ODISHA TRIBAL DEVELOPMENT SOCIETY

APPLICATION FORM

  1. Position Applied for: ______
  1. PERSONAL DETAILS

Name of the Candidate
Correspondence Address
Mobile / Phone No.
Telephone – Residence/ Office
Email Id.
Age as on 22nd March 2016 / Years_____Month___ / Date of Birth (DDMMYY) ____/____/______
Category: / SC ST SEBC General
Sex: (Male/ Female) / Male Female
  1. EDUCATION QUALIFICATION (Recent First; 10th Standard Onwards)

Qualification / Board/ University / Subjects/ Specialization / Year of Passing / Division/Grade / Percentage of Marks
Others
C.A. (Inter)/ MBA (Fin.)/ PGDM (Fin.)/ M. Com.
B. Com.
+2/ Intermediate
10th

Documents as proof of the educational qualification to be attached.

  1. OTHER QUALIFICATION (Including Relevant Short term certificate/ professional courses)

Course Name / Duration (From date to To date) / Year of Passing / Institution / Course Details
Tally
MS Office
Others
  1. RELEVANT EMPLOYMENT / WORK EXPERIENCE (Current Employment first)

The work experience post to the minimum qualification for the post should be mentioned. Work experience prior to the required qualification should not be mentioned.

Name of Employer/ Organisation / Category of Employer (Govt/ PSU/ NGO/ Pvt) / Designation & Location / Duration / Duration of employment in Years and Month / Major Professional Responsibilities Handled
From Date / To Date

Documents as proof of the work experience to be attached

  1. Current Salary Drawn Rs.______per month
  1. COMPUTER LITERACY(Please Tick the Appropriate Column)

Software Package/ Application / Level of Knowledge
Basic / Working / Expert
Word Processing
Spread sheet
Database
Presentation
Web/ E-Mail
  1. LANGUAGE PROFICIENCY (Please Tick the Appropriate Column)

Language / Ability to Converse / Ability to Read / Ability to Write
Poor / Fair / Good / Poor / Fair / Good / Poor / Fair / Good
English
Hindi
Oriya
Other (Please specify
______)
  1. ANY OTHER INFORMATION* (May be Provided by Applicant on professional capacity to Strengthen Candidature)

* May include Publication, Paper presented in Seminar, Membership etc. & continue in separate sheet.

  1. REFERENCE(Two Persons to whom you have Professionally Reported)

Reference 1 (Name, Official Address, Phone & Email) / Reference 2 (Name, Official Address, Phone & Email)
  1. DECLARATION

I do hereby declare that all statements made in the application are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect at any point of time, my candidature/ appointment may be cancelled/ terminated without any notice.

Date:______

Place:(Signature of the Applicant)