Application Form Direct Rectt. Advt No 9888 (01) 2024
Application Form Direct Rectt. Advt No 9888 (01) 2024
9888(01)/2024
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(Note: If any candidate wants to apply for more than one post/ same post for both campuses then they
must fill separate form with requisite fee (if applicable).
APPLICATION FORM
PWD Ex-Serviceman
4. DATE OF BIRTH
(In figures) Day Month Year
6. Permanent Address:
7. Contact Details:
Valid E-Mail ID
Valid Mobile No.
Contact no. (Office)
Contact no. (Residence)
Designation
Organization
Date of Joining
Scale of Pay (Rs.)
Basic Pay (Rs.)
Total Emoluments (Per month) (Rs.)
10. Academic Record starting with secondary education: (Please attach attested photo copies of
certificates/Mark Sheets)
Examination Branch / College / Year %age of Division
Specialization Uni./Instt. marks/Grade
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11. Employment [Particulars of your past position(s)] (if any)
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13. DETAILS OF ENCLOSURES
14. I, hereby, declare that all information mentioned in this application form as well as
supporting documents submitted by me, are true to the best of my knowledge and belief. I
understand that submission of false information / documents shall lead to the cancellation of
my candidature at any stage / expulsion from the services, moreover appropriate action shall
be taken against me.
Place :
Date :
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