MOTILAL NEHRU COLLEGE (DAY)

(UNIVERSITY OF DELHI)
BENTIO JUAREZ MARG, NEW DELHI-110021
Ph: 24112604 Fax: (011) 24110174

APPLICATION FOR THE POST OF ……………………………. WITH REFERENCE TO

ADVERTISEMENT/CORRIGENDUM/ADDENDUM IN ……………………….. DATED
…………………………...

Note: (I) Self attested Copies of certificates, degrees, testimonials, etc. should be attached with
the application and the original must be produced at the time of interview and at the time
of joining, if selected.
(II) Except where otherwise indicated, applicants appearing for interview shall do so at their
own expense.
(III) Applicants who are in the employment must send their applications through their
employers and by registered post.

1. Name (in block letters) Mr. / Mrs. / Miss. ………………………………………………………………

2. Father’s Name ………………………………………………………………………………………......

3. Date of Birth ……………………Age……..Years Nationality ….…………….. Sex M/F………….

4. Whether Scheduled Caste / Scheduled Tribe /OBC/Visually impaired / Physically challenged…………

(Give details of the issuing authority of the enclosed certificate)

5. Marital Status ……………… Name of Spouse ………………………………………………………..

6. Address (I) Permanent ………………………………………………………………………………

………………………………………………………………………………

(II) Postal ……………………………………………………………………………………

…………………………………………. Ph……………………………………
7 Academic Qualifications:

Examination Passed Board/University Year Div. % of Marks

C.B.S.E. or equiv.

B.A./B.Sc./B.Com

Any other

8. Working Experience (attach separate sheet, if required):

Name of the Designation and From …. to ……. Length of

Institution nature of the post (give dates) Service

Total working Experience …………………………………………………………………………

1
9. (a) Present post if any, with date of appointment ………………………………………………………
(state whether permanent / on probation or temporary)

(b) Name of employing authority ………………………………………………………………………..

10. (a) Present basic salary and allowance : Rs …………………………………………………………….

Basic Salary: Rs. …………………………. Allowances: Rs…………………………………….

11. (a) Whether the candidate is receiving any pension benefits. If so, the amount of pension and pension
equivalent of gratuity must be indicated…………..………………………………………………….

(b) Whether the candidate would be entitled to any pension benefits on his premature retirement from
his/her present post in the University and if so, the amount of pension and the pension benefits
may be indicated …………………….…………………………………………………………

12. If selected, whether you will you be able to join immediately ………………………………………

Signature of applicant

DECLARATION

I declare that all the statements made in this application are true to the best of my knowledge.

Date: ……………………… Signature of applicant

FORWARDED

The facts stated in the above application have been verified and found correct.

Signature of the Head of the Institution

(with seal )