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    Advt E II382018 Appform

    Uploaded by

    Narender Singh
    This document is an application form for a non-academic position of Senior Assistant (Secretary to the Dean of Student Affairs) at the Indian Institute of Technology Delhi. The application requests information such as the applicant's name, address, date of birth, qualifications, experience, and employment history. It notes that attested copies of supporting documents must be attached, and currently employed applicants must get the form forwarded through proper channels.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Advt E II382018 Appform

    Uploaded by

    Narender Singh
    73 views3 pages
    This document is an application form for a non-academic position of Senior Assistant (Secretary to the Dean of Student Affairs) at the Indian Institute of Technology Delhi. The application requests information such as the applicant's name, address, date of birth, qualifications, experience, and employment history. It notes that attested copies of supporting documents must be attached, and currently employed applicants must get the form forwarded through proper channels.

    Original Description:

    this is application performa for ieee

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    This document is an application form for a non-academic position of Senior Assistant (Secretary to the Dean of Student Affairs) at the Indian Institute of Technology Delhi. The application requests information such as the applicant's name, address, date of birth, qualifications, experience, and employment history. It notes that attested copies of supporting documents must be attached, and currently employed applicants must get the form forwarded through proper channels.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    73 views3 pages

    Advt E II382018 Appform

    Uploaded by

    Narender Singh
    This document is an application form for a non-academic position of Senior Assistant (Secretary to the Dean of Student Affairs) at the Indian Institute of Technology Delhi. The application requests information such as the applicant's name, address, date of birth, qualifications, experience, and employment history. It notes that attested copies of supporting documents must be attached, and currently employed applicants must get the form forwarded through proper channels.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Regn./Roll No.

    _________________
    (for office use)

    Indian Institute of Technology Delhi


    Hauz Khas, New Delhi – 110 016.
    Tel: (011) 2659-1488/1724 Website : www.iitd.ac.in

    APPLICATION FORM FOR NON-ACADEMICS POSTS


    (To be filled in candidate’s own handwriting)

    I. Name of the post applied for Senior Assistant (Secy. to Dean (SA))

    II. Department / Centre _ Dean, Student Affairs _ Affix latest


    passport size
    III. Advt. No. E-II/38/2018(W)
    photograph

    1. Name of the candidate______________________________________________________________________


    (FULL NAME IN BLOCK LETTERS)
    2. Address (IN BLOCK LETTERS) (i) For Communication (ii) Permanent
    ___________________________ ___________________________
    ___________________________ ___________________________
    ___________________________ ___________________________
    ___________________________ ___________________________
    ___________________________ ___________________________
    Telephone/Mobile No. ___________________________ __________________________
    E-mail Address ___________________________ __________________________

    3. Particulars of age (i) Date of Birth_____________________________


    (as per matriculation or equivalent Certificate) (ii) Age (on last date of receipt of application)
    ________years _________Months_______ Days
    (iii) Place of Birth ______________Nationality________________

    4. Father’s /Husband’s Name: ___________________________________________


    (i) Father’s /Husband’s Occupation: ____________________________________
    (ii) Father’s / Husband’s Annual Income: ________________________________

    5. Are you a Govt. Servant at present? If so, state whether your appointment is
    Temporary or Permanent. Give full address of your employer Yes/ No
    _____________________________________________________________

    _____________________________________________________________
    6. Are you IIT Delhi employee? If Yes, clearly mention under which Yes/ No
    establishment are your services governed Emp. Code__________________
    (i.e. Estt.-1/2/Works Orgn./IRD/Canteen/SAS etc.)

    7. Particulars of Qualification and Experience:


    If space is insufficient, separate sheet can be used. Attested copies of certificates and testimonials in support of the qualifications
    and experience mentioned should invariably be attached, failing which application is liable to rejection.
    (i) Qualifications
    Academics/Technical/Professional Exams Grade / % of Year of Name of the University / Board
    passed with specification / subject (Higher to Divn. marks passing
    lower) obtained

    (ii) Experience
    Name of the Designation Dates Length Nature of duties / area of Pay & Pay
    employer / specialization etc. Scale/
    Organisation Grade Pay
    From To Years Months
    (reverse (Rs.)
    chronological order)

    8. Tentative date of joining in case of selection________________________________________


    I hereby declare that the entries in this form and additional particulars (if any) furnished in connection with the
    application are correct and true to the best of my knowledge & belief and nothing has been concealed therein.

    Signature of Candidate

    Place_____________________
    Date_____________________
    Encls:____________________(Enclose the list)

    FORWARDING

    Candidates already employed should get the application forwarded through proper channel. In case of IIT Delhi
    employees, the candidate should get the following endorsement signed by his/ her Section Head/ Head of the
    Department (whose service are not governed by Estt.-1/2 Section, the application should be forwarded by In-Charge,
    IRD/SAS/Works Orgn./Canteen etc. as the case may be).

    No._________________ Signature _______________________


    Date________________ Designation_____________________

    Office Stamp____________________

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