Application Form for Non-Teaching (Aided)

Application for the post of: Library Clerk

Library Attendant
Please (Tick mark) which Laboratory Assistant
Laboratory Attendant
ever is applicable
Name: - Mr./Mrs./Kum.
BANKAR
SAVITA
BHIMRAO
(Surname)
(First Name)
(Middle Name)
Correspondence Address: CLASS II/ D5 SERVANT QUARTERS, MR. B. C. JOSHI (AGM),
ORDNANCE ESTATE AMBERNATH Pin Code: 421502
Contact No. (Landline): NA

. Email ID: savitabankar82@gmail.com

Mobile No. (Compulsory):7208613992

Date of Birth:8.11.1982 Age completed: ____Yrs____Months____ Days.
Gender: Male
Female
Whether belongs to Reserved Category: Yes

No

If yes mention Category: __SC______

Category: SC/ST/NT/VJ/SBC/OBC.
(Attach documentary proof)
Handicapped: Yes
No
If yes (give details):___________________.
(Attach documentary proof)
Educational Qualification: (Only Final Qualification and Typing Certificate to be attached).
Std
%
Class
Year of
Other Qualification/Exam passed if any
Passing
S.S.C
53.73 SECOND 1997 98
MS-CIT
APPEARED
H.S.C
54. 17 SECOND 2013 - 14
English Typing 40 wpm
APPEARED
Graduation
Post Graduation

Marathi Typing 30 wpm

Work Experience :( If any) Attach separate sheet if space provided below is insufficient.
Sr. No Name of the
Designation Nature of Work
Period
Organization/
From
To
Company
PEON &
1.
RKT CMC
PEON
2011
TILL DATE

APPEARED

Total Exp in
Years

EXAMINATION
WORK

2.
I hereby declare that the information submitted above by me is true and correct.
Date: 27.12.2016

S. BANKAR
Applicants Signature
Note: - If the candidate is willing to apply for more than one Post he/she should apply in separate
application form. The candidates should send a soft copy of the application to the following
two email ids

sevasecretaryadvt@gmail.com, principaladvt@gmail.com