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Employment Application Form

This document is an application form for a non-teaching staff position at BITS Pilani - KK Birla Goa Campus. It requests personal details such as name, date of birth, contact information, education history, work experience, languages known, and references. The applicant is asked to provide details of their current and expected salary, notice period required, degrees and certificates with percentages and years of passing, descriptions of duties and positions held for each prior role, computer skills, co-curricular activities, and professional referees who are not related by blood or marriage. The applicant declares that the information provided is true and correct.

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32 views2 pages

Employment Application Form

This document is an application form for a non-teaching staff position at BITS Pilani - KK Birla Goa Campus. It requests personal details such as name, date of birth, contact information, education history, work experience, languages known, and references. The applicant is asked to provide details of their current and expected salary, notice period required, degrees and certificates with percentages and years of passing, descriptions of duties and positions held for each prior role, computer skills, co-curricular activities, and professional referees who are not related by blood or marriage. The applicant declares that the information provided is true and correct.

Uploaded by

Akkl Lnss
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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BITS, PILANI - K.K.

BIRLA GOA CAMPUS



Application Form (For Non Teaching Staff)
To,
The Director
BITS, Pilani K.K. Birla Goa Campus
Zuarinagar-403726
Goa.

Advertisement Date: _________________



A: POST APPLIED FOR:
What is your expected salary per month
* Rs.
What is your current salary per month
* Rs.
B: PERSONAL PARTICULARS:
Full Name
(Prefix Mr.Mrs.Ms)
Surname Middle Name First Name

Maiden name (if applicable )

Date of Birth

Marital Status Married / Unmarried
Contact Address:



Contact No.
E-mail:
E: LANGUAGE SKILLS (Tick as appropriate)

Name of the Language English Hindi Konkani Marathi Any other
Speaking

Writing

Reading


F: Educational Qualifications (Chronological) Please attach photocopies of Certificates.
Sr.
No.
Qualification * Year of passing University / Institute
/ Board
% of Marks
















G. Computer Skills.
Applications Known
Programming Languages
Known


Course Univ/Inst. Year
Courses Completed







Paste Your
Photograph
here





Please provide details starting with the highest qualification. Include attested copies.


H: Technical/ Professional Qualification (Please attach photocopies)

Sr.
No.
Qualification * Year of passing University / Institute
/ Board
% of Marks










I : Professional Experience (Please state in Chronological Order) *
Sr.
No.
From

To

Organization

Brief
Description
Of Duties
Position
held
Reasons for leaving
the job





*Please provide details starting with the earliest experience.
*Additional Sheets may be added, if required

J. Co curricular Activities:



K. Notice period required for joining, if selected

L : Professional Referees
(Referees must not be related to you by blood or marriage)

Name of 1
st
Referee
No. of Years Known
Occupation
Address
Contact No. with STD Code
E-mail

Name of 2
nd
Referee
No. of Years Known
Occupation
Address
Contact No. with STD Code
E-mail

I here by declare that the information furnished by me is correct and complete. I hereby agree that any false
statement i make in this application shall result in cancellation of my candidature. I have attached Xerox of
proof qualification and work experience.


Place: ______________ Signature: ________________

Date: _______________ Name: ____________________


(Please forward e-copy of the application to [email protected])

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