Application Form

 

Post Applied for                       :           Computer Operator (Contract basis) for DITS/e-Disha project, Karnal

 

 
 


Name of the Candidate :           _________________________________

Paste here your recent passport size photo

 
 


Father’s Name                         :           _________________________________

 

Date of Birth                             :           _______________ Sex (M/F) _________

 

Marital Status                           :           _________________________________

 

Category                                  :           _________________________________

Attested Photocopies of certificates of qualification (Matric, 10+2, Diploma, Graduation), Certificate of Computer Qualification, proof of Residential address should be attached

 

Last Date for Form Submission

30 April 2010

 
 


 

Permanent Address                  :           _________________________________

                                                            _________________________________

                                                            _________________________________

Correspondence Address         :           _________________________________

                                                            _________________________________

                                                            _________________________________

Phone No.                                :           _________________________________

E-mail                                      :           _________________________________

Educational Qualification (Attach attested photocopies):

Sr. No.

Qualification

Board/University

Subjects

Year of Passing

Marks Obtained

% of Marks

1.

 

 

 

 

 

 

2.

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

5.

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

Relevant Experience( Latest on top) ( Attach attested  photocopy):

Sr. No.

Employer

Period

Nature of work

Monthly Emoluments

1.

 

 

 

 

2.

 

 

 

 

3.

 

 

 

 

 

I_________________________hereby certify that the details given above are true to the best of my knowledge & belief.

Date:

Place:                                                                                                                  Signature

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