Post Applied for : |
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Name in Full : |
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Gender |
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Date Of Birth : |
DD |
MM |
YY |
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Place Of Birth : |
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Nationality |
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Domicile State : |
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Father's / Spouse Name : |
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Address for Correspondence :
(In block letters) |
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Permanent Address : |
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Telephone (With STD code) : |
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Mobile : |
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E-Mail Address : |
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Specify Category : |
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Educational/Professional Qualification : |
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* Percent conversion of grade should be specified and the proof of conversion factor should be shown at the time of interview |
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Qualification and Experience related to Remote Sensing & GIS. |
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Details of Previous / Present Employment held, if any in Chronological Order Starting from Present Position Backwards. |
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If selected, minimum time required for joining the post:
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Days |
References (Minimum Two) Name, Designation, Institution Address, Tel./Mob. No. and Email id of Referees: |
Reference (I) |
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Reference (II) |
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Any other relevant information. |
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Declaration: |
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I affirm that the information given in this application is true and correct. I also fully understand that if at any stage it is discovered that an attempt has been made by me to willfully conceal or misrepresent the facts, my candidature may be summarily rejected or my employment terminated. |
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