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APPLICATION FORM FOR THE POST OF COMPUTER FACULTY
(PLEASE FILL THIS FORM IN ENGLISH WITH CAPITAL LETTERS ONLY)
Application Ref. No. :  
1.. Name of District (Applied) :
1). _________________ 2). _________________ 3). _________________ 4). _________________
2. Choice of School in order of preference (Mention School Code only):
1). _________________ 2). _________________ 3). _________________ 4). _________________
3. Name of Candidate : _________________________________________________________
4. Mother’s Name : _________________________________________________________
5. Father’s / Husband Name : _________________________________________________________
6. Present / Corresp. Address : _________________________________________________________
7. Permanent Address : _________________________________________________________
8. Phone No. (with STD Code) : _____________________ Mobile:  ______________________
    Email : ____________________________________________________
9. Date of Birth : _____________________ Sex (M/F) : ___________________
10. Nationality : _____________________
11. Detail of Fee Paid :
 
DD No. : ____________ Date : ________________ Amount : ____________________
  Bank : _______________
12. Are you permanent resident of Haryana?(Yes/No) : ___________________________________________
  If yes, then Name of District : ________________________________________________________
13. Educational / Professional Qualification (Matric onwards) :
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14. Experience / Details of work in related field :
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Declaration: I hereby declare that -
1. Particulars given above are true and correct to the best of my knowledge and belief. I understand that in the event of any information is found to be false / incorrect at any stage, my candidature is liable to be cancelled and I shall be liable for the legal action, if any, arising on this account.
2. I am not involved in any illegal activity which may affect the operation of this project and I further undertake that I shall never involve in any such activity which may affect the working of the project at any point of time.
 Date : ........................................
 Place : ........................................ Signature of the Candidate