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All India Institute of Ayurveda (Aiia) : (An Autonomous Organization Under The Ministry of AYUSH, Govt. of India)

This document is an application form for paramedical and other direct recruitment posts at the All India Institute of Ayurveda (AIIA) in New Delhi. The form requests information such as name, category, photograph, contact details, educational qualifications, work experience, and a declaration. It also includes a section for remarks from the present employer for those currently employed. The form must be submitted along with required documents and fee for the advertised post at AIIA.

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saurabh887
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
25 views

All India Institute of Ayurveda (Aiia) : (An Autonomous Organization Under The Ministry of AYUSH, Govt. of India)

This document is an application form for paramedical and other direct recruitment posts at the All India Institute of Ayurveda (AIIA) in New Delhi. The form requests information such as name, category, photograph, contact details, educational qualifications, work experience, and a declaration. It also includes a section for remarks from the present employer for those currently employed. The form must be submitted along with required documents and fee for the advertised post at AIIA.

Uploaded by

saurabh887
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ALL INDIA INSTITUTE OF AYURVEDA (AIIA)

(An Autonomous Organization under the Ministry of AYUSH, Govt. of India)

-110076

Gautampuri, Sarita Vihar, Mathura road, NEW DELHI-110076

APPLICATION FORM - II
(For Paramedical & Other Posts for Direct Recruitment)
Name of the post
(with discipline)
Advertisement No.

:_____________________________________________

Category applied for

:______________________(Unreserved/SC/ST/OBC/PWD/PH)

Affix
self
attested recent
passport size

photograph
:______________________________________________

Details of fee paid Amount (`):__________ Bank DD No ._________________Dated:__________


1.
2.
3.

Name in full
: ___________________________________________________________
(in CAPITAL letters)
Fathers /Husbands Name:_____________________________________________________
Address: (in CAPITAL letters)
(i)
Present address (for correspondence, with phone/mobile No. & E-mail)____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Email Id:_________________________________ Mobile No:_________________
(ii)

Permanent home address - _____________________________________________


____________________________________________________________________
____________________________________________________________________

4. Date of birth: dd____ mm _____ yyyy_______(in words)____________________________


_____________________________________________________________________________
Age ( as on closing date of application according to Matriculation Certificate)___________
5. Nationality
7. (a) Mother Tongue

:___________________ 6. Sex: Male

/Female

: ______________________________________________________

(b) Other language(s) which the applicant can speak, read and write fluently:__________
____________________________________________________________________________

8. Whether belongs to SC/ST/OBC/PWD/PH ________________________________________


(in support, please enclose a certificate from authorized Issuing Officer)
9. Examinations passed (Please enclose a copy of each degree/certificate & marksheet):
Examination

(i) 10+2 or
equivalent

(ii) Bachelors
degree

(iii) Masters
Degree

(iv) Doctorate
degree

(v)

Any other
examination(s)

Name of the
degree/diploma
and board

Name of the
college
&
University

Percenta
ge
of
marks/O
GPA
obtained
(Aggreg
ate
in
case of
degree
program
s)

Division
obtained

Year of
passing

Subject(s)
(Major)/
Specialization

Distinction
If any

10.

Employee Record (Starting from the present position):

Office/Institute/
Organisation

Post held

From

To

Scale of Pay &


Basic Pay

Nature of
Duties

Actual
Duration
(Years &
Months)

11. Additional information, if any which you would like to mention in support of your
suitability for the post: _________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
______________________________________________________________________

(Enclose separate sheet, if the space is insufficient in any column)

DECLARATION
I affirm that information given in this application is true and correct. I also fully understand that if
at any stage it is discovered that any attempt has been made by me to willfully conceal or
misrepresent the facts, my candidature may be summarily rejected or employment terminated.

Place: _________________________

Signature of the candidate

Date: ___________________________

_______________________
(Name in CAPITAL letters)

REMARKS OF THE PRESENT EMPLOYER


(In the case of those who are in service)
Certified that information furnished by Shri/ Ku./Smt..in his
application have been verified from the office records and is found to be correct. No vigilance/
disciplinary case is pending or contemplated against him/her and he/she is clear from vigilance
angle.
The applicant Shri/Ku./Smt... is holding a
permanent/temporary post of in the scale of pay
from .. and his/her present basic pay is Rs.
. P.M. His/her application is forwarded and he/she will be relieved in case he/she is
selected for the post applied for.

Date
Place ..

Signature
Designation of Appointing Authority
(with official seal)

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