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NameofthePosition: YP-I Positioncode: 01 02 03 (Please see in Annexure-I) 1. NameoftheCandidates(Blockletters): .……………………….………………………………………..………………. 2. Father's/HusbandName : ……………………………………………………………………..……....... 3. Sex : Male Female 4. DateofBirth : ………………………………………………………..………………………. (Pleaseattachdocumentaryproof) 5. AgeasondateofNotification : Year…………..……. Month…………..…. Days ……….……. 6. MaritalStatus : ………………………………………………………………………………… 7. Permanentaddress : ………………………………………………………..……………………… ………………………………………………………..……………………… ………………………………………………………..……………………… 8. Correspondenceaddress : ………………………………………………………..……………………… 9. EducationalQualification : (Please attach photocopy of related certificate): Sl. No. Name of the Examination Passed Subjects Name of Board / University Year of Passing % of Marks AFFEX RECENT PASSPORT SIZE SIGNED PHOTOGRAPH
APPLICATION FORM Young Professional – I (Contract basis)
DECLARATION
Iherebydeclarethatallthestatementsmadeabovearetrue,completeandcorrecttothebestofmyknowledge andbelief.Ialsodeclarethat
(i) Intheeventofanyinformationbeingfoundfalse/incorrect/ineligibilitybeingdetectedatanytime beforeorafterselection,actionmaybetakenagainstmeandIshallbeboundbythedecisionof theemployer.
(ii) IfurtherdeclarethatIhavereadtheAdvt.carefullyandIdeclarethatIfulfillalltheconditionsof eligibility regarding age limit, educational qualifications etc., prescribed for the contractual engagement.
Date:
Place:
Signatureoftheapplicant
Name:
Check List of the documents for the position of YP-I as per advertisement:
1. CopyofPUC/12th standardMarksheet
2. CopyofDegreeCertificate&MarksheetofGraduation/Postgraduation
3. DesirableAdditionalQualification,ifany
4. CopyofExperienceCertificate(s)-(ifapplicable)
5. CopyofProofofDateofBirth
6. Anyotherrelevantdocuments,ifany
(Yes/No)
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(Pleaseattachcopies) Sl. No. NameoftheOrganization Post/Positionheld Period (from&upto) Emoluments Remarks 11. E-mailId: Mobile: 12. AnyotherInformationrelevantinformation:……………………………………………………………………………………….
10. Experience(particularsofallpreviousandpresentemployment)ifany:-
Sl. No.
Documents required Enclosed
