Application Form

Adverisement No. :
BI/NON-ACA/32/2012-13, dtd. 09-11-2012

Post Applied For:
Assitant Registrar

*First Name:

Middle Name:

*Last Name:

*Father's/Husband Name:

Mother/Maiden Name:

*Date of Birth (dd/mm/yyyy):
*Gender: Male   Female
Maritial Status: Married   Unmarried

*Address for Commucation

*Pin Code::

*Phone No.with STD Code:

*Mobile No.:
*EMail Id:
Alternative EMail Id:

Language Known:
Language Read Write Speak

Details of Educational and Technical Qualifications (from Matriculation/SSLC/SSC onwards)
Examination Passed University/Board/ Institution/
Council of Examination
Year of Passing Percentage Subject
*Higher Secondary/Equiv.
Where have you been employed? Give particulars below:-
Name of the Organization Service Period
Designation Nature of Duties performed Total Monthly Emoluments(Pay-Scale/ Pay Band with Grade Pay Reason for leaving Services

Any other information relevant to the post:

*Please attach your recent CV as a .pdf file .


An Application Nuber will appear on submission of the application which may be referred to for further correspondence

Last Date of Application is Over