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    Application

    Uploaded by

    Palanisamy Raja
    This document is an application form for employment on a contract basis at the Pasteur Institute of India in Coonoor. The application requests information such as the applicant's name, date of birth, educational and professional qualifications, employment history, training courses, and contact details. The applicant must declare that the information provided is true and accurate, and must attach self-attested copies of supporting documents.

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    © All Rights Reserved
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    Application

    Uploaded by

    Palanisamy Raja
    52 views2 pages
    This document is an application form for employment on a contract basis at the Pasteur Institute of India in Coonoor. The application requests information such as the applicant's name, date of birth, educational and professional qualifications, employment history, training courses, and contact details. The applicant must declare that the information provided is true and accurate, and must attach self-attested copies of supporting documents.

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    Application

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    This document is an application form for employment on a contract basis at the Pasteur Institute of India in Coonoor. The application requests information such as the applicant's name, date of birth, educational and professional qualifications, employment history, training courses, and contact details. The applicant must declare that the information provided is true and accurate, and must attach self-attested copies of supporting documents.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    52 views2 pages

    Application

    Uploaded by

    Palanisamy Raja
    This document is an application form for employment on a contract basis at the Pasteur Institute of India in Coonoor. The application requests information such as the applicant's name, date of birth, educational and professional qualifications, employment history, training courses, and contact details. The applicant must declare that the information provided is true and accurate, and must attach self-attested copies of supporting documents.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 2

    PASTEUR INSTITUTE OF INDIA, COONOOR 643 103

    APPLICATION FOR EMPLOYMENT ON CONTRACT BASIS


    Advertisement No. : PII/2/2015 Dated 10.06.2015
    Post Applied for
    1.

    Name of the Candidate

    :
    :

    2.

    Date of Birth

    3.

    SC/ST/OBC (Non creamy layer)/Others

    4.

    Fathers Name

    :
    :
    :

    5.

    Mailing Address

    6.

    Contact Details

    Please paste a
    Recent Passport
    size Photograph
    duly signed by
    the candidate

    :Mobile No:
    :Email ID:

    7.

    Permanent Address

    10. Educational/Professional Qualifications (Matriculation onwards)


    (Self attested degrees/diploma/mark-sheet/other certificate to be attached:
    Sl

    Qualification

    Duration
    of Course

    Year of
    passing

    %
    Marks

    University

    Whether
    recognized

    11. Details of Post qualification Experience/employment in chronological order: (Self attested copies of all relevant information stated below to be attached).
    Name of the Employer Post Held

    Total Period
    (From To)
    (dd/mm/yy to
    dd/mm/yy)

    Part time/ Nature


    of Scale of pay/
    Contract/ duties
    Total emoluments
    Regular/
    performed
    Temp./
    Ad-hoc

    12. Details of Training / Specialized Courses:


    (Self - attested copies of all relevant information stated below to be attached).
    Name of the Training / Specialized Courses

    Total Period
    (From To)
    (dd/mm/yy to
    dd/mm/yy)

    Part time/ Full Stipend, if any


    Time

    13. Whether NOC enclosed (If employed in Govt./SemiGovt./PSU/Autonomous Body): Yes/No


    14. Domicile (State & District)

    :.

    15. Visible Identification Marks:


    (i)

    ii)

    DECLARATION:
    I do hereby declare that the facts and information given by me in the above application are true, complete
    and correct to the best of my knowledge and belief. In the event of any discrepancy in the particulars being
    detected at any stage, my candidature / service may be cancelled / terminated without any notice. I am
    attaching herewith self attested copies of all the relevant information above.

    Date:

    Full signature of the candidate

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