MSC Application Form Kmdasdfgh
MSC Application Form Kmdasdfgh
MSC Application Form Kmdasdfgh
Application No :
Name of United Bank of
India Branch where fee/
and processing charge
deposited in account
No.0088050006798
AmountDate..
Roll No. :
Spl Attention :
Fee /charges be
deposited
In UBI account No.
0088050006798
otherwise
application may
not be entertained
Transaction ID No.
...............
1. NAME OF THE POST APPLIED FOR
2. Advertisement No.
: _____________________________________________
: 5 of 2013
: _________________________________________
: _________________________________________
: _________________________________________
: _________________________________________
: _________________________________________
: _________________________________________
_________________________________________
__________________________________________
________________ Pin
SC
ST
OBC-A
OBC-B
: _________________________________________
Contd.P/2
Year of
Passing
Division/
Class
Percentage
of marks
obtained
Subjects taken
Board/University
Position/Designation
held
Nature of
duty (ies)
Period of Service
From
To
I solemnly declare that (a) All statements made in this application are true, complete and correct (b) Original
documents will be produced on demand (c) I agree to undergo the selection process on the condition that the
Commission may cancel my candidature if I am found ineligible at any stage and (d) I have submitted no other
application for the concerned post.
** I have informed the head of my Office or Department .in writing that I am applying for this post (**Strike off this
sentence if the candidate is not in service of Government or Local or Statutory Body).
Place :
Date :
Applicants Name
Applicants Name
Date of birth..
Date of birth.
Application fee
Rs.150.00
Application fee..
Rs.150.00
Processing charge.
Rs. 50.00
Processing charge..
Rs. 50.00
_________________
Transaction ID to be
noted by receiving official
_________________
Transaction ID to be
noted by receiving official
___________________
Bank seal
__________________
Signature of depositor
____________________
Signature of receiving official
MSCS Copy
Applicants Copy
___________________
Bank seal
_________________
Signature of depositor
_________________
Signature of receiving official
Rs.150.00
Processing charge..
Rs. 50.00
____________________
Transaction ID to be
noted by receiving official
_______________
Bank seal
___________________
Signature of depositor
____________________
Signature of receiving official
MSCs Copy
Applicants Copy
Applicants Name
Applicants Name
Applicants Name
Date of birth.
Date of birth.
Date of birth.
Application fee
Application fee.
Application fee...
Processing charge..
NIL
Rs. 50.00
________________
Transaction ID to be
noted by receiving official
___________________
Bank seal
_______________
Signature of depositor
____________________
Signature of receiving official
Processing charge..
NIL
Rs. 50.00
______________
Transaction ID to be
noted by receiving official
___________________
Bank seal
______________
Signature of depositor
_____________________
Signature of receiving official
Processing charge..
NIL
Rs. 50.00
_____________
Transaction ID to be
noted by receiving official
_______________
Bank seal
_______________
Signature of depositor
______________________
Signature of receiving official