Nsic

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FORMAT OF APPLICATION 1.

Name

: ____________________________________

2.

Father’s name

: ____________________________________

3.

Sex (Male/Female)

:____________________________________

4.

Date of Birth

: ____________________________________

5.

Category (Gen/SC/ST/OBC/Others : ______________________________

6.

Permanent Address

: ______________________________ ____________________________________ _____________________________________

7.

Present Address for Communication : ______________________________ _____________________________________ _____________________________________

8.

Qualification (Starting from 10th onwards)

Examination passed

Name of Year of Passing Subjects University/Board/Institute

Marks obtained %

9.

Details of experience

10.

References (with Details)

: _____________________________

i. ______________________________ ii.

_____________________________

Place: Date:

(Signature Of Candidate)

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