Serial No. _________

PANJAB UNIVERSITY, CHANDIGARH

Application for Class A (Non-teaching) positions (Use separate form for each post)

The candidate should attach nine (For Office use) Photostat copies of this form (Diary No. ______ along-with the original Date ___________

Name of the Post _________________________ Advt. No. ___________________________

Department __________________________________________________________________

Affix recent

A. Name in full Mr./Mrs./Ms._______________________________________________

passport size

(IN CAPITALS) Fathers Name : Mr. ____________________________________________________ photograph Date of Birth : ___________________Place of Birth __________________________ Nationality : ____________________Marital Status ___________________________ Member of Scheduled Caste/Backward Class : Yes/No _________________________

(If yes, please attach certificate from Tehsildar/Magistrate 1st. Class of the area)

B. Address :

Permanent address : ____________________________________________________

(IN CAPITALS)

_________________________________________________

Present Address : (For correspondence) ___________________________________ (IN CAPITALS) _________________________________________________

Mobile/Telephone: _________________________ E-mail: _________________________

C. Minimum Pay acceptable : _______________________Joining time ________________________________ (if selected)

D. Educational Qualifications : (Please attach one set of attested copies along-with original application)

Examination	Univ./Board	Main Subjects	Year of passing	Marks Obtd. (with Max. marks)	Class/Div./ Grade (Attach conversion formula)	Merit/ Prizes /Medals won, if any
1. Matric
2. 10+2/Pre-Med./ Pre-Engg.
3. B.A./B.Sc./ B.Com. etc.
4. M.A./M.Sc./ M.Com. etc.
5. M. Phil
6. Ph. D.
7. Any other Exam (Please Specify)

P.T.O.

E. Professional Training :

Sr.No.	Organisation	Period		Details of Training
		From	To

F. Employment Experience (details in chronological order starting with first job) :

Name & Address of	Date of		Designation	Nature of Job	Basic Pay p.m. & Pay-Scale	Reasons for leaving
Employer/ Institution	Joining	Leaving

G. Referees :

These should be professionally competent persons, well acquainted with some aspects of the applicants training, accomplishments, capability and character but must be relations. At least two of them should be citizens of India. (Supervisor of each major employment and present or most employment must be listed.)

Name Occupation/Position Address

1. ___________________________________________________________________________________________
   
   
2. ___________________________________________________________________________________________
   
   
3. ___________________________________________________________________________________________
   
   

H. Additional Information : (No annexure need be enclosed) __________________________________________________________

I. List of Enclosures

1. ____________________ 2. __________________ 3. __________________ 4. _________________

5. ______________________6. ____ ______________ 7. Draft No. __________ Dt.___________ Amount______

J. Declaration : I solemnly declare that :

(i)

The foregoing information is complete and correct. I am not aware of any circumstances which may impair my fitness for employment in the Panjab University, Chandigarh.

(ii)

I have never been disqualified from University work/appearing in any University examination.

(iii) I have never been dismissed either from Govt. or from University, College or other Public or Private Organisation service.

(iv) I have never been prosecuted, kept under detention or bound down/fined, convicted by the Court

of Law for any offence.

Place : _________________ _____________________

Date : __________________ Signature of Applicant

Recommendation of the Employer

Signature of Employer (with Seal)

Website: http://jobs.puchd.ac.in

Serial No.______________

PANJAB UNIVERSITY, CHANDIGARH

The candidate should attach

Application for Class-B Posts

nine photostat copies of this form alongwith the original (Use separate form for each post)

Name of the Post __________________ Advt. No. ________________ Department. ________________________________________________

A. Name in Full(In Capital letters) Mr./Mrs/Ms _____________________________
Fathers Name: Mr.	_______________________________________________
Date of Birth: ____________________		Place of Birth: ___________________
Nationality: ____________________ Marital Status: ____________________				Affix recent
Member of Scheduled Caste/tribe/Backward Class :			Yes/no ________________	Passport
(If Yes, Please Attach certificate form Tehsidar/Magistrate I Class of the area).				size photograph
B. Addresses:
Permanent Address(in Capital letters):_________________________________
_______________________________________________________________
_______________________________________________________________

Present Address: (forCorrespondence) (in Capital letters): __________________________________ Any change be intimated to the office __________________________________________________ __________________________________________________ Phone/Mobile No.:___________________________ E-mail: _____________________________

C. Minimum Pay acceptable: _________________ Joining time (If Selected) _____________________

D. Education Qualification: (Please attach one set of attested copies alongwith original application only)

Examination	Univ/Board	Main Subject	Year of Passing	Marks Obt(with Max Marks)	/Grade (attach conver -sion formula) d. Class/ Divn.	won if any.Merit/Prizes/medals
1. Matric
2. 10+2/Pre-Med /Pre- Engg.
3. B.A/B.Sc/B.Com. etc.
4. M.A/M.Sc/M.Com etc.
5.
6.
7.

E. I. (a) Speed in Typerwriting (b) Speed in Shorthand English/Hindi/Punjabi English/Hindi/Punjabi (w.p.m) _____________ (w.p.m) _________________

F. Employment Experience (details in chronological order, starting with first job):

Name & Address

Date of

Designation

Nature of

Basic Pay p.m. Reasons for

Employer/Institution Joining

Leaving

Job

& Payscale

Leaving

Page:1 of 2 Website: http://jobs.puchd.ac.in

G. Referees :

These should be professionally competent persons, well acquainted with some aspects of the applicants training, accomplishments, capability and character but must not be relations. At least two of them should be citizens of India. For applicants having done post-graduate or post-doctoral research, the research supervisors must be listed. Supervisior of each mojor employment and present or most recent employment must be listed.

Name Occupation/Postion Address

H. Additional Information: (No annexure need be enclosed )

I. List of Enclosers:

1. __________________ 3. _________________ 5. ____________________ 7. _________________
   
   
2. __________________ 4. _________________ 6. ____________________ 8. _________________
   
   

9. Draft No. _________________ Date ____________________ Amount _________________

J. Declaration: I solemnly declare that: i) The foregoing information is complete and correct. I am not aware of any circumstances which may

impair my fitness for employment in the Panjab University, Chandigarh ii) I have never been disqualified from University work/appearing in any University examination. iii) I have never been dismissed either from Govt. or from University, College or other Public or

Private Organisation service iv) I have never been prosecuted, kept under detention or bound down/fined, convicted by the Court of

Law for any offence.
Place : _______________ Date : _______________	___________________ Signature of Applicant

Recommendation of the Employer: Signature of Employer with Official Seal

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