Application Formdgf
Application Formdgf
PERSONAL DETAILS
1.
2.
(Surname)
(Name)
(Fathers/Husbands)
3.
Contact Details
Landline No. -__________________
E-mail Id -_______________________________
4.
(f) Nationality-____________
Yes/No
Yes/No
Yes/No
Yes/No
2
(l) Whether CIDCO Project Affected Person (PAP) -
Yes/No
Yes/No
NT(C)
5.
NT (D)
SC
ST
VJ (A)
OBC
SBC
Board/
University
Month and
year of
passing
NT (B)
Educational Details
Certification/
Degree
Specialization
Class/
Division
% of marks
(Aggregate)
SSC
HSC
Degree
Post-Graduation
Others
6.
Sr. No.
Whether completed any Training course, Certifications, Professional accreditations etc.,Name of Training course, Certification,
Duration of
Year/Month of
course
completion
3
EMPLOYMENT DETAILS
7.
Note: The following record is very important for considering you for employment. Cover your
activities, outlines in details for each employment period, your specific duties and responsibilities,
including employment record. (Starting from the latest)
Sr.
No.
Name of
employer
Whether
Government/
Government
undertaking/
PSU/ Private
Period of
employment
From
To
Total
period of
Employment (in
Months)
Designation
Brief Job
description
8.
Are you having service agreement/bond with your present employer? If yes, please mention period etc.
and give details separately ___________________________________________
9.
10.
Languages knownLanguage
Read
Speak
Write
English
Marathi
Hindi
Other,__________________
Other,__________________
11.
12.
13.
Please name three references who are not your relatives and who can certify about your work and
Conduct Sr.
Name
No.
Years
Email ID
Known
Occupation
5
DECLARATION
14.
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 fact contained herein or willful
concealment of any material fact will render me liable to appropriate action as may be decided by the
Corporation.
Place______________
Date _______________
Signature _____________________
6
INSTRUCTIONS
Candidates should furnish all the relevant documents supporting the education and
experience claimed by them.
Post for which the application is made should be clearly mentioned on the envelope.
Candidates should keep Mobile number and e-mail ID active for the entire duration of
the recruitment drive.
(All communication shall be send there.)
The marks should be in percentage. Candidates obtaining marks in any other format
such as CGPA/CPA etc. should convert it into percentage as per respective University
norms.