application for non-faculty posts19!09!2013
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Application for NON-FACULTY POST
RegistrationNo.__________ Original(For office Use only) Copy
National Institute of Food Full name of post ofapplied
Advance
Technology ntrepreneurshipCopy
and !anage"ent for____________________
& ost
No.______________
Advertisement No. _______________________ Advertisement date!_____________________
". Candidate#sfullname(including
First Name$First
%iddle name&
ast name$ in(lease affi' your
recentCapitaletters) %iddl
e potograp)
ast
.
*ate of +irt
*ate %ont ,ear Age as on tedate
-.Nationality
./ender (%ale0Female)
Community! (1C0120O+C0%inority0/eneral)lease also mentioned 34# if you aveysical
5. *isa6ility. For e'ample7 if you 6elong
to
gen
eralcategory and also ysical *isa6ility7 please8rite3/eneral94#. :n case of 1C0120O+C and
ysical
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*isa6ility please 8rite 1C947 1294 & O+C94.
ysical *isa6ility (if applica6le7 terelevant particulars may please 6e furnised);.
:f applica6le 8rite 3yes#ercentage of
disa6ility
1.No. ofproof
enclosed
a. +lindness or lo8 vision!
6. 4earing impairment
c. ocomotor disa6ility or cere6ral palsy(includes
all cases of ortopedicallyandicapped)
Fater#sName.
"?. Complete correspondence addresses (present & permanent)
resent address (8it:N code)!
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one (8it 12* code)
@>
"
%o6ile No.!@>
"
Fa'!@>
"
ermanent address (8it:N code)
mail!
one (8it 12*code) @>"
%o6ile No.! @>"
Fa'! @>"
"". Names & complete postal addresses of referees!
Referee " Referee Referee -
one!
%o6ile!
mail!
Academic Bualification9from "?t
on8ard
12. #Infor"ation "ust $e pro%ided in this ta$le only& 'esult a(aited cases should not $e "entioned& Proof"ust $e enclosed for all )ualifications o$tained*
ercentage
of 1. No. of 'amination0 *egree0
1u6ect
Name of te ,ear of marDs
roof*iploma +oard0University passing o6tained(do
enclosed
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not roundoff)
:ndicate 8eter .*. degree as 6eena8arded
(8rite 3,es# or 3No#)
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3
Oter Courses (if any)"-
.
Na
m
e of te course 1ponsored 6y year eriod of te course1u6ect
".
'perience (including present position0employment) Copies of Ser%ice Certificate+s o$tainedfro"
"ployer+s "ust $e enclosed, S&No& of proof "ust $e "entioned under the colu"n no&
*esignation & +asic From 2o
2otal Eo6
1.year0mont
description 1. No. of
pay (+) & 1cale ofOrganisationName0ocation
(**9%%9
(**9%%9
No.
s ofeac (Nature of proof
pay (1) ,,,,) ,,,,) o68orD0duties)
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"5.
1eminars0Conferences0ForD
Nationallevel
:nternational 2otal No. 1. No. Of proofs enclosed
sops02rainingrogram
s0 No. level No.oter
curricular activities
etc.(lease enclose separatelist
giving details).
Attended
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";. *eclaration
: ere6y declare tat all te entries made 6y me in tis application are true to te 6est of myDno8ledge and 6elief. :f anyting is found false at any stage7 my candidature may 6e
cancelled 8itout assigning any reason tereof.
*ate!________________ 1ignature of applicant
"
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