(TRADE: ___________________________________) Name : Date of Birth : Age as on (________________) : Category : (1) / SC / ST / OBC (Please put in the relevant category) √ (2) PWD /Ex-servicemen/ Children of Ex-Serviceman / Serving Armed Forces, their children Address for communication : Telephone No. (Landline / Email ID : Educational Qualifications : (SSLC onwards) Sl. Course Percentage Name of the Board/ Year of Study No. University 9. Additional Qualifications : Sl. Course Percentage Name of the Board/ Year of Study No. University 10. Positions known from : Newspaper / Website / ITI / Others (Please put ) √ 11. Any relevant details : I hereby declare that, all the particulars made in the application are true to the best of my knowledge and belief. In the event of any information being found false at any stage, my candidature is liable to be rejected. Yours faithfully, Place: Signature: ________________________ Date: Name: ________________________
(TRADE: ___________________________________) Name : Date of Birth : Age as on (________________) : Category (Please put √ in the relevant category) : (1) / SC / ST / OBC (2) PWD /Ex-servicemen/ Children of Ex-Serviceman / Serving Armed Forces, their children Address for communication : Telephone No. (Landline / Email ID : Educational Qualifications : (SSLC onwards) Sl. No. Course Percentage Name of the Board/ University Year of Study 9. Additional Qualifications : Sl. No. Course Percentage Name of the Board/ University Year of Study 10. Positions known from (Please put √ ) : Newspaper / Website / ITI / Others 11. Any relevant details : I hereby declare that, all the particulars made in the application are true to the best of my knowledge and belief. In the event of any information being found false at any stage, my candidature is liable to be rejected. Yours faithfully, Place: Signature: ________________________ Date: Name: ________________________
APP-23-2014_AdvtCopy.docx