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29 views

Application Format

Doc

Uploaded by

shaktidhurve2
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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VISVESVARAYA NATIONAL INSTITUTE OF TECHNOLOGY

NAGPUR 440 010 MAHARASHTRA


(An Institution of National Importance under MoE, Government of India)

APPLICATION FORM

1. Name of the Post:

Self Attested

2. Code (Post) Photograph

1. Name of the Applicant


(In Block Letters)

2. Father’s / Husband’s Name

3. Date of Birth Gender Age in Years as Marital Status Nationality


(dd/mm/yyyy) Male/Female on 12th August Married/Unmarried
2024

4. Category SC / ST / OBC / PWD / EWS/UR


5. Address for
Correspondence

Pin Code:
Tel.Nos./Fax Nos Mobile:
Email
6. Permanent Address

Pin Code:
7. Educational Qualifications
Qualification Discipline Name of the Year of % of Marks/ Class/
University/Institute Passing CGPA Division
10th or Equivalent
………………….
12th or Equivalent
………………….
Graduation
………………..
Post Graduation
………………..
Others, if any
……………….

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8. Sports Participation / Achievement
Name of the Tournament Level Year of Position
Participation

9. Present Employment with Salary Details


Institute/ Designation/ From To Nature of Pay GP / Total Salary
Organization Post Held Work Band AGP (Per month)
in Rs.

10. Work Experience Details Total Work Experience (in years):

Institute/ Designation/ From To Nature of Pay GP / Total Salary


Organization Post Held Work Band AGP (Per month)
in Rs.

11. Description of Work Experience


(Give chronological detailed description of the work performed by you in relation to the previous
experience and related knowledge)

12. Have you ever been Terminated /


Suspended from Work?
If so, Give Reason and Present status of it:

13. Mention Notice Period Needed for Joining if


Offered a Post

2
14. Name Two Referees with Complete Contact Details Including Address, Tel. Nos., Fax Nos., Email
Address
(i) (ii)

15. Any other Relevant Information such


as Computer Knowledge and Skills
which have not been included under
the heads given above.

16. List of Enclosures (Academic, Experience and Professional Qualifications)


a)

b)

c)

d)

e)

f)
DECLARATION
I hereby, solemnly declare that the information furnished in this application are true and correct to the best
of my knowledge and belief. If at any time I am found to have concealed/ suppressed any material/
information or have given any false details, my candidature/appointment shall be liable to be summarily
cancelled/ terminated without any notice or compensation.

Place:

Date: Signature of the Applicant

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