Scribd
Upload
90 views3 pages

Application Non-Teaching2019 (F)

This document is an application format for administrative posts at the National Institute of Technology Nagaland. It requests information such as name, contact details, educational qualifications, professional qualifications, languages known, details of past services, present position and pay, and references. It notes that incomplete applications or those without application fees or signature are likely to be rejected. It includes sections for personal details, academic qualifications with attested copies of certificates, professional qualifications, language proficiency, employment history, present employment, references and additional information, if any. It ends with a declaration by the applicant and space for recommendations from the present employer and a list of enclosures.

Uploaded by

gourkanti213
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
90 views3 pages

Application Non-Teaching2019 (F)

This document is an application format for administrative posts at the National Institute of Technology Nagaland. It requests information such as name, contact details, educational qualifications, professional qualifications, languages known, details of past services, present position and pay, and references. It notes that incomplete applications or those without application fees or signature are likely to be rejected. It includes sections for personal details, academic qualifications with attested copies of certificates, professional qualifications, language proficiency, employment history, present employment, references and additional information, if any. It ends with a declaration by the applicant and space for recommendations from the present employer and a list of enclosures.

Uploaded by

gourkanti213
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

राष्ट्रीय प्रौद्योगिकी संस्थान नािालैंड

NATIONAL INSTITUTE OF TECHNOLOGY NAGALAND


(An Institute of National Importance under Ministry of HRD, Govt of India)
Chumukedima, Dimapur
Nagaland - 797 103

APPLICATION FORMAT FOR ADMINISTRATIVE POSTS


(Direct / Deputation Recruitment)

NB: Incomplete Applications, Applications without the application fees or without the signature are
likely to be rejected.

a. ADVERTISEMENT NO. & DATE : ……………………………………..Post No:……………


b. NAME OF THE POST APPLIED FOR:…………………………………………………………
c. CATEGORY APPLIED FOR (TICK) UR SC ST OBC EWS PWD EX-SER
(attested copy of certificate to be submitted,
except for UR)
f. Details of fees paid and enclosed: Demand Draft/ University Challan No. ……………………
Amount : Rs……………Date: ………………Bank: ……………………Branch: …………….

1. Name in full (in block letters):………………………………………………………………………


2. Father /Husband Name : ……………………………………………………………………………
3. Permanent Address (in full) : …………………………………………………………………………
………………………………………………………………………

PIN :…………………………. Contact no. ………………………

4. Address for communication / Affiliation: …………………………………………………………


.……………………………………………………………………

…………………………………………………………………….

PIN :…………………………. Contact no. ………………………

5. Email id: ………………………………………………………………………………………


6. Date of birth in Christian era: ………………………………………………………………………
7. Age on the last date of application : …………………………………………………………..
8. Nationality : …………………9. Religion :………………………10. Sex:………………………
11. Category (SC/ST/OBC/EWS/PWD/EX-SER) (Pl. attach copy of certificate): ……………………

1
12. Details of Academic Qualifications (to be supported by attested photocopies) :

Exam Passed Year of Name of the Branch/ Division Percentage (%)/


Passing Board/University Specialization /Class CGPA / CPI
Matriculation/ X

PU/ XII

ITI

DIPLOMA

B.A/ B.Sc/ B.Com


& equivalent
M.A/ M.Sc/ M.Com
& equivalent
Others (please
specify)

13. Professional Qualification etc. (Pl. enclose photocopies) :

Name of the Test/ Name of the Duration Program Assessment


Training/Certificate organisation details Details

14. Proficiency in Languages:

S.No. Language Read Write Speak


1.
2.
3.

15. Details of past services: (Pl. enclose supporting documents):

Name of the Name of the Duration Scale of pay/ Temporary/ Nature of If any
post held Institution/ of Pay band/ band permanent/ duties Apprecia
Organisation Services pay/ AGP/ Ad-hoc etc. tion/Rem
GP/Level of pay arks, pl
as applicable mention

16. Present position held with date: ……………………………………………………………………

17. Present Pay Band, Band Pay and AGP/GP/ Level of Pay: …………………………………………

18. Effective date of present Pay Band, Band Pay and AGP/GP: ………………………………………

2
19. Name of the employer, with address: ………………………………………………………………
………………………………………………………………………………………………………
Pin: ……………………Contact no………………………… Email id: ……………………………

20. Names of two referees not related to the applicant:

Name: Name:
Dept./Designation: Dept./Designation:
Address: Address:
Pin: Pin:
Contact No: Contact No:
Email id: Email id:

21. Any Additional information, the candidate wishes to provide, if any (Pl. attach additional sheet, if
required):

………………………………………………………………………………………………………

……………………………………………………………………………………………………

22. Declaration:

I hereby declare that I have carefully read and understood the instructions and regulations referred here
in and that all the statements made in this application are true and complete to the best of my
knowledge and belief. I understand that the competent authority can take appropriate action against me
in case any of the information is found to be incorrect at any stage.

Signature of the applicant: ……………………………..

Date: …………………………….. Name in full: ……………………………………………


Place: ……………………………. Designation/ Department: ………………………………
Address: …………………………………………………
……………………………………………………………

23. Recommendation / Comments of the present employer with office seal:


(For employed person of Govt. / Semi Govt. organizations only)

Seal with Date: Signature of Employer


23. LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary)
1 6
2 7
3 8
4 9
5 10
Signature of the applicant: ……………………………

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy