Job Application

1PERSONAL DETAILS

2ACADEMIC RECORD

3WORK EXPERIENCE

4DECLARATION

Please read the INSTRUCTIONS below before filling up the form:

1. You are requested to fill all the required details.
2. The information provided by you in this application form will be used by us or an authorized representative to conduct inquiries as may be necessary at our discretion.
3. Any false statement or omission may render you liable to an action, which may include disqualification of your application. In case you are offered employment or are appointed, this may also lead to your appointment being withdrawn or to your dismissal.
4. All the credentials submitted must be attested or approved as the case may be from the issuing authority itself.

Personal Details

Name*

(as per Aadhar Card)

Prefix First Middle Last

Father’s Name*

Prefix First Middle Last

Date of Birth*

This field is hidden when viewing the form

Age

Gender*

Male

Female

Transgender

Latest Colored Passport Size Photograph*

Accepted file types: jpg, jpeg, gif, png, Max. file size: 2 MB.

Maximum File Size is 2MB. Filetype only jpg, jpeg, gif, png is allowed.

Email*

Mobile Number*

Organisation*

Employee Type*

Department*

Post Applied For*

PAN*

Aadhar Card Number*

Passport Number

Marital Status*

Spouse Name*

Prefix First Middle Last

Spouse Occupation*

Address of Business Premises*

Contact No.(s) of Spouse*

Email ID of Spouse*

For candidate residing in*

Urban area

Rural area

Permanent Home Address*

House / Apartment no. Society / Street / Sector City / Town / District State / Province / Region ZIP / Postal Code Country

Permanent Home Address*

House no. Village / Tehsil City / Town / District State / Province / Region Pin Code Country

If different from above, please give your current mailing address for all future correspondence.

Yes

Current Mailing Address*

House / Apartment no. Society / Street / Sector / Village/ Tehsil City / Town / District State / Province / Region ZIP / Postal Code Country

Demographics & Medical Information

Place of Birth*

City / Town / District State / Province Country

Religion*

Mother Tongue*

Blood Group*

Languages known*

Any Physical disability (medically diagnosed)*

Yes

Suffering from any chronic disease*

Yes

Suffering from any kind of depression*

Yes

Undergone any major surgery*

Yes

Any case of drug abuse or rehabilitation diagnoses*

Yes

Suffering from any kind of allergy, etc.*

Yes

Are you diabetic?*

Yes

Are you still under medical prescription?*

Yes

anangpuria

anangpuria

Job Application Form

Please read the INSTRUCTIONS below before filling up the form:

Personal Details

Demographics & Medical Information

Academic Record

Other Details

Work Experience

Activities & Achievements

Disciplinary History

Applicant’s Declaration