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Performa

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subodh kumar
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11 views3 pages

Performa

Uploaded by

subodh kumar
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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PROFORMA

APPLICATION FORM
Post Applied For: _________________

1. (a) Name of the Applicant (in full) ___________________________________ Please affix a


self-attested
(b) Present or Last Designation held by Applicant (in full)_____________________________
photograph
c) Organization __________________________________________________
(d) Office Address __________________________________________________
2. Address for communication _______________________________________
3. Telephone No. : Office ___________________ Residence ________________________
Fax No. _________________ Mobile No. _______________________
4. E-mail address __________________________________________________________
5. Date of Birth _____________
Age as on date of issue of Advertisement ______Years ____ Months

6. Nationality______________

7. Pay and total annual emoluments drawn in the present / last assignment held: ____________

8. Eligibility Criteria :

Qualification Institution Year

Educational / Professional
Qualifications (along with the
name of Institutions)

(a) Graduation

(b) Post-graduation

(c) Other qualifications

9. Positions held during the preceding years : (Chronological start with recent one)
Sl. Designation & Organization From To Details of relevant
No. Place of Posting work experience and
achievements
1.
2.

3.

4.

10. Certification and Affiliations

Sl. Particulars of Certifying Body Date of Issuance Date of Validity, if any


No. Certification

11. Skills

Sr. No. Management Skills Technical Skills

12. Job Fitness and Strategic Vision (explain your fitness and your strategic vision in 500 words)

13. (a) Whether any punishment awarded to the applicant during the last 4 years
If yes, the details thereof Yes No

(b) Whether any action or inquiry is going on against him/her as far as his/her knowledge goes
If yes, the details thereof Yes No

14. Specify the location applying for Delhi / Vadodara / Bharuch

I _____________________son/daughter of_________________________ Resident of


_______________________ certify that the details furnished by me in Cols. 1 to 11 are true and I am
eligible for the post.

Date: (Name & Signature of the applicant)

Note: Please attach self- attested copies of proof of


1. Date of birth
2. Educational Qualification certificates
3. Experience Certificate

(THE INFORMATION RECEIVED WILL BE TREATED AS CONFIDENTIAL)

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