1. Post applied for : 2. Name of the Candidate (in Block Letters) : 3. Father’s/Husband’s Name : 4. Date of (as per SSC records) : 5. a) Qualifications - Academic and Technical (from SSC onwards) (Attested Photostat in support of qualifications With marks memos) Qualification Name of the Total Marks % age of Year of With Institution and marks Secured Passing group/Branch Board/University secured (b) Higher Qualifications (M.Phil/ PhD/NET or SLET) Name of Name of Marks % age of Year of Branch the the Secured Marks Passing Degree Institution secured Note: - The candidates who possess the provisional certificate at the time of applying itself shall be eligible to apply. Those who are pursuing higher studies shall not be considered to be possessing higher qualifications unless possess the provisional or original certificate as on the date of submission of application. 6. Experience : Sl.No Name of Period the of Total Organisation Service & Service in
1. Post applied for : 2. Name of the Candidate (in Block Letters) : 3. Father’s/Husband’s Name : 4. Date of (as per SSC records) : 5. a) Qualifications - Academic and Technical (from SSC onwards) (Attested Photostat in support of qualifications With marks memos) Qualification With group/Branch Name of the Institution and Board/University Total marks Marks Secured % age of secured Year of Passing (b) Higher Qualifications (M.Phil/ PhD/NET or SLET) Name of the Degree Name of the Institution Marks Secured % age of Marks secured Year of Passing Branch Note: - The candidates who possess the provisional certificate at the time of applying itself shall be eligible to apply. Those who are pursuing higher studies shall not be considered to be possessing higher qualifications unless possess the provisional or original certificate as on the date of submission of application. 6. Experience : Sl.No Name of the Organisation & Period of Service Total Service in
SCWDC27072015.docx