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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    2

    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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