Application Format Application Format Application Format Application Format

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APPLICATION FORMAT

Recent passport size photograph of the candidate

Advertisement No. CRIDA / 02/2011 Application for the post of _________________________ 01 02 03 04 05 06 07 Name in full [in Block Letters] Fathers / Husbands Name Nationality Place of Birth Age [as on closing date of Advertisement] Sex [ Male / Female ] Present Address :: :: :: :: :: :: ::

28

Permanent Address

::

09

10 11

Whether belongs to SC/ST/OBC/PH/EXserviceman. [If Yes, state name of Caste and enclose attested copy of the Caste Certificate from a Gazetted Officer Name of the State Name of the Employment Exchange Registration No. Educational / Technical qualifications Name of the Examination

::

::

12 Sl. No.

:: Year of Passing Grade / Division and % Marks Subject passed

University / Board

13 Sl. No.

Experience, if any [particulars of previous and present employment :Name of the Organization Post held Duration Pay Scale / Salary drawn

P.T.O.

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Any other information :-

DECLARATION

I do hereby declare that all the particulars furnished above are true, complete and correct to the best of my knowledge and belief. I understand and agree that in the event of any information being found false or incorrect / incomplete or ineligibility being detected at any time before or after interview / selection, my candidature is liable to be rejected. I shall be bound any decision of the Director, C.R.I.D.A., Hyderabad.
IN TOTALLY FOR I FULLY REALIZE THAT CANVASSING IN ANY FORM WILL TOTALLY DISQUALIFY ME FOR THE CONSIDERATION FOR THE POST APPLIED.

Place : Date :

Signature of the candidate Name

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