Registration Form

Format for Application





Educational Qualifications in chronological order beginning from SSC(10th Onwards):

Name of the Examination Passed Year of Passing Name of the Board/University Sub studied Division/% of marks obtained
Professional/Technical Qualifications(If any):
Name of the Examination Passed Year of Passing Details of Course Board / University Subject Studied Division/% of marks obtained

Work Experience in chronological order, starting with the first job:-

Name & address of Employer Period of service
From to		 Designation of post & scale of pay Total length of service Nature of work & level
of responsibilities
Whether presently in any job. If yes then job is in Govt./PSU/Autonomous Institutions/Private :
Whether permanent/temporary/ad-hoc in the present job:
Any other information relevant:

Declaration & Certificate

I hereby declare and certify that all the statements made in this application are true and correct to the best of my knowledge and belief. If any of the particulars furnished by me are found to be incorrect or suppressed, my candidature is liable to be rejected at any stage during or after selection process. Further, I understand that this position is purely temporary on contract basis, if it is found after my appointment at the Centre that the particulars furnished by me are incorrect or suppressed, my services are liable to be terminated without any notice.