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Application_oct0609

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					                             JSS Mahavidyapeetha
             Jagadguru Dr.Sri Shivarathri Rajendra Circle, Mysore-4
      (-0821-2548201, 2548202  0821-2584218  Website:www.jssonline.org)




                                                                          Affix your recent self
                                                                          attested passport size
 Application for the post of Lecturer in_______________________                photograph




 A. Name in Full (In block letters):



Father’s/Husband’s Name:


 Date of Birth:

 Marital Status                                             Sex :


 Nationality:                                              Religion:

 Caste:                                                    Category:

          DD No.            Date                       Bank                      Amount



 B. Educational Qualifications: (Please attach Copies of marks cards)

    Examination              Board/ University         Year of passing   Class / Division
      Passed
                                        -2-

C. Additional Qualifications (Computer Knowledge, etc), if any




D. Languages Known:
Sl.No               Language                     To Read       To Write       To Speak




E. Teaching Experience:
 Sl.No. Name of the Employer               Designation                    Period




F. Postal Address:

_____________________________

_____________________________

_____________________________

_____________________________

Pin Code:                                     Phone / Mobile No:




The information furnished above is true and correct to the best of my knowledge.

Place:
Date:                                                    Signature of the Candidate

				
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posted:11/27/2010
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