bsmfdl
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Bihar State Milk Co-operative Federation Ltd.Dairy Development Complex; Post: - B.V. College, Patna-800014
Phone No0612-2228953, 2220387 & 2224083; Fax 0612-2228306
Web:-www.sudha.coop; Email:- [email protected]
APPLICATION FORMAT
(Space for
affixing recentFor office use onlypassport sizeApplication No.
colorDate of Receipt photograph)
Post applied for: _____________________________Advertisement No.________
Newspaper in which the advt. published & Date of Publication:______________
___________________________________________________________________
1. Name in full[IN BLOCK LETTERS] : _________________________________2.
Fathers/Husbands Name :____________________________________________
3. Date of birth & age :_________________________________________________4. Place of Birth :______________________________________________________5. Nationality :________________________________________________________6. Permanent Address :________________________________________________
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7. Address for correspondence [mention contact Tel./Mobile No.] :_____________
http://www.sudha.coop/http://www.sudha.coop/http://www.sudha.coop/http://www.sudha.coop/mailto:[email protected]:[email protected]:[email protected]://www.sudha.coop/ -
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8. Whether the applicant belongs to SC/ST/BC/EBC/BC-W:If yes, please write category to which you belong and attach a copy of
certificate issued by Competent Authority.
9. Educational/Professional qualifications (beginning with SSC/SSLC examination)& [Degree/Diploma with University/Institution name must be written clearly] :ii) Attested Xerox copies of all certificates to be enclosed.
Qualification Discipline/ Subject: Year of
Passing
Board/
University/
Institution
Percentage
of Marks
Rank/
Class
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10.Details of pervious/present employment held, if any, in chronological - orderstarting from present position to backwards
Post held Period of service Pay scale/
Salary
drawn
Name/
Place/
State of
Organization
Nature o
duties (in
brief)From(DD/MM/YY)
To(DD/MM/YY)
Durationin months
11.Total Experience [as mentioned at Column 10] (YY/MM/DD) :_______________12.Details of Courses/ Training completed in service:_________________________
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13.State and describe your 5 best and worst qualities in your own words (max.150 words):________________________________________________________
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14.State and describe (in your own words) two of your most challenging &successful assignments till date.
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