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display ^this a request to

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3.TheRegistrar,o,.,o-o,,n,,turalUniversity,Anandwith.llel::s-ttodisplaythisCircularonNoticeBoard.

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_5. The Registrar,iiii. ^{,"ir"*nv, va{gdara with a request to display this circular on}

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[1], ailtft-qr ^qE / Post applied for : arr{t qrflqe .}ilqr-r I ^q{j =r.itroq rdn I

qRd\f,-fl cn-r qrcr _l Name _of Projecu rr;\et

l2l. fuwil\ .z Rece nt ^II photograplr of

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applrca nt I

l3l. 3rlE-fr znl qIFI (s1-g 3{Hr} fr), Name of applicant (in Block letters):

t4l. \FF{ frfU / Date of birth:

q1re{rc.Dr( zht _ftfU ?hi Grrg _/ Ase as:

isl, on date of lnterview

t6l ftrmr;nr ^;ffi/ Father's name:

171, trqT ffin ^qr GrBqIBfl d/whether married or unmarried

lBl. qr{Erm cn-r grIT (furcnls, g*+f, Grrf,SI, Trrrd r-qq):

Correspon ding address :

(with pin code, e-mail ld,contact no.)

tel qq$ qrTI fr-+frrg S lgpl / Permanent address (with pin code)

t101. d"fr(erg,w./Qi-E.q.cT./oi.ft.a.7riinrq Tq 3rq/Catecory (SC/ST/oBC/General and orhers):

t111. e}l$6 +.qf,Tl Educational Qualification :

TMilwaar wHT / flqq / Subject qfrrTo

Qu a lificatio n Boa rdlUniversity Class Year of % af Marks assing

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_i121. trqT 3{iqs) oaFl EDT gfrurfi HI{ t (ET EI nT) / Have you basic knowledge of Cornputer lyes/woI :

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fq ^qdqr=T t.RqR ch-r ft-q-i"r dr(a). Details of previous and present ern ployment

held, in chronological order starting from present position.

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r l"+)q"IH _ail{ qdq]q zm 'ilrT / Narne of o{qB/ period _of

Itr iltr{ / pay Scate Nature _{of service}

Ernployer with ⁱ _{service and present basic}address ⁱ _pay

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(,') vritr 3rykt, qf{ $ irt:

(b), Research Experience, if any:

[14] EqFrdT / Nationatity:

SyyI necla ration

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^{I hereby declare} that all the stat'ements made in this application are _{true, complete and correct to the}

^{best of my knowledge and belief. ln the event of any information being found _{false or incorrect, my}candidature/application _{may be .cancelled/terminate} with any prior notice. I shall not claim for ,."grl.,.}

appointment/absorption _{at the end of the Project, ln the event of inerigibility being detected before or after}

^{the selection procedure, action can be taken against} me under the relevant rules/instructions.

tQI{/ Placel [qnitpT oate :

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