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OPPORTUNITIES at GSIS

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Examinations starting with S.S.L.C

Year of Passing

Class and Rank

Whether by Correspondence or not

Name of the Institution and University

Major Subjects

Medium of Instruction

Application for the post of	:
PERSONAL DETAILS
Name of the Candidate	:
Present address	:
Postal code	:
Telephone No (including STD) if any	:
EMail Address	:
Permanent address	:
Postal code	:
Telephone No (including STD) if any	:
Sex	:	Male Female
Date of Birth	:	(DD/MM/YY)
Age	:	(Ex:24Years, 7Months)
EXTRA CURRICULAR ACTIVITIES
a) Sports and Athletics	:
b) Others interests, hobbies and accomplishments	:
REFERENCES
Give addresses of two important persons who know you closely - not relatives
a) Name	:
Address	:
Postal code	:
Telephone No (including STD code)	:
b) Name	:
Address	:
Postal code	:
Telephone No (including STD code)	:

Advertisement Ref No	:
Nationality of the Candidate	:
Place of Domicile	:
Religion	:
Father's / Husband's Name	:
Maritial Status	:	Single Married
If married, Husband's / Wife's Name	:
PERSONAL DETAILS OF THE SPOUSE
Date of Birth	:	(DD/MM/YY)
Educational Qualifications	:
Work Experince, if any	:
c) Details of children (Name and Date of Birth )	:
GENERAL
a) If selected, what salary do you expect?	:
b) How soon after selection can you join?	:
c) Are you under contract/ bond with your present employer? If so, give details	:
d) Are you prepared to sign an employement contract , if selected?	:	Yes No
e) If 'Yes' how many years are you prepared to serve at GSIS?.	:
PRESENT WORK
a) Give details of the nature and duties of your present work	:
b) What languages can you speak, read and write? Give Details	:
c) Present Salary and Perquisties	:

EDUCATIONAL QUALIFICATIONS
(ALL EXAMINATIONS FROM S.S.L.C / MATRICULATION ONWARDS, YEAR-WISE)

PROFESSIONAL EXPERIENCE

FOR OFFICE USE ONLY