A P P L I C AT I O N F O R M
Application for the Post of _________________________________________________________
1. Name of the Post Applied for: …………………………………………………….
Paste your recent
2. Full Name of the Candidate: ……………………………………………………… passport size
(in Capitals) photograph
………………………………………………………………................
3. Date of Birth:
Day Month Year
4. Gender (please tick ): Male Female
5. Marital Status: ……………………………………..
6. Father’s/Husband’s Name: ……………………………………………………………………………
7. Mailing Address (in block letters): …………………………………………………………………….
…………………………………………………………………………………………………………..
…………………………………………………………………….. Pin Code: ……………………….
Tel. No. : ……………………………………………… Mobile:
……………………………................
E.mail ID (if any):
……………………………………………………………………………................
8. Nationality: ……………………………………..
9. Whether Physical Handicapped? (please tick ) : Yes No
10. Community (please tick ) SC ST OBC GENERAL Other _______
11. All Educational/other professional Qualifications/Training Courses etc/Degree Examination
onwards:
Level Exam passed/ Division/Grade Year of Duration of the Board/ University Subject Subject of
Degree Trg. % of Marks Passing Degree/ Diploma Specialistion
12. Any other relevant Information: ……………………...........................................................................
13. Details of enclosures: 1) ……………………………………………....
2) ……………………………………………....
3) ……………………………………………....
I hereby declare that all the statements made in the application 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.
Date: Signature of candidate
Place: