Professional Documents
Culture Documents
CONSORTIUM
(Incorporated under the IR Act, 1908)
Affix your
recent passport
size photograph
(Note: Application form to be filled in by the candidate in block letters with
and sign across.
black ball point pen only.)
Test Centre Code: 1st preference………………………… (Write down numeral code only)
(See Annexure ‘B’)
2nd preference…………………………
GENERAL INFORMATION
6. Nationality: …………………………………………………………………………………………
8. Sex: Male/Female……………………………...
...……………………………………………………………………………………………………..
……………………………………………………………………………………………………….
……………………………………………………………………………………………………….
………………………………………………………………………………………………………..
………………………………………………………………………………………………………..
………………………………………………………………………………………………………..
Higher
Secondary
(12th)
Bachelor’s
Degree
Master’s Degree
Any other
Degree/Diploma
14. Professional Experience (Starting from the latest): (Please write N/A if not applicable)
DECLARATION
I hereby certify that the above information furnished is correct to the best of my knowledge
and belief. I have not suppressed any material fact or factual information in the above
statement. I am aware that in case I have given wrong information or suppressed any material
fact or factual information or I do not satisfy the eligibility criteria according to the
advertisement, then my candidature will be rejected/services terminated even after permanent
employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied, in terms of the
advised criteria in respect of age and educational qualification.
I am also willing to serve anywhere in India. I agree that the CONSORTIUM has the right to
transfer me to any part of the country and/or to any job position at its sole discretion in terms
of applicable staff rules from time to time.
I have read the instructions and conditions carefully and I undertake to abide by all the terms
and conditions in the advertisement given by the CONSORTIUM. I hereby agree that no legal
proceeding in respect of any matter or claims or dispute arising out of said advertisement shall
be instituted by me.
Place: ………………………………
CONSORTIUM
(Personnel Directorate: Recruitment Section)
1. Name of candidate………………………………………………………….
Affix your recent
2. Father/Husband’s Name…………………………………………………… passport size
photograph and
3. Date of Birth………………………………………………………………… sign across.
….. ………………………………………………………………………………………………......
…..……………………………………………………………………………………………….......
……..…………………………………………………………………………………………………
……………………………………………………………………………………………………….
……………………………………………………………………………………………………….
………………………………………………………………………………………..
………………………………………………………………………………………..
………………………………………………………………………………………..
………………………………………………………………………………………..