Kavikulaguru Kalidas Sanskrit University
Administrative Building, Mouda Road, Ramtek - 441106, Dist:-Nagpur (MS)
Application Form
Application for the post of :- Photo
1. Name in Full - (in Capital):-______________________________
2. Present Address:-________________________________________
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3. Permanent Address: -_____________________________________________
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4. Mobile No.:____________________________________________________
5. Email id:-
6. Nationality & Religion: -
7. Date of Birth:-
8. Reservation Category (if any): -
9. Details of present employment: -
a) Name of employer:-
b) Post held:-
c) Whether permanent, temporary or on probation: -
d) Pay with pay-scale & Total emolument: -
e) Special allowances, if any: -
10. Work Experience in:- (if yes, attach the certificate)
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11. Academic Record from SSC/Matriculation onwards-University
Degree, Diploma, Certificates etc. The application must particularize
the branch of his Specialization and attach copies of mark lists:-
Name of the Board/University Year of Passing Percentage
Degree
Date: Signature
Place:
Full Name: