Sardar Patel University: Application Fee: Rs.250/-For Non-Teaching Post For Office Use Only

APPLICATION FEE : Rs.
250/-
FOR NON-TEACHING POST

For Office Use Only
Inward No.
Est. No.
Date
___/06/2016
Section
Date
Sr. No.
___/06/2016
Establishment
SARDAR PATEL UNIVERSITY

VALLABH VIDYANAGAR-388120
(Dist. ANAND - GUJARAT)
APPLICATION FORM FOR THE POST OF
The Newspaper in which you read the Advertisement ________________

Advertisement No. B/S/1249 Dated : 02/06/2016 Last Date : 23/06/2016
Demand Draft No.
Date:_____/06/2016 Rs.250/-
Name of Bank
Branc
h
Payable at Branch
City
Affix the
3.5 c.m X 3.5 c.m.
latest Photograph
only on First Copy
by
Self Attested
IMPORTANT: Before filling in the form please read the form, Instructions and Qualifications carefully.
INSTRUCTIONS TO APPLICANTS :
(i)
The candidate should submit One Copy of the application form neatly typed in prescribed form
along with separate enclosures to reach the Registrar, Sardar Patel University, Vallabh
Vidyanagar on or before the last date i.e.23-06-2016
(ii) Candidates are advised to satisfy themselves before applying, that they possess atleast, the
essential qualifications laid down in the advertisement.
(iii) No correspondence & Phone inquiry will be entertained in respect of advertisement, Written Test,
interview, selection and appointment etc. It will be display on S.P. University website
www.spuvvn.edu/careers/
(iv) Sardar Patel University reserves the right not to fill up any of the vacancies & right to reject any
application & right to alter the number of post in any cadre without assigning any reason.
(v)
If the any column is not applicable to the candidate concerned in that column please write Not
Applicable OR NIL.
(vi) Incomplete application shall not be considered & applicants may not be called for written Test.
(vii) The Post is Purely on Temporary basis for 11 Months with fix pay of Rs.7500/(viii) Written Test will be held on Dt.03/07/2016 Sunday 11.00 a.m. at Vallabh Vidyanagar.
Place & Roll No. will be display on website. Please see S.P. University website.
(x) No Oral Interview for class-III as per Gujarat Government G.R.(GAD) Resolution No.PRC102015-1223-K Dt.06/11/2015.
--------------------------------------------------------------------------------------------------------------------------------1.
(In Block letters) Name in full : Mr./Mrs./Ms./Dr.
Fathers/Husbands Name
Surname
Mothers Name :
2.(i) Please Tick mark () appropriate column. Please enclose Caste Certificate of appropriate authority, if
applicable.
/var/www/apps/conversion/tmp/scratch_5/326328391.docx
Page 1 of 5
S.C.
S.T.
Baxi Punch / SEBC
General
Phy. Handi
Ex-Serviceman
(Attach a certificate from the competent authority with Caste validity certificate for S.C./S.T./ Socially
and Educationally Backward Class (SEBC) and non- Creamy-layer Certificate.)
(i) Caste Certificate No.
Issue Date
(ii) Name of Issuing Authority
3.
Age
Month
s
Years
Day
s
(A true copy of the Higher Secondary School Leaving Certificate in which the Birth Date is registered
should be enclosed.)
A
B
Birth Place
Native Place
Race & Religion
D
E
Blood Group
Personal Marks of Identification
F
G
Pan Card No.

Election Card No.
4
.
Tal.
Tal.
Dist.
Dist.
Nationality
Mother tongue
Height (cms)
Please Tick mark () appropriate

column
State
State
Weight (Kgs.)
City/District where Registered
Married
Unmarried
Divorced
Widow
If married Name of Husband / Wife
5. Full Address for correspondence (In Block Letters)

Present
City
PIN
Tal.
Dist.
State
Phone No
Mobile No.
E-Mail
Permanent
City
PIN
Tal.
Dist.
State
Phone No
Mobile No.
E-Mail
6. Educational Qualifications : Examinations passed (Attested copies of all testimonials/ Certificates

including Marks, Grade, Certificate should be attached) :
Page 2 of 5
3*
4*
5*
11
H.S.C.
Encl. at Page No.
Year & Month of

Passing the
Examination
Subsidiary
Subject
S.S.C
were carried outwhich

Language
studies in
Principal
Subject
Total Marks
with Class,
Grade,
Exact
percentage
(%)
each of the
No. of attempts
examinationsfor passing
1
1
Examination
Passed
Post
Bachelors (Specify Degree)
Graduation
Sr.
No.
Name of the
University or
Examination
Body
10
F.Y.
S.Y
T.Y.
Part-I
Part-II
Others
12
13
In case of semester system the candidate should change the table appropriately.
(7) Details of Typing/ Computer Course. (Please attached Certificate.)

W.P.M.
Class / Grade
1
English Typing
Gujarati Typing
Computer
CCC
CCC +
Month & Year

of Passing
Examination Body
Encl. at
Page No.
(8) Details of Experience : (Post held in Private or Public employment giving details of Work) (Teaching,
Laboratory, Industry etc.)
Page 3 of 5
Designation
(Type of
work)
Date of
joining
Date of
Leavin
g
Grant-in
Aid/
Self
Finance/
Private
5
Full
time/
Part
time/
Ad hoc
Basic Pay
& Pay
Scale or
Fixed pay
7
Reason for
leaving
Previous
Employmen
t
Designation
Grant-in
Aid/ Self
Finance/
Private
Work
Done
Full time/
Part time/
Ad hoc
Basic Pay or
Pay Band &
Date of
A.G.P. OR appointment
Fixed Pay
page No.Encl at
(9) Present Position :

Full Name & Address of
the Employer where
Employed
(10) Any other relevant information (Special experience/merits) not included above (Participation in curricular
and co-curricular activities,NCC/NSS/Sports/Cultural Activities etc. enclose all Certificates)
Sr.
No.
1
N.C.C.
N.S.S.
Sports
Cultural activities
Activities
Institution
From
To
No. of
Days
Encl. at
page No.
(11) Languages Known Tick mark () appropriately :

Language
Sr. No.
English
Gujarati
Hindi
Read
Write
Speak
4
I, hereby declare that the information furnished above is true and correct to the best of my
knowledge and belief and also that I have not concealed any fact or withheld any information
regarding my past service and record. If any information is found to be false or incorrect or
anything is found to have been concealed, I will be disqualified for selection or if appointed, will
be liable to termination without any notice or compensation.
Place
Page 4 of 5
page No.Encl at
Full Name &

Address of the
Employer where
Employed
1
Date
Signature of the Applicant
----------------------------------------------------------------------------------------------------------------------------Note :
All Copies of Marksheet / Certificates should be self attested, List of enclosures attached by the
applicant should be arranged strictly in the following order. Please tick ()
Sr.
No.
No.
()
Details Enclosed with Application Form
Application Form with Photograph.
Caste Certificate (If necessary)
Higher Secondary School Leaving Certificate.
S.S.C. / H.S.C. all Marksheet.
F.Y.,S.Y. & T.Y. all Marksheet & Degree Certificate.
Postgraduates Degree -Previous & Final Year all Marksheet & Degree Certificate.
English Typing (If any)
Gujarati Typing (If any)
Computer Course Certificate (If any)
10
CCC Passing Certificate (If any)
11
CCC+ Passing Certificate (If any)
12
Other Qualifications Certificates
13
Pan Card & Election Card Copy
14
Testimonials / Experience Certificates.
Encl. at
Page
No.
15
16
Please fill ALL the following ADDRESS SLIPS with typing neatly only one copy of this page
should be submitted attached with your form with Full Name & Postal Address (With Pin Code)
for further communication.
BY Registered Post / Courier
BY Registered Post / Courier
Name
Name
Address
Address
City
PIN
City
PIN
Tal.
Dist.
Tal.
Dist
.
State
State
Mobile No.
Mobile No.
Page 5 of 5

Sardar Patel University: Application Fee: Rs.250/-For Non-Teaching Post For Office Use Only

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APPLICATION FEE : Rs.

FOR NON-TEACHING POST

SARDAR PATEL UNIVERSITY

The Newspaper in which you read the Advertisement ________________

Baxi Punch / SEBC

Race & Religion

Pan Card No.

Please Tick mark () appropriate

City/District where Registered

If married Name of Husband / Wife

5. Full Address for correspondence (In Block Letters)

6. Educational Qualifications : Examinations passed (Attested copies of all testimonials/ Certificates

Encl. at Page No.

Year & Month of

were carried outwhich

(7) Details of Typing/ Computer Course. (Please attached Certificate.)

Month & Year

(9) Present Position :

(11) Languages Known Tick mark () appropriately :

Full Name &

Signature of the Applicant

Details Enclosed with Application Form

Application Form with Photograph.

Caste Certificate (If necessary)

Higher Secondary School Leaving Certificate.

S.S.C. / H.S.C. all Marksheet.

F.Y.,S.Y. & T.Y. all Marksheet & Degree Certificate.

English Typing (If any)

Gujarati Typing (If any)

Computer Course Certificate (If any)

CCC Passing Certificate (If any)

CCC+ Passing Certificate (If any)

Other Qualifications Certificates

Pan Card & Election Card Copy

Testimonials / Experience Certificates.

BY Registered Post / Courier

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