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Job Application2

The document is a job application form that requires personal information, educational qualifications, employment history, and references from the applicant. It includes sections for demographic details, qualifications, and any previous experience or publications. Applicants must submit the form along with relevant certificates and send it to the specified address.

Uploaded by

Md. Abu Bakar Siddiq Mizan
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© © All Rights Reserved
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46 views2 pages

Job Application2

The document is a job application form that requires personal information, educational qualifications, employment history, and references from the applicant. It includes sections for demographic details, qualifications, and any previous experience or publications. Applicants must submit the form along with relevant certificates and send it to the specified address.

Uploaded by

Md. Abu Bakar Siddiq Mizan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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JOB APPLICATION FORM

1. Advertisement Number & Sr. No. :

2. Application for the post of :

3. Name of the applicant :

4. Date and place of birth :

5. Age :

6. Nationality :

7. Marital Status :

8. Whether belongs to SC/ST/OBC :


community (if so, give details and
attach copy of certificate)

9. Religion :

10. Disability :
(attach photocopy of certificate)

11. Permanent address :

12. Address for correspondence :


with telephone/mobile
number and e-mail address

13. Qualifications (beginning with SSC or equivalent. Attach photocopies of all certificates and mark
lists of all semesters/years) :

Examination University/ Subjects Year of %of marks & Class/


Degree/Diploma Institute Passing Grade/distinction
obtained
14. Other qualification (if any) :

15. Details of projects done( if any) :

16. Details of publications (if any) :

17. Are you employed in a Govt./Semi-Govt./:


Public Sector Undertaking/Autonomous
body? (If yes, you are required to forward
your application through proper channel)

18. Are you under any contractual obligation :


to serve the Govt./Semi-Govt./Public Sector
Undertaking/Autonomous body? If yes, give
details.

19. Experience/Details of present and previous employment (attach photocopies


of experience certificates) :

Name of Employer Designation of Period of Service Salary


the post held From To

20. Names and addresses of two referees : 1)

2)

21. Have you at any time been called:


for interview in the Centre?
If so, give details:

I' hereby declare that the statements made in this application are true, complete and
correct to the best of my knowledge and belief.

Place:

Date: (Signature of the candidate)

NOTE : Applications giving full details together with copies of relevant certificates/testimonials in the
above format and superscribing the post applied for & Serial Number of the post on the envelope should
reach Registrar, UM-DAE Centre for Excellence in Basic Sciences, “Nalanda”, Opp Nano Sciences
Building, University of Mumbai, Vidyanagari, Mumbai 400098, India.

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