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    PART-II DETAILED PARTICULARS ADVT. NO.:______________ ITEM NO.:___________ Name of the Post:______________________________................_____________________ Date of Declaration of Result of EQ(i) onwards / Degree Examination onwards (Indicate day, month and year) Choice of Centre (If Applicable): __________________________. I hereby declare that all the statements made in this applications are true and complete to the

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    PART-II DETAILED PARTICULARS ADVT. NO.:______________ ITEM NO.:___________ Name of the Post:______________________________................_____________________ Date of Declaration of Result of EQ(i) onwards / Degree Examination onwards (Indicate day, month and year) Choice of Centre (If Applicable): __________________________. I hereby declare that all the statements made in this applications are true and complete to the

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    16 views1 page

    Part-II job application form

    Uploaded by

    HarishKumar
    PART-II DETAILED PARTICULARS ADVT. NO.:______________ ITEM NO.:___________ Name of the Post:______________________________................_____________________ Date of Declaration of Result of EQ(i) onwards / Degree Examination onwards (Indicate day, month and year) Choice of Centre (If Applicable): __________________________. I hereby declare that all the statements made in this applications are true and complete to the

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    PART-II DETAILED PARTICULARS ADVT. NO.:______________ ITEM NO.

    :___________

    1. Name of the Post:________________________________________________________________________

    2. Address for Correspondence: _______________________________________________________________

    3. Citizenship: _____________________________________________________________________________

    4. Father’s Name: __________________________________________________________________________

    5. Date of Declaration of Result of EQ(i) and EQ(ii): ______________________________________________


    (Indicate day, month & year)

    6. Choice of Centre (If Applicable): ____________________________________________________________

    7. All Educational/other professional Qualifications/Training Courses etc. (Starting from EQ(i)


    onwards/Degree Examination onwards)
    Level Exam passed/ Division/ Year of Duration of the Board/Univ. Subject Subject of
    Degree Trg. Grade Passing Degree/Diploma Specialisation
    % of
    Marks

    8. Details of employment in chronological order


    Office/Instt. Post Part time/ Exact dates to be Total Period Scale of pay Nature of duties
    Firm held Contract given (indicate day, (in years)
    Basis/Ad- month & year)
    hoc/ From To Years Months Days
    Regular/
    Temp./pmt

    9. Complete Postal address of the present employer (wherever applicable) ----------------------------------------


    ----------------------------------------
    ----------------------------------------

    10. Date of completion of compulsory rotating internship -----------------------------------------------------------------


    (To be filled in case of Medical posts only)

    Any other relevant information: (attach extra sheets)

    Details of enclosures: 1)---------------------------------------------------------------------


    2) --------------------------------------------------------------------
    3) --------------------------------------------------------------------

    I hereby declare that all the statements made in this applications are true and complete to the best of my knowledge
    and belief. I understand that action can be taken against me by the Commission if I am declared by them to be guilty
    of any type of misconduct mentioned herein. I have informed my Head Office/Deptt. in writing that I am applying
    for this selection.

    Signature of the candidate


    Name _____________________
    Place :
    Date :

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