Ncert Form-2022
Ncert Form-2022
Ncert Form-2022
Form No.-………………
Session-2022-2023
Application Form
___________________________________________________
___________________________________________________
___________________________________________________
7. Religion : _____________________
__________________ 8. Nationality : ______________________
11. Ex-Serviceman :
Date of Joining Service : _________________________________
16. Experience :
17. If employed in Govt. Dept./FCI, whether applied through proper channel : Yes/No
Declaration : I hereby declare that all statements made in the application are true, complete and correct to the
best of my knowledge and belief. I also undertake that I have not submitted application for two different posts
advertised. The relevant clause is stated below for easy reference :- “Candidates can apply against any one post
only. Candidates applying for more than one post will not be considered and such applications will be rejected.’ I
understand that in the event of any information being found untrue/false/incorrect or I do not satisfy the eligibility
criteria, my candidature/appointment will be cancelled/terminated, without assigning any reasons thereof. I have
read the contents of the advertisement and agree to abide by the rules, regulations and procedures for appointment
to the post applied for.
Date :
(Signature of Applicant)
Place :
IDENTITY CERTIFICATE
Affix Photograph
This is certify that the details and photograph of Shri/Smt. ______________________________ S/o/D/o
and genuine.
PERMANENT ADDRESS :
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________
PRESENT ADDRESS :
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________
Designation : ________________________________________
(Seal of Office)
[Note : Identity of the Candidate should be certified by an officer not below the rank of Tehsildar/Sub-Divisional
Officer of the candidate’s domicile place/native place, Principal of the school/college from where the candidate
has passed his Metric, Intermediate or Graduation/ Diploma along with name, designation and seal of office.]
layXudksa dh lwph
List of Enclosures
;Fkksfpr vk;r esa lgh dk fpUg yxk,¡ layXu fd;k layXu ugha fd;k
Tick the appropriate box Enclosed Not enclosed
igyk l=
First Semester
rhljk l=
Third Semester
Ikk¡pok l=
Fifth Semester
lkrok¡ l=
Seventh Semester
ldy vad
Aggregate Marks
9) vuqHko izek.ki=
9) Experience Certificate
14) ikB~;Øe laca/kh vU; xfrfof/k;ksa ls lacaf/kr izek.ki= ¼d`i;k Li"V :i ls mYys[k djsa½
14) Certificate regarding extra curricular activity (Please specify)
“I ____________________________________________________________________ Son/daughter
of Shri ____________________________________________________ Resident of village/town/city
_____________________ District ___________________ State
_______________________________________________. Hereby declare that I belong to the
____________________________________________ community which is recognized as a backward
class by the Government of India for the purpose of reservation in services as per orders contained in
Department of Personnel and Training Office Memorandum No. 36012/22/93-Estt. (SCT) dated
08.09.1993. It is also declared that I do not belong to persons/sections (Creamy Layer) mentioned in
column 3 of the Schedule to the above referred Office Memorandum dated 08.09.1993.”
Place :
Dated : (Signature of the candidate)
vU; fiNM+s oxZ ds :i esa vkj{k.k dh ekax djus okys vU; fiNM+s oxksZa ds mEehnokjksa
}kjk izLrqr dh tkus okyh ?kks"k.kk
LFkku %
fnukad % ¼mEehnokj ds gLrk{kj½
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