APPLICATION FEE : Rs.500/- FOR ADHOC TEACHING POST For Office Use Only Inward No. Est. No. Sr. No. Date ____/07/2018 Date ____/07/2018 Section Establishment VALLABH VIDYANAGAR-388120 (Dist. ANAND - ) Walk-In-Interview for the Post of Adhoc Assistant Professor in the P.G. Department of IICISST(Self Financed) (For 11 Months only) The Newspaper in which you read the Advertisement ________________ Affix the Advertisement No. B/S/SF/IICISST/2026 Dated : 07/07/2018 3.5 c.m X 3.5 Rs.500/- Date:___/07/2018 Demand Draft No. c.m. latest Photograph by Name of Bank Branch Self Attested Payable at Branch City IMPORTANT: Before filling in the form please read the form, Instructions and Qualifications carefully. 1. (In Block letters) Name in full : Mr./Mrs./Ms./Dr. Father’s/Husband’s Name Husband’s Name (attached Marriage Certificate or Govt. Gazette Surname Mother’s Name : 2.(i) Please Tick mark () appropriate column. Please enclose Caste Certificate of appropriate authority, if applicable. S.C. S.T. Baxi Punch / SEBC General Phy. Handi Ex-Serviceman (Attach a certificate from the competent authority with Caste validity certificate for S.C./S.T./ Socially and Educationally Backward Class (SEBC) Certificate.) (i) Caste Certificate No. Issue Date (ii) Name of Issuing Authority Age 3. Date Month Year Date of Birth (Years) In figures In Words (Capital) (A true copy of the Higher Secondary School Leaving Certificate in the Birth Date is registered should be enclosed.)
APPLICATION FEE : Rs.500/- FOR ADHOC TEACHING POST For Office Use Only Inward No. Est. No. Sr. No. Date ____/07/2018 Date ____/07/2018 Section Establishment VALLABH VIDYANAGAR-388120 (Dist. ANAND - ) Walk-In-Interview for the Post of Adhoc Assistant Professor (For 11 Months only) in the P.G. Department of IICISST(Self Financed) The Newspaper in which you read the Advertisement ________________ Advertisement No. B/S/SF/IICISST/2026 Dated : 07/07/2018 Affix the 3.5 c.m X 3.5 c.m. latest Photograph by Self Attested Demand Draft No. Date:___/07/2018 Rs.500/- Name of Bank Branch Payable at Branch City IMPORTANT: Before filling in the form please read the form, Instructions and Qualifications carefully. 1. (In Block letters) Name in full : Mr./Mrs./Ms./Dr. Father’s/Husband’s Name Husband’s Name (attached Marriage Certificate or Govt. Gazette Surname Mother’s Name : 2.(i) Please Tick mark () appropriate column. Please enclose Caste Certificate of appropriate authority, if applicable. S.C. S.T. Baxi Punch / SEBC General Phy. Handi Ex-Serviceman (Attach a certificate from the competent authority with Caste validity certificate for S.C./S.T./ Socially and Educationally Backward Class (SEBC) Certificate.) (i) Caste Certificate No. Issue Date (ii) Name of Issuing Authority 3. Date of Birth Date Month Year Age (Years) In figures In Words (Capital) (A true copy of the Higher Secondary School Leaving Certificate in the Birth Date is registered should be enclosed.)
CISST%20Walk-in-interview-form%207-6-2018.docx