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Application Form Central University of Punjab LDC Lab Asst Attendant Other Posts

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Form for vacancies in central university punjab
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  Incomplete Application Forms will be rejected    Page 1  of 5   Application Form for Non-Teaching Position Central University of Punjab City Campus, Mansa Road Bathinda-151 001 (Punjab) India Website: www.cup.ac.in;www.centralunipunjab.com   ------------------------------------------------------------------------  Advertisement No.............................................. Registration Number (For Office use Only) ---------------------- Paste your recent  passport size photograph here   1. Details of application fee payment (if any) DD Number Date Amount Name of the Bank DD issuing branc  h’s name 2. Name of the post applied for Personal details    3. Name (in Capital Letters)   First Name Middle Name Surname 4. Date of birth Day Month Year Age as on date of advertisement Years Months 5. Place of birth 6. Fathe  r’s name  7. Mother’s name  8. Nationality 9. Gender 10. Marital status a. Married / Unmarried b. If married, name of spouse________________________  11. Community/Category (delete the ones not applicable) Gen /SC /ST /OBC / Other categories If other category:- Give details _________________________ 12. If physically disabled, indicate the relevant particulars If applicable, Write ‘yes’   Percentage of disability S.No. of proof enclosed a. Blindness or low vision : b. Hearing impairment c. Locomotor disability or cerebral palsy (includes all cases of Orthopaedically handicapped) CENTRAL UNIVERSITY OF PUNJAB (Established vide Act no 25(2009) of Parliament)  Incomplete Application Forms will be rejected    Page 2  of 5   13. Educational qualifications (Attach additional pages, if required)   Name of the course Name of the Board / University Month &  Year passing   Division  % of Marks CGPA (if grading is applicable)   Subjects studied S.No. of proof enclosed (a) (b) (c) (d) (e) (f) (g) (h) 10 t  Class / equivalent   10+2 /equivalent Bachelor’s degree Master’s degree  Any other examinationpassed 14. Chronological list of experience (Starting with the first appointment)   Designation Scale of pay Name & address of employers Period of Experience Nature of work / duties S.No. of proof enclosed From date To date No. of years/ months (As on date of advertisement) (a) (b) (c) (d) (e) (f) (g) (h) 15. Total period of experience  ________Years _________months_________days  Incomplete Application Forms will be rejected    Page 3  of 5   16. Names and complete postal addresses of 3 referees (The referee should be the last employers of the candidate or any other person having know- how of candidate’s experience/knowledge and should not be related to the applicant)  Names & complete postal addresses Referee-1 Referee-2 Referee-3 Email: Landline phone (with STD Code) Mobile Phone Fax 17. Present position details Designation Name of the University / institution Basic Pay (Rs.) Pay Scale (Rs.) Gross Pay / Total Salary p.m. (Rs.) Increment date (Date/Month) S.No. of proof enclosed 18. Time required for joining, if selected______________________ 19. Any other information/ qualification relevant to the post applied for:  Incomplete Application Forms will be rejected    Page 4  of 5   20. Candidate's Name & Address for correspondence : Mailing address Permanent address Name Complete Address with pin code Email: Phone No. (Landline with STD code)   Mobile No.   Fax No. 21. List of self attested testimonials attached (srcinal to be produced at the time of interview). Please tick (   )the ones applicable i. Matriculation marksheet / certificate ii. +2/ Intermediate marksheet / certificate iii. B.A./ B.Sc. /B.Com (Final) marksheet/ degree iv. M.A./ M.Sc. /M.Com marksheet/ degree v. L.L.B marksheet / degree vi. L.L.M marksheet / degree vii. Caste Certificate issued by the Competent Authority (OBC/SC/ST/etc) viii. Experience certificate(s) ix. Recommendation letter(s) x. Award (s) xi. xii. xiii. Total Number of above self attested testimonials attached______________________________(in words)  __________________________________________________ Note: Applications without the above self attested testimonials (applicable to the candidate) will not be entertained
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