Scribd
Upload
3 views

Application Format

ASCASC

Uploaded by

Aayansh Singh
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
3 views

Application Format

ASCASC

Uploaded by

Aayansh Singh
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Affix recent

photograph

(APPLICATION FORMAT)

1 Advertisement No. & Date IIP/Admin/Con-Recruit/2024/4


2 Post applied for
3 Name of the applicant (in BLOCK letters) SHRDDHA NAND RAI
4 Date of Birth (Please provide proof of age) 02-02-2002
4.1 Age on Closing date of Application 22 YEARS
5 Male/Female MALE
6 Marital Status (Married/Unmarried) UNMARRIED
7 Name of Father/ Husband DAYANAND RAI
8 Nationality INDIAN
9 Address for correspondence (in block letters) VILL PUREY MAHADEV AMAHTA POST
with PIN Code HARAKHPUR TEHSIL RUDAULI DIST
AYODHYA PIN 224121

Tel No. with STD Code


Mobile Number if any 9795467159
Email [email protected]
Fax No. with STD Code
10 Permanent Address with Pin code VILL PUREY MAHADEV AMAHTA POST
HARAKHPUR TEHSIL RUDAULI DIST
AYODHYA PIN 224121

Tel No. with STD Code NA


11 Whether belongs to SC/ST/OBC NA
Please provide Proof
12 Educational Qualification (Attach attested copies of certificates). Please start from your recent
Degree and provide details up to Class X. Please use additional sheets if necessary as annexure.
Name of Branch/ Class & Year Name University
Examina specializ % of Marks of of the /Board
tion ati on passing Instituti
on

13 Details of experience directly relevant to the post applied (attested copies of experience certificate
indicating the period of employment to be attached)

14 Total years of relevant experience


Name of Post held Period Period to Duration Scale of Reason for
employer with from (Years & Pay/Salary leaving
address Months) drawn

15 Whether you fulfill eligibility Criteria


(Yes/No)
16 Any other information you would like to
present
for consideration in support of your
candidature
17 Languages known (please rate your language proficiency as Excellent, Good, Average and Poor)
Language Speak Read & Write Speak, Read & Write
(i) English Excellent Excellent Excellent
(i) Hindi Excellent Excellent Excellent
18 If selected the minimum time period
required for joining.
19 List of enclosures i)
ii)
iii)
20 Whether you have applied earlier for any
post in
the Institute? If so, details may be given

Declaration
I affirm that the information given in this application is true and correct. I also fully understand that if at any
stage it is discovered that I have willfully concealed or misrepresented the facts, my candidature may
summarily be rejected or my employment terminated.

Place:
Date: Signature of the Applicant

You might also like