APPLICATION FOR THE POST OF LIBRARY ASSISTANTS AT THE U.I.T. CENTRES 1. Name : 2. Date of Birth & Age : 3. Address for correspondence : Affix Photo (With Phone No.) 4. Educational Qualification : (Starting from S.S.L.C) : 5. Work experience, if any : 6. Details of Fee remitted : SL. No. Name of Course Board / University Institution where studied Year of passing Class / Division obtained SL. No. Name of Organisation Designation Salary Drawn Period Amount .......... Pay-in-slip / DD No........... Date ............. Name of Bank ............. (if applicable) I certify that the information furnished above are true and correct to the best of my knowledge and belief. I understand that any wrong / misleading information would lead to the summary rejection of my candidature. Place : Signature of candidate Date :
