Application Form

Personal Information

Contact Number

Personal Perticulars

Program Applied For

Academic Qualifications

Examination Year Name of School Board / University Maximum Marks Marks Obtained Percentage
Secondary (10th)
Sr. Secondary (12th)

Work Experience (last two)

Organisation Name Designation Period Nature of work Last salary Draw (₹/mo)

Awards & Honours

Year Name of Award Institution Level Remarks
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I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of my information being found false or incorrect at any stage, my candidature / appointment shall be liable to cancellation / termination without notice or any compensation in lieu thereof.

I accept