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App BNC 0211

This document is an employment notice and application form for group B and C level non-teaching posts at the National Institute for the Empowerment of Persons with Intellectual Disabilities in Secunderabad, India. The application requests information such as personal details, educational and technical qualifications, experience, residency history, and a one page statement on why the applicant is suitable for the position. Applicants must affix a photograph and submit details including date of birth, nationality, category, address, and references in order to be considered for the open positions.

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rama
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51 views

App BNC 0211

This document is an employment notice and application form for group B and C level non-teaching posts at the National Institute for the Empowerment of Persons with Intellectual Disabilities in Secunderabad, India. The application requests information such as personal details, educational and technical qualifications, experience, residency history, and a one page statement on why the applicant is suitable for the position. Applicants must affix a photograph and submit details including date of birth, nationality, category, address, and references in order to be considered for the open positions.

Uploaded by

rama
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

Website: www.niepid.nic.in Tel.No.

27751741-745
Fax No.040-27750198

NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS


WITH INTELLECTUAL DISABILITIES (DIVYANGJAN)
(Formerly known as National Institute for the Mentally Handicapped)
(Department of Empowerment of Persons with Disabilities
(Divyangjan)) Ministry of Social Justice & Empowerment, Govt. of India
MANOVIKAS NAGAR, SECUNDERABAD – 500 009
An ISO 9001:2015 Institution

Employment Notice No. 06/2023 ApplicationNo.


(For office use only)

Application Form for Group B&C Level


Non- Teaching Posts

AFFIX
PHOTOGRAPH
1. POSITION APPLIED FOR : __ HERE

2. SERIAL NUMBER OF POST : ___________

3. D.D.No.& Date Amount

Name of the bank

4. Name of the Applicant (In full block letters) :

Name

Father name

5. RCI/MCI Regn. No. :


(Applicable in case of faculty & technical positions)

6. Date of Birth :
D D M M
Y E A R

7. Nationality: Sex: M F

STATE to which the candidate belongs:

8. Religion :

9. Category: SC ST OBC Gen

1
10. Are you a PWD ? (Yes/No)

If yes, attach relevant certificate.

11. Address for Communication:

Present Postal Address (in block letters) Permanent Address

PIN: PIN:

Phone: Phone:
E-mail: E-mail:

12. Educational Qualifications (from 10th or equivalent and onwards) :


Percent-
Name of the School/ Year of Subjects
Exam Passed Division age of
College/ University Marks Passing Taken

2
13. Technical Qualifications :
Percent-
Name of the School/ Year of Subjects
Exam Passed Division age of
College/ University Passing Taken
Marks

14. Details of Experiences (Attach a separate sheet if required) :


Details of Post Salary Drawn Name of the Duration Nature of
held (Pay Band + G.P to Organization with duties
be mentioned in dates
case of
Govt.Organization)

3
15. Particulars of places (with periods of residences), where you have resided
for more than one year at a time during the preceding five years. In case of
stay abroad, particulars of all places where you have resided for more than
one year after attaining the age of 21 years would be given:

From To Residential address in full Name of the district Head


(i.e., village, taluka and Quarters of the place
District or H.No./lane/ mentioned in the preceding
street/road and town) column.

16. Do you have any relatives in NIEPID?

17. Innovative and Developmental works undertaken:

18. Why you think you are suitable for the post you have applied for (Details
within one page) :

Date: Signature of the Applicant

Place:

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