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Common Application Form 4

C

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0% found this document useful (0 votes)
12 views

Common Application Form 4

C

Uploaded by

babatd286155
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR THE POSITION OF..........................

1. Full Name of the candidate (In Block Letters):


2. Father’s/Husband’ s Name :
Paste self attested
3. Mother’s Name : Recent Passport
4. Gender: Photo

5. Maritial Status :
6. Nationality (attach a copy of evidence):
7. Permanent Postal Address (attach a copy of evidence):
8. Police Station:
9. Current Address:
10. Mobile No.:
11. Mobile No. (WhatsApp messenger) :
12. Email ID :
13. Passport No. (If available) (attach a copy): …………………..
14. Date of Birth (attach a copy of evidence)(dd/mm/yyyy):
15. Age (As on date of advertisement) : Years month(s)
16. Current Designation:
17. Current Employer’s Full Address with contact email and phone number:

18. Educational Qualification (attach a copies of certificates):


Sl. Examination Degree Subject Year of Name of Name Class/
Passing College Board/ Percentage of
University marks obtained
1. Graduation
2. Post graduation
3. Others (if any)
19. Training details relevant to the position applied (attach copies of certificates):
Sl. Title of the Training program Duration of Training Training organized by
1.
2.
3.
20. Total Professional Experience : Years month(s)
21. Details of Professional Experience (Starting from latest **) (attach copies of experience certificates):
Sl. Designation Organization From To Summary of Salary Drawn
(mm/yyyy) (mm/yyyy) Services provided

** Attach latest salary certificate.

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22. Write a brief note describing why would like to be associated with us : (Maximum 250 words)

23. Languages proficiency: (please tick √)


Sl. Language Read Write Speak

24. Computer proficiency :


Sl. Program/Software/Applications Excellent Good Average

25. Names and Addresses of two persons from whom we may seek reference about you:
(The two persons must not be related to you and must have interacted with you for more than 2 years in a
Professional and/or academic capacity during the last 5 years)
Name of the person &
Sl Address Phone no E-mail id
designation (if any)
1.
2.
26. Do you have any criminal or corruption charges against you? (If yes furnish details)
27. Have you ever been arrested, indicted or summoned into court as defendant in a criminal proceeding
or convicted, fined or imprisoned for the violation of any law? (If yes furnish details)
28. Have you ever been discharged or forced to resign from any position? (If yes furnish details)
Declaration: I certify that the statements made by me in this application are true, complete and correct to the
best of my knowledge and belief. Permission is hereby given to FREMAA to make such investigations as are
necessary on the information given above. I understand that any misrepresentation or fraudulence or material
omission made herein or in any other document requested by FREMAA would render dismissal and termination
of my candidature/ service/contract apart from other penal action as per the law.

Date : Signature of the Candidate


Place :
MPORTANT Notes:
1. Candidates shall complete this application in not more than 8 pages strictly as per the above format, along
with self attested copies of testimonials/certificates (not more than 12 pages), evidencing that he/she is
qualified to perform the services. The complete application along with certificates/testimonials shall not
be more than 20 (twenty) pages or else the application may not be considered.
2. While self attested copies of all the relevant certificates/testimonials needs to be submitted along
with the application, Candidates are to note that applications without self attested copies of
certificates/testimonials relating to Educational Qualifications and Trainings shall be rejected.

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