Affix Latest Passport Size Photograph Duly Signed
APPLICATIONFORM For Office use only AdvertisementNo.:2/2021
Amount Rs. D.D. for Rs. Date:
Demand Draft/
Post applied for
UTR No: Category
UR
OBC (NCL)
SC
EWS
Pl.
Administration
Bank Name: Branch Name: Date:
1.
Notification No.
: 2/2021
2.
Application for the position
:
3.
Name of the Candidate (in CAPITAL letters)
:
4.
Mother’s Name
:
5.
Father’s Name/Husband’s Name
:
6.
Date of Birth
:
7.
Whether belong to SC/ST/EWS/ OBC(NC)/PwBD
:
8.
Nationality
:
9.
Address(in CAPITAL letters) (a)
Permanent
SCIENTIST - D
: _________________________ _________________________ _________________________
Remov