8/9/2019 Advertisement Non-teaching Staff Positions

1/2

National Institute of Technology, Uttarakhand(Candidates are requested to download the format and fill in the information in his /her own handwriting in the space provided using blue inkonly.)

I wish to apply for the Post of Superintendent / Accountant / Stenographer / Junior Assistant / Senior Assistant.(Please tick the appropriate post)

Application FormName (Block Letters as mentioned

in HSSC Certificate)Are you a Govt. /Semi Govt./ PSUEmployee? (Y/N)Fathers / Husbands Name

Address: Self-AttestedPhotograph

Contact MobileNo.

ContactE-mail Id

Age as on 12thApril 2013 ____ Yrs _____ Months

Date of Birthdd/mm/yyyy

Gender (Male /Female)

Category: SC/ST/OBC/OPEN

Person with DisabilityY / N

Nationality

Examination (Tickapplicable degree)

Year Class % /CGP

IIT/NIT/University Experience Yrs.- Months

HSSC (10+2) Total experience in Govt. organisation onregular basis.

BE / BTech / BSc /BA / BCom

Total experience in Govt. organisation onadhoc basis.

MTech /ME/ MSc /MA/MCom

Other Experience

PhD Yes / No

MBA / LLB / CA Do you have specialisa tion of Finance /Accountancy at Bachelors/Masters Degree?

Other Do you have knowledge of word processing /spread sheet?

Typing speed (more than 35 /80 wpm)

Knowledge of Shorthand(Yes / No)

Do you have knowledge of computer basedaccounting software?

Details of Relevant Employment

Sr.No.

Name of Employer Designation Nature ofWork

SalaryAGP / PayScale

FromDate

TillDate

Length of ServiceYrs. - Months

References

Reference 1 Reference 2

Name

Designation

Organisation

Address

Phone No.

Email

Undertaking

I give the undertaking that I have read all the information and instructions given in Advertisement (Advt. No. 3/2013) on thewebsite www.nituk.com and the above information given by me is correct. I understand that my application shall be rejected if i)the information is not correct or ii) all the required certificates and documents are not attached or iii) application is incomplete.

Date: ____ / ____ /2013 Place:_____________________ Signature of

Candidate:___________________________

For Office Use OnlyInward No.: ______________Date: ___ / __ / 2013 Signature:Registration No.:3/2013 ___________ Signature:Data Entered by:_______Sign.: Checked by:________ Sign.:

Application No. 3/2013/Final Remark

Signature

8/9/2019 Advertisement Non-teaching Staff Positions

2/2

National Institute of Technology, Uttarakhand(Candidates are requested to download the format and fill in the information in his /her own handwriting in the space provided using blue inkonly.)

I wish to apply for the Post of Technical Asst. / Library & Info. Asst. / Students Activity and Sports Asst. / Laboratory Asst. /

Technician / Multitasking Staff in __________________________________________. (Please tick the appropriate post).

Application FormName (Block Letters as mentioned

in HSSC Certificate)Are you a Govt. /Semi Govt./ PSUEmployee? (Y/N)Fathers / Husbands Name

Address: Self-AttestedPhotograph

Contact MobileNo.

ContactE-mail Id

Age as on 12thApril 2013 ____ Yrs _____ Months

Date of Birthdd/mm/yyyy

Gender (Male /Female)

Category: SC/ST/OBC/OPEN

Person with DisabilityY / N

Nationality

Examination (Tickapplicable degree)

Year Class % /CGP

IIT/NIT/University Experience Yrs.- Months

SSC (10) Total experience in Govt. organisation onregular basis.

HSSC (10+2) Total experience in Govt. organisation onadhoc basis.

Diploma in Engg. /ITI

Other Experience

BE / BTech / BSc /BPEd / BLib

Yes/No

MTech /ME/ MSc /MPEd / MCom

No. of events of students activity participated / organised &representations of college in inter-university / inter-collegiatetournaments (Give details on a separate sheet) (for SASA)

Do you have any PG Diploma in ComputerApplication? (Yes / No)

Other Do you have knowledge of word processing /spread sheet? (Yes / No)

Specialisation inDiploma / ITI

Specialisation inGraduation

Specialisation inPost-Graduation

Details of Relevant Employment

Sr.No.

Name of Employer Designation Nature ofWork

SalaryAGP / PayScale

FromDate

TillDate

Length of ServiceYrs. - Months

References

Reference 1 Reference 2

Name

Designation

Organisation

Address

Phone No.

Email

UndertakingI give the undertaking that I have read all the information and instructions given in Advertisement (Advt. No. 3/2013) on the

website www.nituk.com and the above information given by me is correct. I understand that my application shall be rejected if i)

the information is not correct or ii) all the required certificates and documents are not attached or iii) application is incomplete.

Date: ____ / ____ /2013 Place:_____________________ Signature of Candidate:___________________________

For Office Use OnlyInward No.: ______________Date: ___ / __ / 2013 Signature:Registration No.:3/2013 ___________ Signature:Data Entered by:_______Sign.: Checked by:________ Sign.:

Application No. 3/2013/Final Remark

Signature