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    Application Non-Teaching2019 (F)

    Uploaded by

    gourkanti213
    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.

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

    Application Non-Teaching2019 (F)

    Uploaded by

    gourkanti213
    30 views3 pages
    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.

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    Application_non-teaching2019(F)

    Original Title

    Application_non-teaching2019(F)

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    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.

    Copyright:

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

    Application Non-Teaching2019 (F)

    Uploaded by

    gourkanti213
    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.

    Copyright:

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

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