10.

Language Proficiency: (Please tick relevant cells)


Language
Fluent in Speaking
Fluent in Reading
English
Hindi
Technical Skills : (Please tick relevant cells) (Attach copies of certificates)
A. Common for all Positions
Skill
Excellent
Good
Average
Computer Operations
Database Applications
10-Finger Typing
Shorthand
Any Other Skill:

Fluent in Writing

11.

Weak

Nil

B. Applicable for Attendant (Strike out if not applicable)


Skill
Excellent
Knowledge of Photocopying
Knowledge of operation of Fax machine
Maintaining of records
Receive/Despatch of dak
Distribution of official letters
Any Other:
12. References:
Detail

Good

Average

Weak

Reference 1

Reference 2

(Present Employer)

(Previous Employer)

Permanent

Communication

Nil

Name
Designation
Organisation
Contact Landline
Mobile No.
E-mail ID
13.

Address:
Details
House Name/No.
Street/Locality
Town/City
District & State
Residence Phone
Mobile No.
E-mail ID

14. Details of enclosures attached with the application:


1. .. 2.
3. .. 4.
5. .. 6.
15.
Declaration:
It is hereby declared that all the information furnished above is true and correct to the best of my
knowledge and belief.
Place

: _______________________

Name

: _____________________________

Date

: _______________________

Signature : _____________________________

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