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JEEViKA Bihar Rural Livelihoods Promotion Society

Candidate Application Form Full Name (As per Matriculation Certificate) Position Applied For Mobile Number Alternate/Land Line Number Gender Email ID
Male
faeemrafi99@gmail.com
Mr. FAEEM AHMAD
Office Assistant (SPMU)

Office Assistant (SPMU)

Part - A
Affix Passport Size Photograph (3.5 cm X 4.5 cm) coloured

8148309435
9027592840

Application ID
15-Aug-1989

Date of Birth
(As per Matriculation Certificate)

30117622

One visible mark of identification CUT MARK ON THE HEAD Fathers Name RAFEEQ AHMAD
(As per Matriculation Certificate)

Category: Block/City District State

Signature of Candidate
BC

Permanent Address (with Pincode) Current Address (with Pincode)

H.N 102 IMAMABADA KEMRI RAMPUR UP - 244928

- / Rampur

Uttar Pradesh

R.N 18 KAMBAN HOSTEL PONDICHERRY UNIVERCITY - 605014

City State

Pondicherry

Pondichery

Total Experience in Months Areas of Relevant Experience

Total Relevant Exp. in Months

Sr. Managerial Exp. in Months


Govt. Employment Information:
Not Applicable

Qualification 12th

University/Board
UP BOARD

Education Details Degree/ Institution Course


SGN INTER COLLEGE BILASPUR RAMPUR
XII th Class

Specialisation
Science

Year of passing
2006

Percen- Medium of tage Instruction


60.80
Hindi

Graduation

M.J.P ROHILKHAND UNIVERSITY BARREILLY UP


PONDICHERRY UNIVERSITY PUDUCHERRY

GOVT RAZA P.G COLLEGE RAMPUR UP


PONDICHERRY UNIVERSITY PUDUCHERRY
Regular or Full Time

BSc

Mathematics

2010

50.44

English

MBA

PG

Financial Management

2013

65.00

English

Mode of Education in Highest Qualification

Employer Name

Employment History (From latest to previous) Start Date End Date Team Size Last Designation Held (MM/YY) (MM/YY) Handled

Gross Salary per Month (in Rs.)

Function/Domain/ Role

MS Office Skills
Application ID: 30117622

No Experience

Additional Experience if any?

Language Proficiency English Local Language(s) known


Average in Speaking

Hindi

Good in Speaking

Dont know any Local Language

Declaration: I hereby declare that all 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 any ineligibility being detected before or after the examination, my Candidature/ appointment is liable to be cancelled. I know that mere eligibility doesnt guarantee a job. Based on application received BRLPS reserves the right to shortlist candidates based on qualification & relevant experience.

Signature of the Candidate

Application ID: 30117622

JEEViKA Bihar Rural Livelihoods Promotion Society


Part - B
REGISTRATION SLIP FOR BIHAR RURAL LIVELIHOODS PROMOTION SOCIETY (The original of this slip is to be retained by the candidate and will be required for appearing in all future rounds) Application ID Name of Candidate Gender
Position Applied For
Application ID:
30117622
Mr. FAEEM AHMAD

Affix Passport Size Photograph (3.5 cm X 4.5 cm) coloured

Job Code

OA

Male
Office Assistant (SPMU)

Date of Birth

15-Aug-1989

Signature of Candidate

Instructions to the Candidate


1. Corruption or Fraud Practices Helpline
1. No money is proposed to be collected from candidates at any stage or for any reason. a. No entity is empowered to promise you a job by shortcuts or bribe or Special Favours. b. Should somebody seek money from you or you observe someone else being asked money, please contact HR Agency using any of the following modes: i. Fax: +91-40-27893725 ii. Email: info@brlps.in c. We investigate anonymous tips also. Please feel free to give as much information on fraudulent and corrupt practices as possible.

2. Assessments
1. Written Test, Personal Interviews, Group Discussions, One Night Village Immersion, 45 Days Village Internship etc. are the various forms of Assessments planned to be deployed. Please view the assessment grid to know position-wise assessment details. All rounds are eliminatory in nature.

3. Next Steps
1. Please note that candidates have to submit copy of valid documents pertaining to the following when and if selected for appearing in next steps. a. Caste and Domicile certificate in case of candidates applying against reserved category. b. Proof of Qualification and experience details will also be required during the next stage.

Application ID: 30117622