Application Form

District Post applying for:  
PERSONAL DETAILS
Name R u an Existing Employee
Phone Number Mobile Number
Aadhar Number Email ID
Gender
Caste
Mandal
Residentail Address Date of Birth(AS per 10th Memo)
Have you been charge-sheeted,
convicated of or pleaded guilty to an offence?		 If YES particulars there of and prasent status:
EDUCATION INFORMATION
(Please give details of your education track record (from high school to PG)
SI.NO Qualifications
(Degree/PG)with
specializations		 Education Name of the
College/University		 Year of Pass % of Marks scored
1 10 th
2 Inter
3 Degree  
4 PG
5 PHD
1 Any Other
(2.a)Have you under gone any relevant training
EMPLOYMENT HISTORY:
Total no of years of employment experience: Yrs
[Give details of the relevent experience during last five years]
Name of the
Organization		 Position held /
Designation		 Period
( from Year - to Year) 		Address
Phone:
Email:		 Job Responsibilities
(Computer Skilss:Skill in using MS-Office & mobile & internet technologies: 
Upload Certificates
Applicant Photo
Applicant Signature
Caste Certificate
Experience Certificate
Experience Certificate1
Experience Certificate2
Residence/Nativity certificate
Proof of age (Date of birth Certificate/SSC)
Disability
Nature of Disability
Disability Percentage(%) Differently Abled Certificate
Declaration: I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that legal action as per rules will be taken against me.