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					                                    Bhartiya shiksha Vikas Mission
                                          Application Form
                                                                                                                                        Paste Resent color
Post applied for …….……………………………………..............................…………………. passport size

1.Name …………........………………………………………………………………….............…….. Photo with self
                                                                                                                                         attested

2.Father Name…….......……………………..............………………………………………………

3.Mother Name .........................………………………………………………………………….

4. Date of birth ……….............………………………………………………………………..

5. Category:-General                                 S.T.                  S.C.                    O.B.C.                        Others

6. Sex :                    Male                             Female

7.Permanent Address:-
.................................................................................................................................................................................

.................................................................................................................................................................................

.....................................................................................................District ................................................................

State : ........................................................................Pin : .................................................

Telephone No: with STD Code:-

Mobile NO:-

If any E-mail Address:-................................................................................................................................................
8. Academic Qualification:-
                 Exam/Degree/
 S.N.                                                Uni./Board/Institute Year of Passing % of Marks
                 diploma /Passed




(Please mention all qualification matriculation starting to higher qualification)

9. Any Technical Qualification:-
S.N. Exam/Degree/diploma /Passed Uni./Board/Institute                          Year of Passing   % of Marks




10.If any other works Experience:-
           Employer Name                            Designation                 Period            Salary
   11. Name of the district to witch candidate belongs to ...........................................

   ....................................................................................................................................


                                                                                                Paste Resent Color
                                                                                                photo with self
                                                                                                attested




12. Mailing Address:-

.........................................................................................................................................

........................................................................................................................................

........................................................................District....................................................

State:- ...............................................PIN:-..........................................................

 Declaration: - I hereby declare all the statement of application is true and correct to the best of my
 knowledge and belief. In the event of information being found false or incorrect my
 candidature/appointment may be considered terminated without any notice. I will accept all the
 legal disputes shall be subject to jurisdiction of the courts at Jaipur Rajasthan, or Rules and
 regulation shall be construed in accordance with the law of India and incase of any dispute or other
 matter arising in reference to a sole arbitrator appointed by the Company and shall be governed by
 the arbitration and conciliation Act1996 amended from time to time. The venue for arbitration
 shall be jaipur.all the cost, charges, in connection to the arbitration shall be solely borne by the
 applicant who has raised the dispute.




     Applicant sign

				
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posted:7/23/2012
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