1. 'quot;
INDIAN INSTITUTE OF PACKAGING
Fax:28375302 Email:iip@iip-in.com
Application Form for Employment
Instructions:
(a) Requirements of the post should be carefully read before filling up this form
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(b) Entries to be made in block letters or typed where ever possible.
(c) Form to be mailed or delivered to reach the Secretary, Indian Institute of Packaging
before the date specified
(d) Testimonials to be enclosed should be attested copies only and originals are not to
be enclosed unless they have been specifically asked for. .
(e) If space for any entry is inadequate, entries may be continued on separate sheets
and attached to the Application Form; references to these attachments (serially
numbered AJB,C, etc.) being indicated at the appropriate places.
POSTAPPLIEDFOR.-------------------------------
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1. Name (in fuJl) ALOk RA'J
1.1. Address: (a) Present : JV T C. L+d I Z'Y' d. P t G0 ~I f<~O) I crnj 01
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(b) Permanent:
6PPc:ffk~~/ (no.. Pele(r.;;) ~oadl V64J.oJa ya- :rrOO2:0
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. ~ Rd ~1P Ar, quot; li1'r J~
f C) ~'Y'<N c,'.~ y
~o1~8 - U0 0 ~ 0 t6, i , h.d y.
1.2. Date of Birth: ?- S. 0 2... ICj 83 Place: ~6! Y1Jol&;I.
1.3. Citizenship: 'quot;'1quot;l1quot;.cLi a 'n ,
1.4. If belongmg to a Scheduled Caste or a Tribal or Aboriginal CommunitY, give
particulars.(Attach a certificate from the District Magistrate in support of this
statement)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . .. . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. EDUCATION
2.1 Schools. Colleges, Technical Institutions and Universities attended:
r
I University 1 College or Institution i Year of
, 1Year of
i i Joining ! Leaving .~

2. {Ii(11
'L-o 0 d
, ~e' ~. '2-0 0 ( '7--eJ 0 S
t... 1'40 J . .De Ih quot; i 2t7o S 2-00
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2.2. Degrees obtained and examinations passed, includingtechnical and other
qualifications acquired (commencing with High School or equivalent):
! Examination or i Class or Division !Subject or ! Year of Award
i Degree- i Subjects
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2.3. Details of research work, practical training or apprenticeship.
3. MEMBERSHIP OF PROFESSIONAL AND HONORARY SOCIETIES
: Socie Class of Membershi ; Year Joined i Year Terminated
4. FOREIGN LANGUAGES (OTHER THAN ENGLISH)
i Read and Speak , Read, Speak and Write
i Examination Passed
( +
I i j with Year
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5. EXPERIENCE
5.1. Employment (starting with present employment):
and
, r Year ! Nature of ; Reason for
! Present Emoluments I
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f Employer I Scale of
Post ' 1 i Work : Termination
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3. i Basic i Details i Total i From To
I Pay I of other I emolu I
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i I emolu
'ments. I ments !
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5.2. Details of foreign travel other than that covered under 2 and 5.1:
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i Country ! Dates i Purpose
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5.3. Publications, ifany ( research, technical or other originalwork). Attach copies, if
possible
;Title j Name of Periodical (Or i Volume, Pages and Year
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! Publisher, if Book)
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6. CANDIDA TE'S OWN CONDITIONS
*6,1: Willing to accept the minimum initial pay of the scale: ~s!No
6.2. If answer to 6.1 is quot;Noquot; the lowest pay acceptable to the candidate: Rs p.m.
*6.3. If selected the minimum period required before joining: J months/weeks
6.4. Any other conditions:
7. REFEREES (Not relatives, preferably persons resident of India):
l Name i Occupation OR Position I Address
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8. LIST OF ENCLOSURES (other than attachments)
(i) (ii) (iii)
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4. 9. DECLARA TrONS
9.1. r attach herewith a brief, lucid and logical statement in my own normal handwriting
justifying my competence for the post applied for, stating reasons for desiring
change from present employment.
quot;
quot;quot;9.2. I formerly applied for the following posts in the lnstitute
[ Date
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! Post : Result
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..9.3 Currently my applications for the following posts are pending consideration with the
prospective employers indicated:
T
IM ..
iADDlication
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Date of ! Post
! Salary Scale i Demand
y mInimum
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quot;9.4 a) r am sending this application with/without the knowledge and/or concurrence of
my present employer
b) I am sending my application through official channels, this being the
advance/official copy.
9.2. I hereby declare that the entries and statements made in this Fornl and in all
attachments and enclosures are true to the best of my knowledge and belief.
iV',J -1
Date ~/o 3/quot; , Signature
.. Strike out non-relevant words and phrases
Ifyou have not applied for any post write NILagainst the item.
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