PROJECTS DEVELOPMENT INDIA LIMITED

A-14, SECTOR-1, NOIDA-201 301 (U.P.)

(ADVT.NO. HR/71/10/05)

APPLICATION FORM

1 Post applied for : Post Code:

2 Discipline:
3 Name of the candidate (In Block letters):
4 Father/Husband’s Name: Passport Size Photograph

5 Date of Birth ( D-M-Y):

6 Age as on 30.11.2010 (Years-Months-Days):

7 Correspondence Address with Contact No.:

8 Permanent address with Contact No.:

9 E-Mail Address :
10 Category (SC/ST/OBC/PH) with copy of
certificate :
11 Nationality / Religion:
Educational / Professional Qualification from Matriculation onwards:
12
Examination Passed University/Board Month & Year of %age of Marks Main Subjects
Passing
a)

b)

c)

d)

Details of Experience (In Chronological order): As on 30.11.2010

13
Organization & Address Position held Period Scale of Pay & Basic Pay Total Brief description of
From To Emolument duties/jobs
a) last drawn

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 PROJECTS DEVELOPMENT INDIA LIMITED
A-14, SECTOR-1, NOIDA-201 301 (U.P.)
(ADVT.NO. HR/71/10/05)

APPLICATION FORM

b)

c)

d)

e)

f)

14 Total Post Qualification Experience (As on

30.11.2010) (Years-Months-Days)
15 Details of Computer Knowledge and application
Software used
16 Other, if any

I declare that the information furnished above by me is true to the best of my knowledge and belief and that nothing material has been concealed. In case, any of the above information is found false, my
candidature shall stand rejected.

Encl: as above. (Signature of the candidate)

Place:
Date:

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