CENTRE FOR DEVELOPMENT OF ADVANCED COMPUTING, NOIDA
Application Form for the post of .
Post Code: .
Demand Draft Details:
DD No. .
DD Date ..
Issuing Bank & Branch
1.
Name
(In capital Letters)
First Name Middle Name Last Name
2. Fathers Name
First Name Middle Name Last Name
3.
Correspondence
Address
City: State: Pin:
4.
Permanent
Address
City : State: Pin:
5.
Telephone [Link]
STD code &
Mobile No.
STD Code
Landline No.
Mobile No.
6.
Email ID
7.
Gender
(please tick )
Male
Female
8.
Martial Status
(please tick )
Married
Unmarried
9.
Date of Birth
(DD/MM/YYYY)
DD
MM
YYYY
10.
Age
(as on 22-10-2014)
Years
Months
Days
11.
Category
(please tick )
General
SC
ST
OBC
PH
12. Educational Qualifications (From 10
th
onwards)
Paste your latest
passport size
Photograph
Qualification
Stream/Discipline
Board/University
Year of
passing
% of
Marks
Di vision
13. Experience (from current to previous) Total Experience in Years: Months: ..
Name of the
Organization with
Address
Designation
Salary
Drawn
From
(DD/MM/YYYY)
To
(DD/MM/YYYY)
Job profile
14. Candidates appl ying for the post of PSS II & PSS III:
Speed (w.p.m)
English Hindi
Typing Shorthand Typing Shorthand
15. If working in Central or State Govt. / Autonoumos Bodies/ PSU whether (please tick )
Applied Through Proper Channel : Yes / No
Submitted No Objection Certificate: Yes / No
Declaration:
I hereby solemnly declare and undertake that all information furnished by me is true, correct and
complete to the best of my knowledge and belief. I undertake that, if any stage of selection or even
after selection, any of the information furnished by me is found to be false, incorrect or misleading,
then my candidature/appointment/services will stand cancelled/terminated without assigning any
reasons thereof. I have also read the eligibility criteria and instructions attached with the
advertisement.
Date: (Signature of Applicant)
Place: