Application form for recruitment of Textiles Committee vacancies
Post applied for: / Assistant Director (EP&QA)Reference of advertisement with date of publication / / Times of India, Delhi Edition dated ______
/ Times of India, Mumbai Edition dated ______
/ The Hindu, Chennai Edition dated ______
/ Employment News & Rozghar Samachar dated ______
1. / Name in full
(IN BLOCK LETTERS)
2. / Mother’s Name
3. / Father’s Name
4. / Date of Birth (DD/MM/YYYY) / Affix recent passport size photograph signed across in full
5. / Place of Birth
6. / Marital Status / Married Unmarried
7. / Gender / Male Female Others
8. / Nationality
9. / Category / UR (PH-OH) OBC SC
10.
(a) / Language Known
Language / Understand Spoken / Speak / Read / Write
10.
(b) / Language Studied upto Matriculation level
11. / Email ID
12. / Contact Number / Mobile: / Landline:
13. / Address / Present Mailing:
Permanent:
14. / Have you ever been convicted by a Court of Law? Is there any legal case filed against you in a Court of Law? If yes, provide details (attach extra sheets, if required). / ¨ Yes ¨ No
15. / Educational Qualifications:
Sl.
No. / Qualification / Discipline/ Specialization / University/ College/ Institute / Year of Passing / Percentage
i.
ii.
iii.
iv.
v.
16. / Software skill, if any
17. / Experience
Sl.
No. / Organization / Desig-nation / Period / Field of work Experience / Salary Drawn / Reasons for leaving
i.
ii.
iii.
iv.
v.
(May add sheet, if required)
18. / Copies of testimonials attached with the application
i. / v.
ii. / vi.
iii. / vii.
iv. / viii.
19. / Any other information
DECLARATION:
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found suppressed/false or incorrect or ineligibility being detected before or after the examination, my candidature/ appointment is liable to be cancelled.
Place:
Date:
(Signature of the Candidate)