KEMBAR78
NT. Application Form | PDF | Chess | Chess Theory
Scribd
Upload
20 views3 pages

NT. Application Form

This document is an application form for a non-teaching position in a self-supporting program. It requires personal details, educational qualifications, work experience, and language skills from the applicant. The form also includes a checklist for required enclosures and a declaration statement by the applicant.

Uploaded by

lilykuzhali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
20 views3 pages

NT. Application Form

This document is an application form for a non-teaching position in a self-supporting program. It requires personal details, educational qualifications, work experience, and language skills from the applicant. The form also includes a checklist for required enclosures and a declaration statement by the applicant.

Uploaded by

lilykuzhali
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Application No.

Application for Self Supporting Programme


(Non-Teaching)

Advertisement No. Dated:

APPLICATION FOR THE POST OF _____________________________

Affix Passport
1. Name (in capitals) : size colour
Photograph

2. Date of Birth :

Age as on the date of


Advertisement : Y……..….M…...….D…….……
3. Place of birth :

Male Female Others


4. Sex (Tick ) :

5. Religion :

6. Nationality : Indian / ……………………………

7. Community (Tick ) OC SC ST OBC EWS :


(Please enclose a copy of
the Community Certificate)

8. Mother Tongue :
9. District & State :
10. Father’s/Spouse Name :
Occupation & Address (Strike out whichever is not applicable)

1
Address for Communication :

Residence: Office:

………………………………………………………………...... ..…………………………………………………………
……………………………………………………………………. ……………………………………………………………
…………………………………………………………………… ……………………………………………………………
Pin code: ………………………… Pin code: ……………………………………
Phone : …………………………Fax:……………
E-Mail :………………………………………………………… E-Mail :………………………………………
Mobile :………………………………………………………. Mobile: ……………………………………………

11. Present position

Designation ……….…………………………..

Scale of Pay ……………………………………

Gross emoluments ……………………………………

12. Educational Qualification : (Start from the latest)


(Please enclose xerox copies of the Certificates)
Sl. Examination Passed University / Institution Year of % of Class /Rank
No. (with main subject) Passing Marks
/Grade
1.
2.
3.
4.
5.

13 Experience :
Sl. Position held Name of the Institution Duration Years of
No. From To experience
Y M D
1.
2.
3.
4.
5.

2
14. Languages Known :

Sl. Name of the Language Read Write Speak


No.
1. Tamil
2. English
3.
4.

15. Other Skills :

Sl. Type of Skill Nature of Proficiency


No.
1.
2.
3.
4.

16. Check list of enclosure : (Tick in the appropriate column)

Sl. Enclosure Attached Not Attached


No. (Attach attested relevant Xerox copies)
1. Filled in application with enclosures
2. Age Proof – HSC Mark Statement
3. SSLC First Page / Mark Statement
4. Community Certificate
5. UG / PG Degree Certificates
17. Any other:

18. I hereby declare that the entries in this form are true to the best of my knowledge and belief.
If selected, I will abide by the rules and general service conditions of the University.

Place:

Date: Signature of Applicant

You might also like