NATIONAL LAW UNIVERSITY AND JUDICIAL ACADEMY, ASSAM (ESTABLISHED BY THE ASSAM ACT NO. XXV OF 2009) HAJO ROAD, AMINGAON, GUWAHATI - 781 031, ASSAM (INDIA) APPLICATION FORM FOR ACCOUNTANT FORM NUMBER PASTE YOUR (FOR OFFICE USE ADVERTISEMENT PUBLISHED IN RECENT ONLY) PASSPORT SIZE ………….………………………… PHOTOGRAPH DATED…………………………………. HERE …………………... NAME OF THE POST APPLIED FOR PERSONAL DETAILS FIRST NAME MIDDLE NAME SURNAME NAME A. (IN CAPITAL LETTERS) YEAR MONTH DAY MONTH YEAR AGE AS ON B. DATE OF BIRTH DATE CITY / VILLAGE STATE COUNTRY C. PLACE OF BIRTH D. FATHER’S NAME E. MOTHER’S NAME F. NATIONALITY G. GENDER MALE / FEMALE / OTHER: GEN / SC / ST(P) / ST(H) / OBC / MOBC / PC / / COMMUNITY/CATEGORY EX-SERVICEMAN / OTHER CATEGORIES H. (TICK WHICHEVER IS IF OTHER CATEGORY:- GIVE DETAILS APPLICABLE) _______________________________ (ATTACH RELEVANT CERTIFICATES AS PROOF) MARRIED / UNMARRIED I. MARITAL STATUS IF MARRIED, NAME OF SPOUSE _______________________________ IF SPECIALLY ABLED, INDICATE THE IF APPLICABLE, PERCENTAGE OF J. RELEVANT PARTICULARS WRITE DISABILITY ‘YES’ BLINDNESS OR LOW VISION HEARING IMPAIRMENT LOCOMOTOR DISABILITY OR CEREBRAL PALSY (INCLUDES ALL CASES OF ORTHOPAEDICALLY HANDICAPPED) EDUCATIONAL QUALIFICATIONS (ATTACH ADDITIONAL PAGES, IF REQUIRED) CGPA NAME OF (IF S.NO. OF NAME OF THE MONTH % OF GRADING PROOF THE BOARD / & YEAR IS COURSE PASSED (A) (B) (C) (D) (E) (F) (G) (H)
NATIONAL LAW UNIVERSITY AND JUDICIAL ACADEMY, ASSAM (ESTABLISHED BY THE ASSAM ACT NO. XXV OF 2009) HAJO ROAD, AMINGAON, GUWAHATI - 781 031, ASSAM (INDIA) APPLICATION FORM FOR ACCOUNTANT ADVERTISEMENT PUBLISHED IN ………….………………………… DATED…………………………………. FORM NUMBER (FOR OFFICE USE ONLY) …………………... PASTE YOUR RECENT PASSPORT SIZE PHOTOGRAPH HERE NAME OF THE POST APPLIED FOR PERSONAL DETAILS A. NAME (IN CAPITAL LETTERS) FIRST NAME MIDDLE NAME SURNAME B. DATE OF BIRTH DAY MONTH YEAR AGE AS ON DATE YEAR MONTH C. PLACE OF BIRTH CITY / VILLAGE STATE COUNTRY D. FATHER’S NAME E. MOTHER’S NAME F. NATIONALITY G. GENDER MALE / FEMALE / OTHER: H. COMMUNITY/CATEGORY (TICK WHICHEVER IS APPLICABLE) GEN / SC / ST(P) / ST(H) / OBC / MOBC / PC / / EX-SERVICEMAN / OTHER CATEGORIES IF OTHER CATEGORY:- GIVE DETAILS _______________________________ (ATTACH RELEVANT CERTIFICATES AS PROOF) I. MARITAL STATUS MARRIED / UNMARRIED IF MARRIED, NAME OF SPOUSE _______________________________ J. IF SPECIALLY ABLED, INDICATE THE RELEVANT PARTICULARS IF APPLICABLE, WRITE ‘YES’ PERCENTAGE OF DISABILITY BLINDNESS OR LOW VISION HEARING IMPAIRMENT LOCOMOTOR DISABILITY OR CEREBRAL PALSY (INCLUDES ALL CASES OF ORTHOPAEDICALLY HANDICAPPED) EDUCATIONAL QUALIFICATIONS (ATTACH ADDITIONAL PAGES, IF REQUIRED) NAME OF THE COURSE NAME OF THE BOARD / MONTH & YEAR PASSED % OF CGPA (IF GRADING IS S.NO. OF PROOF (A) (B) (C) (D) (E) (F) (G) (H)
Application%20Form_%20Accountant.docx