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The document is an application form for the position of Block Resource Person (BRP) under MGNREGA in Block Uchana, Distt Jind. It includes sections for basic information, educational qualifications, computer certifications, work experience, and a certification statement by the applicant. The form requires personal details, qualifications, and work history, along with a signature for verification.

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6 views2 pages

Directory Combined

The document is an application form for the position of Block Resource Person (BRP) under MGNREGA in Block Uchana, Distt Jind. It includes sections for basic information, educational qualifications, computer certifications, work experience, and a certification statement by the applicant. The form requires personal details, qualifications, and work history, along with a signature for verification.

Uploaded by

luckymor.mor
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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Application Form for Block Resource Person (BRP)

Under MGNREGA Block Uchana , Distt Jind

1- Basic Information
Applied for the Post
Name of the Applicant
Name of Father/Husband
Date of Birth
Gender
Permanent Address

Current Address

E-mail id
Mobile no
PAN
Aadhar card & Family Id
Language Known
Category

2- Education Qualification
Qualification Subject/Specialization Institution/University Year of Mark Percentage
Completion obtained
3- Computer Certification
Qualification Institution/University Year of Completion Mark obtained Percentage

4- Work Experience (Please start from Current Organization)


Organization Form To Duration (in Designation Location Work Profile
Months)

5- Certification
I, the undersigned, certify that to the best of my knowledge and belief, this information correctly
describes my self, my qualification and my experience. I understand that any misstatement or misrepresentation
described herein may lead to my disqualification or dismissal by the concern authority.

Date :-

Signature

(Name : )

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