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Application Form to Be Filled for IPC Vacancy

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hashim.khalil2k18
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19 views

Application Form to Be Filled for IPC Vacancy

Uploaded by

hashim.khalil2k18
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

1. Name of the Post Applied for: …………………………………………………….


Paste your recent
2. Full Name of the Candidate: ……………………………………………………… passport size
(in Capitals) photograph
………………………………………………………………................

3. Date of Birth:
Day Month Year
4. Gender: (Write ‘1’ for Male, ‘2’ for Female ‘3’ for Transgender)

5. Marital Status: ……………………………………..

6. Father’s/Husband’s Name: ……………………………………………………………………………

7. Mailing Address (in block letters): …………………………………………………………………….

…………………………………………………………………………………………………………..

…………………………………………………………………….. Pin Code: ……………………….

Tel. No. : ……………………………………………… Mobile: ……………………………................

E.mail ID (if any): ……………………………………………………………………………................

8. Nationality: ……………………………………..

9. Whether Physical Handicapped? : (Write ‘1’ for Yes, ‘2’ for No)

10. Category (please tick  ) SC ST OBC GENERAL EWS

11. All Educational/other professional Qualifications/Training Courses etc from 10th Standard Board
Examination onwards:
Level Exam passed/ Division/Grade Year of Duration of the Board/ University Subject Subject of
Degree Trg. % of Marks Passing Degree/ Diploma Specialistion
12. Brief professional experience:

Office/Instt. Firm Post held Part time/ Exact dates to be Scale of Nature of duties
Contract Basis/ given (indicate day, Total Period (in years) pay
Ad-hoc/ regular/ month & year)
Temp./pmt. From To Years Months Days

13. Any other relevant information: ………………………………………………………………………

14. Details of enclosures: 1) ……………………………………………....

2) ……………………………………………....

3) ……………………………………………....

I hereby declare that all the statements made in the application are true and complete to the best of
my knowledge and belief. I understand that action can be taken against me by the Commission, if I am
declared by them to be guilty of any type of misconduct mentioned herein. I have informed my Head
Office/Department/ Employer, in writing that I am applying for this selection.

Date: Signature of candidate

Place: Address:

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