Sl.No. Degree/Specialization University/Institution Division or Percentage of equivalent Marks Knowledge of working on PC/Work station and Familiarity with software Packages (Please specify):______________________________________________________ Employment Record (details in reverse chronological order, starting with the last job), if any: Sl.No. Name & Address of Period of service in Designation of Nature of work the Employer each post (Duration post held & and level of in Months) Scale of pay responsibilities From To Any other information you may wish to furnish __________________________ (in brief and no annexure be enclosed) Name and address of 2 persons (Not related to you) who are well acquainted with your academic record and professional work for reference:- 1._____________________________ 2.__________________________________ _______________________________ __________________________________ DECLARATION I certify that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been concealed/distorted. At any time I am found to have concealed/distorted any material information, my appointment shall be liable to be summarily terminated without notice/compensation. Place_______________ SIGNATURE OF THE CANDIDATE Date _______________
Sl.No. Degree/Specialization University/Institution Division or equivalent Percentage of Marks Knowledge of working on PC/Work station and Familiarity with software Packages (Please specify):______________________________________________________ Employment Record (details in reverse chronological order, starting with the last job), if any: Sl.No. Name & Address of the Employer Period of service in each post (Duration in Months) Designation of post held & Scale of pay Nature of work and level of responsibilities From To Any other information you may wish to furnish __________________________ (in brief and no annexure be enclosed) Name and address of 2 persons (Not related to you) who are well acquainted with your academic record and professional work for reference:- 1._____________________________ 2.__________________________________ _______________________________ __________________________________ DECLARATION I certify that the foregoing information is correct and complete to the best of my knowledge and belief and nothing has been concealed/distorted. At any time I am found to have concealed/distorted any material information, my appointment shall be liable to be summarily terminated without notice/compensation. Place_______________ SIGNATURE OF THE CANDIDATE Date _______________
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