university of delhirajdhani.du.ac.in/www/pnt2013.pdf · 8. educational qualifications examination...

RAJDHANI COLLEGE (UNIVERSITY OF DELHI)

NEW DELHI-110015 PHOTO

Application Form Non-Teaching

Post Applied For _______________________________

Department ___________________________________

DD No……………………………………… Dated …………………………….. Name of Bank …………..…………………………

1.Name (in Block Letters) : Dr./Mr./Miss/Mrs…………………………………..…………………………………………………… ……………………………………………………………………………………………………………………………………………………………..

2. Father’s Name ……………………………………………………………………………………………………………..……………………

3. (i) Date of Birth (in figures) ………………………………………………………………………………………………………………. (ii) Age:…………………………….. Years ……………….. Months………………(As on date)……………………………………..

4. (i) Nationality ………........................ (ii) Gender (male/Female)……………………………………..…… (iii) Married/Unmarried……………………………… (iv) Category (SC/ST/OBC/Genera)………………………………

5. Communication/Postal Address ………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………

6. Telephone No. ………………………………………… Email Address…………………………………………………

7. Permanent Address ……………………………….……………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………………………

8. Educational Qualifications

Examination Passed

Board/University School/College Attended

% Marks & division

Year of Passing

Subjects Offered

9.Details of Computer course alongwith duration and name of institutes …………………………………………… ………………………………………………………………………………………………………………………………………………………………

10. Working Experience (if any)

Office in which worked/working

Designation Length of Experience From To

Total Experience

11. Indicate the time you will require to join (if selected) ……………………………….……………………. ………………………………………………………………………………………………………………………………………………

12. Any other information ……………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………

13. Enclosures …………………………………..……………………………….……………………………………………….. ……………………………………………………………………………………………………………………………………………… I declare that all the statements made in this application form are true to the best of my knowledge and belief. Date:- Place: Signature of Applicant Forwarded : The facts stated in the above application have been verified and found correct. Head of Institution