Scribd
Upload
11 views2 pages

Form

The document is an application form for the recruitment of a Project Assistant on a temporary basis for the Unnat Bharat Abhiyan at the National Institute of Technology Sikkim. It requires personal information, educational qualifications, employment history, and additional information from the applicant. The applicant must declare the accuracy of the information provided and understand the consequences of submitting false information.

Uploaded by

avishakroy1997
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
11 views2 pages

Form

The document is an application form for the recruitment of a Project Assistant on a temporary basis for the Unnat Bharat Abhiyan at the National Institute of Technology Sikkim. It requires personal information, educational qualifications, employment history, and additional information from the applicant. The applicant must declare the accuracy of the information provided and understand the consequences of submitting false information.

Uploaded by

avishakroy1997
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/ 2

NATIONAL INSTITUTE OF TECHNOLOGY SIKKIM

(An Institution of National Importance set up by MHRD, Govt. of India vide NIT Act 2009)
Ravangla, South Sikkim, Sikkim 737139

APPLICATION FORM
(Recruitment of Project Assistant on purely temporary and ad-hoc basis for Unnat Bharat
Abhiyan at NIT Sikkim)

To
Coordinator RCI, UBA
1.National
NameInstitute
in full (in
ofcapital letters)
Technology Sikkim
Ravangla, South Sikkim, Sikkim- 737139
2. Father’s Name

3. A. Marital Status B. Gender


A. Permanent address (with phone no. and
4. B. Address for correspondence
e-mail if any)

E-mail: E-mail:
Phone No: Phone No:
Date of birth
5.
(Must enclose self attested copy of Certificate)
6. Nationality
Please state your category (Gen/ST/
7. SC/OBC/PWD) (please enclose self attested
copy of certificate)
8. Details of educational qualifications: Give particulars of all examinations passed and degrees
obtained commencing with the High School Leaving (10th standard / Matriculation) Examination.
(Enclose self-attested copies of certificates and mark-sheets)

Examination/ Name of the Board


S. Percentage Year of
Degree/Diploma /University/ Division Subjects
No. of marks passing
passed Institution
9. Details of employments: Please give particulars of your present and past employments in chronological
order, starting with the present one.
(Enclose self-attested copies of Experience Certificates from the Employer)
S. Organization/ Position Date of Date of Last/Present Basic
Scale of pay
No. Institute held joining leaving Pay

10. Additional Information :


(Applicant may mention here any special qualifications or experience, including that of
Computer knowledge, which have not been included under the heads given above)

I, hereby declare that I have carefully read and understood the instructions and particulars supplied to me
and that all the entries in this form and documents furnished by me are true to the best of my knowledge
and belief. I fully understand that if it is found that any information/documents given in the application is
incorrect/false/forged or if I do not satisfy the eligibility criteria at a later date, my candidature/
appointment is liable to be cancelled and I shall be liable for legal actions.

Date: ................................ Signature of the Applicant

You might also like