Necg Ratification Application
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Transcript of Necg Ratification Application
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8/17/2019 Necg Ratification Application
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NARAYANA ENGINEERING COLLEGE::GUDURFORM OF THE APPLICATION FOR STAFF RECRUITMENT BY SELECTION
(Last date for the s!"#ss#o$ of A%%'at#o$ )*)+*,)+-
+. Post a%%ed for : De%t:
,. Na"e of the Ca$d#date #$ F&&:
(I/Address for Corres%o$de$'e (II/ Off#'#a& Address
Pho$e(R/: Pho$e (O/
. Date of B#rth*A0e*Se1: 2M*F2 3. Co""$#t4: OC*SC*ST*BC
5. P&a'e of B#rth: -.State:
6. La$0a0e 7$o8$:
S.NO LANGUAGES SPEA7 ONLY READ 9 SPEA7 READ;RITE 9 E
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8/17/2019 Necg Ratification Application
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+,.Prese$t %os#t#o$(Des#0$at#o$/ :
S'a&e of Pa4 : Bas#':Rs. Tota& E"o&"e$ts(%."/Rs:
+.Deta#&s of E"%&o4e"e$t *E1%er#e$'e :
Na"e a$d
Address of Post he&d S'a&e of %a4 Fro" To Bas#' %a4 Reaso$s for
I$st#tt#o$ &ast dra8$ &ea>#$0 the
F#r" or %ostoff#'e
+3. Ca$ 4o s!"#t Noo!e't#o$ 'ert#f#'ate fro" 4or %rese$t e"%&o4er #f se&e'ted :Yes*No*Not
a%%'a!&e*#$ter$a&. #f NoG#>e reaso$s .
+5.Deta#&s of e1%er#e$'e of e"%&o4e"e$t *resear'h *'o$t#$#t4 ed'at#o$ %ro0ra""es.
(a/.Tea'h#$0 E1%er#e$'e #$ 'o&&e0e*U$#>ers#t4 P.G:Yrs UG:Yrs
(!/.Resear'h %!'at#o$s :or$a&s: I$ter$at#o$a&:Nat#o$a&:
Co$fre$'e: I$ter$at#o$a&:Nat#o$a&:
('/.Refresher 'orses atte$ted :
(d/.I$dstr#a& E1%er#e$'e :Yrs
(e/.Ad"#$#strat#>e E1%er#e$'e :Yrs
Add se%arate sheet 8#th deta#&ed #$for"at#o$$der a$$e1res ABCD a$d E.
+-.o#$#$0 t#"e reJ#red .If se&e'ted : Mo$ths:IIIIDa4s:IIIIIE1%e'ted DoG:IIIIIIIIIII
+6.E1%e'ted sa&ar4 : Tota& E"o&"e$ts(%"/Rs:
+=.E1tra 'rr#'&ar a't#>#t#es : (se add#t#o$a& sheets #f reJ#red $der a$$e1re F/
+.A$4 other re&e>a$t #$for"at#o$ : (se add#t#o$a& sheets #f reJ#red $der a$$e1re G/
,).Referees : ( the referees sho&d !e res#d#$0 I$ #$d#a ho&d#$0 res%o$s#!&e %os#t#o$ a$d $ot re&ated to the"/
S.NO NAME OCCUPATION*POSITION ADDRESS*MOBILE NO.
A
B
,+.Deta#&s of E$'&osres: (I$d#'ate the e$'&. 8#th K/Tota& No.of Cert#f#'ates e$'&osed:
a/ Date of !#rth 'ert#f#'ate f/De0ree "ars /Ph.D . Cert#f#'ate(OD/
!/SSC*SSLC Mars 0/De0ree 'ert#f#'ate(OD/ &/ GATE*RF*NET*SLELT
'/PUC*I$ter"ed#ate Mars h/P.G.Mars M/Ser>#'e Cerf#'ated/D#%&o"a Mars #/P.G.Cert#f#'ate (OD/ $/Sa&ar4 Cert#f#'ate
e/D#%&o"a 'ert#f#'ate /M.Ph#&&.'ert#f#'ate(OD/ o/Noo!e't#o$ 'ert#f#'ate
%/A$$e1res(A*B*C*D*E*F*G/ J/other 'ert#f#'ates #f a$4
Stat#o$: Ne&&ore S#0$atre of the Ca$d#date
DECLARATION TO BE SIGNED BY THE CANDIDATE
I here!4 de'&are that the state"e$ts "ade #$ th#s a%%'at#o$ are tre to the !est of "4 $o8&ed0e.
Date: S#0$atre of the Ca$d#date