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    Application Form MTS

    Uploaded by

    sandhyatechmahindrahr
    Application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form MTS

    Uploaded by

    sandhyatechmahindrahr
    36 views2 pages
    Application form

    Original Title

    Application-form-MTS

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views2 pages

    Application Form MTS

    Uploaded by

    sandhyatechmahindrahr
    Application form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Receipt No. ………………Dated…………………….

    APPLICATION FOR APPOINTMENT OF MULTI-TASKING STAFF (MTS)


    APPLICATION FORM FOR FRESH CANDIDATES ONLY

    Paste a self
    1. Full Name of the Candidate: ……………………………………………………… attested recent
    (in Capitals) Passport size
    ………………………………………………………………............. Photograph
    here.
    2. Date of Birth:
    Day Month Year
    3. Gender: (Write ‘1’ for Male, ‘2’ for Female)

    4. Marital Status: ……………………………………..

    5. Father’s/Husband’s Name: ...……………………………………………………………………

    6. Mailing Address (in block letters) ……………………………………………………………….

    ……………………………………………………………………………………………………….

    ……………………………………………………………………………………………………….

    …………………………………………………………………….. Pin Code: .………………….

    Mobile: +91-………………….............................................................

    E-mail ID (if any): ………………………………………………………………………................

    7. Permanent Residential Address (in block letters)

    ……………………………………………………………………………………………………….

    ……………………………………………………………………………………………………….

    …………………………………………………………………….. Pin Code:.………………….

    (Domicile certificate of Manipur should be enclosed)

    8. Nationality: ……………………………………..

    9. Whether Person with Disability (PWD)? : (Write ‘1’ for Yes, ‘2’ for No)
    If Yes (1), please tick (√) the relevant box(es)
    (i) Locomotor Palsy (ii) Visually Impaired (iii) Hearing Impaired

    10. Social Category (please tick √ ) SC ST OBC GENERAL

    11. Employment exchange registration no. …………………..


    12. Employment exchange sponsoring serial no. ……………………

    13. Details of Educational qualifications:


    Division/Grade/% Year of
    Exam passed Board Subject
    of Marks Passing
    X/HSLC/Matric

    Others if any

    14.
    Sl. No. Details of documents to be enclosed Tick if enclosed
    1. Class-X/Matriculation Certificate
    2. ST/SC/OBC (if applicable)
    3. PWD Certificate (if applicable)
    4. No objection Certificate (NOC) (if applicable)
    5. Employment exchange registration Card
    6. Work experience certificate (if applicable)
    7. An additional Self attested Passport photo.
    8. Duly filled Admit Card with affixed photographs
    9. Domicile certificate
    10. Any other certificate(s)

    DECLARATION

    I hereby declare that all the statements made in the application form are true and complete
    to the best of my knowledge and belief. I understand that legal action under section 177, 193, 197,
    198, 199 and 200 of Indian Penal Court and other appropriate disciplinary action can be taken
    against me by the appointing authority, if I am declared by them to be guilty of any type of
    misconduct or misrepresentation mentioned herein. I have informed my Head
    Office/Department/Institution, in writing that I am applying for this selection.

    Date: Signature of candidate


    Place: Name:
    Address:

    (Strike off the last sentence in the declaration in case not relevant)

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