Serial No.

______________________________

APPLICATION FORM ATTESTED

RECENT
POST APPLIED FOR PASSPORT SIZE
PHOTOGRAPH
1- NAME
2- FATHERS NAME
3- DOMICILE
4- DATE OF BIRTH / /
5- COMPUTERIZED NIC NO.
6- TEMPORARY POSTAL ADDRESS:

7- PERMANENT ADDRESS:

8- CONTACT/ PHONE NO.

9- GENDER:
10- RELIGION
11- ACADEMICS:
S.NO. QUALIFICATION INSTITUTE YEAR OF MARKS GRADE/
WITH SUBJECT PASSING OBTAINED/ DIVISION
TOTAL MARKS

12- PROFESSIONAL EXPERIENCE:

S.NO. ORGANIZATION/ POST DURATION
DEPARTMENT FROM TO TOTAL DURATION

I solemnly declare that, to the best of my knowledge my replies are correct.

DATED:__________________ SIGNATURE OF THE CANDIDATE:____________________