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APPLICATION FORM

Annexure-I

Name of the Post:  
PP Size
Photo
1.  Name in Full:
(In Block Letters)
 
 
2.  Father's / Husband's Name:  
3.  
4.  Address for Correspondence:
 
 
 
5.  Contact No:-  
6.  E-Mail ID:-  
7.  Permanent Address:
 
 
 
8.  Date of Birth:      Age:-     (YY/MM/DD, As on 29/08/2026)
9.  Marital Status:      (Married/Unmarried)
10. Educational Qualification:
Sl. No Exam Passed Year of Passing Board / University Specialization Subjects Total Marks
(Without Extra Optional)
Marks Secured
(Without Extra Optional)
% of Marks Secured
(Without Extra Optional)
1       
2       
3       
4       

*(If/where required) Candidates are required to attach CGPA calculation certificate.

11.  If selected what period would you require joining the post: 1 week / 15 days / 1 month / others  
12.  Work Experience: Total:    Years    Months
Sl No Name of the Employer Post held Working Period Duration in Months Reason for leaving
1     
2     
3     
4     
Declaration I do hereby declare that the particulars furnished in this form are true to the best of my knowledge and belief and I take all responsibility to myself. In the event of any information furnished by me found to be incorrect/false in future, my candidature is liable for termination.
Date:  

Place:  


Signature of Candidate