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Application Form against Advertisement dated 20-26th
Dec’2014
* POST APPLIED FOR _________________________________________...
2. Education Qualification (starting from 10th
onward):
Examination Passed Full Degree Name
(for Graduation and onwards)
N...
5. Details of complete experience starting from the present employer:
(only after Graduation Experience has to be mentione...
8. References with complete Name, Address, Telephone, Mobile Numbers:
(1) Reference No.1:________________________________ ...
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NSIC Application offline (Naukarihunt.blogspot.com)

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NSIC Application offline (Naukarihunt.blogspot.com)

  1. 1. Application Form against Advertisement dated 20-26th Dec’2014 * POST APPLIED FOR ____________________________________________________ Fields marked * are mandatory 1. Personal Details * Name of the Candidate : ____________________________ * Father’s / Husband Name : _________________________ (Full name as appear in Class Xth Certificate) Gender (Male / Female) : ____________________________ * Date of Birth (dd/mm/yy) : _________________________ (Attach copy of Class Xth Certificate with hard copy of Application Form) * Category : _____________________________ * Whether belong to Minority : _________________________ (Gen. / SC / ST / OBC / PwD-Person with Disability) (Yes / No) (Attach copy of Caste Certificate in case belongs to reserved category with hard copy of Application Form) * Whether applicant is Ex-Serviceman (Yes / No) : _____________________________ Marital Status (Single / Married) : _________________________ Landline No. : _____________________________ Mobile No. : _________________________ (with STD code) * * E-Mail Current Residential Address : : _____________________________ _____________________________ _____________________________ _____________________________ * Permanent Residential Address   : __________________________ __________________________ __________________________ __________________________   1/4   Paste a Self‐ attested  passport size  photograph here 
  2. 2. 2. Education Qualification (starting from 10th onward): Examination Passed Full Degree Name (for Graduation and onwards) Name of the Board / University / Institute Year of Passing Whether Regular / Part- Time / Distance Percentage obtained * 10th * 12th * Graduation (B.A., B.Com, B.Sc etc.) Post-Graduation (M.A., M.COM, M.Sc etc.) Use extra sheets, if required. Attach copies of all mark sheets, certificates duly self-attested with hard copy of Printed Application Form. 3. Professional Qualification: Full Name of Degree / Course Name of the University / Institute College Name Duration of the Course in Years Year of Passing Whether Regular/ Part Time / Distance Specialization / Discipline Percentage / Grade obtained Use extra sheets, if required. Attach copies of all mark sheets, certificates duly self‐attested with hard copy of Printed Application Form.   4. Additional Qualification/Training attended (if any): S.No. Full Name of Qualification / Training Duration Details (in brief)  2/4
  3. 3. 5. Details of complete experience starting from the present employer: (only after Graduation Experience has to be mentioned) S.No. Name of Employer Position held Executive or Non- Executive Duration of Position held Job Profile (in brief) Gross Salary p.m. (in Rs.) From Date To Date Use extra sheets, if required. Attach copies of all experience certificates duly self-attested with hard copy of Printed Application Form. 6. If presently working with Government / Semi-Govternment / PSUs/Banks / Local Bodies etc., please give Name & Address of HR Head / Personnel Department. Name & Address of the HR Head / Personnel Deptt. : ________________________________________________________ _________________________________________________________ 7. Have you ever appeared in interview for any post in NSIC during last 3 years? : Yes _____ / No _____ In case Yes, provide the following details: Name of the post : ________________________ Year of interview : ________________________ 3/4
  4. 4. 8. References with complete Name, Address, Telephone, Mobile Numbers: (1) Reference No.1:________________________________ (2) Reference No.2:________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Place: ____________________________________ Date: ______________ Self-Declaration of applicant: Yes (a) I have verified the above details, and the details are in order to the best of my knowledge & belief. (b) I understand that merely filling this Application Form will not be treated a complete application. Therefore, I further declare that I will send this Application Form with self-attested photo pasted at appropriate place, copies of all self-attested certificates of caste/disability/work experiences/ qualification to DGM(HR), NSIC Ltd. so that the same is received on or before 13.1.2015. Signature of Applicant 4/4

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