Application Form Common
Application Form Common
Application Form Common
Important Notes: (i) before filling this form, read detailed advertisement carefully. (ii) All entries should be made in capital letters. (iii) Application form should preferably be typed [Please write the Name of Post]
1.
(for S. No. 1 & 2 please keep one box blank between name, middle name & surname)
DAY
MONTH
YEAR
YEAR
MONTH
DAY
5.
Gender
[Male/Female]
6.
Marital Status
[Married/Unmarried]
7.
Country
Nationality
By Birth or Domicile
8.
Father/Husband Name : Address: : City State Mobile No. Email. 12. Academic Qualification (starting with 10+2) . Name of Degree/ Course with stream Board/University Year of Passing : : Pin Code: Tel. No.
Signature of Candidate
Max. Marks
Application fee: (Rs 1000/- (Rupees one thousand only) is payable in the form of demand draft drawn in favour of INSTITUTE FOR SELECTION OF PROFESSIONALS payable atAGRA
DD No.
Date
Name of Bank
Branch Address
Branch Code
Amount (Rs.)
DECLARATION TO BE SIGNED BY THE APPLICANT I do hereby declare that all the statements made in the application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any particular information given above being found false or incorrect, my candidature for the post of Para Medical Staff is liable to be rejected or cancelled and in the event of any mis-statement or discrepancy in the particulars being detected after my appointment, my services are liable to be terminated forthwith without any notice to me. Place: Date: (Signature of the Applicant)