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-s��ct xtc, (mw) CENTRE fOR AROMATIC PLANTS {CAP) �0
lndustrial Estate, Selaqui-248011, behradun, Uttarakhand {India) Telefax:-9:l·l:35-2698305, E-mail: cap;dun@gmail.com
Application Form 1. Name ·of the post applied for ..................... ........ ..................... ........ .................. . 2. Full Name of the Candidate (in Hindi) : ................................................. ............... .
Self attached recent photograph
In English (As per High School Certificate in block letters) ...... :............................. . '---------' 3. Candidate's mother name (in Hindi): ................................................ ................... .. .
.
4. Candidate's father/husband name (in Hindi): ................................ ... : .. ······ ......... ...... .. 5. Date of Birth ofthe Candidate (As per High School Certificate) (a) (in figures) date ........................... month. ....................... Year............. . (b) Age as on 27th November, 2021: Years ............. , ... months; ................ Day................. . 6. Gender (Tick '✓ 'on the appropriate coloum) : Female ..................... Male ........... . 7. Address for correspondence ..................................................... . 8. Phone No. (With STD Code) ......................................... Mobile No.............................. . 9. E-mail ID, if .any, ................................................... .................................................. , 10. Educational Qualification:Name of the Board/University Passed Percentage Subject Maximum Marks Examination Obtained Year Marks High School Intermediate Graduate Postgraduate Diploma ' Other 11. Experience certificate attached (yes/no) ............................................... . No. of EnclosuresSignature Name of Applicant I certify that the information/facts given in the application form are correct to the best of my knowledge. Date ......................... : ..................... .
Signature ............................................. .
Place ............................................... .
Name of Applicant .......................................... : ... .