No. (With code).......................... ……………………………………Telephone/Mobile (b) Correspondence Address............................................................................................... ................................................................E mail…………………………………………... 6. EDUCATIONAL QUALIFICATIONS: %age of Marks University'& Marks Name of Exam. Maximum Obtained and Subject(s) Studied Year of Passing Obtained Marks Division Graduation Post Graduation Any (Please Specify) 7. PREVIOUS AND PRESENT EMPLOYMENTS: (Please give complete details) Nature of work/duty Name of the assigned(Please also indicate Period From Position(s) held Organisation number of To in employees working the organisation) Experience…………………….Year…………Month CERTIFICATE BY THE APPLICANT 8. I hereby certify that the particulars furnished above are correct to the best my of knowledge and belief. I undertake to abide by the rules and regulations laid by the Department/University. Dated.....................2018 SIGNATURE OF APPLICANT
……………………………………Telephone/Mobile No. (With code).......................... (b) Correspondence Address............................................................................................... ................................................................E mail…………………………………………... 6. EDUCATIONAL QUALIFICATIONS: Name of Exam. University'& Year of Passing Marks Obtained Maximum Marks %age of Marks Obtained and Division Subject(s) Studied Graduation Post Graduation Any (Please Specify) 7. PREVIOUS AND PRESENT EMPLOYMENTS: (Please give complete details) Name of the Organisation Position(s) held Period From To Nature of work/duty assigned(Please also indicate number of employees working in the organisation) Experience…………………….Year…………Month 8. CERTIFICATE BY THE APPLICANT I hereby certify that the particulars furnished above are correct to the best of my knowledge and belief. I undertake to abide by the rules and regulations laid by the Department/University. Dated.....................2018 SIGNATURE OF APPLICANT