Scribd
Upload
58 views4 pages

Application Form

This document is an application form for a job posting. It requests information such as the applicant's name, contact details, date of birth, education history, work experience, training programs, job posting preferences, and a declaration that the information provided is true. The applicant must also submit recent photographs, certificates, and a vigilance clearance certificate from their current department certifying that no disciplinary actions are pending against the applicant.

Uploaded by

kajal pathoi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
58 views4 pages

Application Form

This document is an application form for a job posting. It requests information such as the applicant's name, contact details, date of birth, education history, work experience, training programs, job posting preferences, and a declaration that the information provided is true. The applicant must also submit recent photographs, certificates, and a vigilance clearance certificate from their current department certifying that no disciplinary actions are pending against the applicant.

Uploaded by

kajal pathoi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

Last Date for Receipt of Application ______________

APPLICATION FORM (Through Proper Channel)

1. Name of the post applied for ___________________________


A recent passport
Advertisement No. ___________________________
size photograph
to be affixed in
2. Name ____________________________ this space.
(In Block Letters)
3. Postal Address ____________________________
____________________________
____________________________
4. Contact Number ____________________________
5. E-mail ID (if any) ____________________________

6. Date of Birth ___________________________

(in Christian Era)

7. Sex Male Female

8. Community (Whether SC/ST/OBC/Others) _____________________

9. Educational Qualifications (Starting from High School)

S.No. Examination Year of Name of the %age of marks Subjects


passed passing School/College obtained
/University

1
10. Experience

S. Name of Post Scale of Pay Name of the Period Nature


No. Department of work
From To

11. Training programme attended/participated _______________________


(Enclose self attested copies of certificates)

12. Details of Enclosures: ____________________________________

13. Choice of posting, if any (against available vacancies) ____________

I hereby declare that all statements made in this application are


true and complete to the best of my knowledge and belief. I understand that
action can be taken against me by the Council if I am declared to be guilty of
any type of misconduct mentioned herein. I have informed my Head
Office/Department in writing that I am applying for selection to the post on
deputation/foreign service basis.

Signature of the Candidate

Name ____________________

Date:

2
Place:

3
A Vigilance Clearance Certificate as given below should be given by the Department

Certified that Shri/Smt./Kumari/ ___________________________________________________ of


_________________________________________________________________________ holds a
temporary/permanent post of _________________________________________________ in the
Department of _____________________________________________________________ and that
no disciplinary case is pending or contemplated against him/her.

No. Signature ___________________


Date: Designation _________________
Office Seal __________________

You might also like