Steno grade - c form - Rajkot - Saurashtra University

SAURASHTRA UNIVERSITY, UNIVERSITY CAMPUS, UNIVERSITY ROAD, RAJKOT - 360 005 Re-Accredited Grade A by NAAC

Ph-0281-2578501

www.saurashtrauniversity.edu

Fax :- 2586983

Post:- Steno Grade - C Application Form for Direct Recruitment

Photo

Post Applied for

:-

Category

:- ________________

DD No.& Date

:- ________________

Amount

:- ____________________

Name of Bank

:- ________________

GENERAL INFORMATION AND ACADEMIC/ ADMINISTRATIVE BACKGROUND

1)

Name (in Block Letters)

:-

_______________________________________

2)

Father's Name / Mother's Name

:-

_______________________________________

3)

Current Designation ,

:-

______________________________________

PB and GP / AGP

:-

_______________________________________

4)

Date of Birth

:-

_______________________________________

5)

Birth Place

:-

_______________________________________

6)

Sex

:-

Male / Female

7)

Marital Status

:-

Married / Unmarried

8)

Nationality

:-

Indian / ____________

9)

Category

:-

SC / ST / SEBC / PH / GEN

10)

Address for Correspondence

:-

_______________________________________

(with Pin Code)

_______________________________________ _______________________________________ _______________________________________

11)

Permanent Address (with Pin Code)

:-

_______________________________________ _______________________________________ _______________________________________ _______________________________________

Tel. No. / Mobile No.

_______________________________________

Email Address

_______________________________________

12)

Academic Qualifications (Metric Till Post Graduation) :-

Examinations

High School / S.S.C.E. H.S.C.E Graduation (B.A. / B.Sc./ B.Com. etc..)

Post Graduation (M.A. / M.Sc./ M.Com. etc..)

M.Phil / Ph.D.

CCC / CCC + / euavivalent certificate of recognized institute Other Examinations if any

Name of the Board / University

Year of Passing

Percentage of marks obtained

Division / Class / Grade

Subject

13)

Appointments held Prior to this Application :-

Designation

14)

Type of Appointment

Name of Employer

Period Joining

Leaving

Period of Administrative / Teaching experience (Fulltime in Scale)

years Administrative

Teaching

months

Pay with GP / AGP

Reason of leaving

LIST OF ENCLOSURES

:-

(Please attach Copies of Certificates, Sanction Orders, Papers etc. wherever necessary)

1)

7)

2)

8)

3)

9)

4)

10)

5)

11)

6)

12)

I state that the information provided in my application is true and correct. If it is found false, wrong or conceal, the University shall have all rights to take appropriate actions pertaining to my candidature and it will be binding to me .

Signature of the Applicant

I certify that the information provided is correct as per records available with the Institute / University.

Signature of HOD with Seal

Date

:-

Place

:-

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