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Application for the Post of Executive Director (On Contract / On Deputation Basis)
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Name in full
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:
Father's Name
*
:
Sex
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Male
Female
Category
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:
--Select Category--
UR
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ST
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Date of Birth
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*
:
Total Exp. (in Months)
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Mode of Appointment
*
On Deputation
On Contract
Details of Work Experience as on 30/06/2018 (Latest one first):
*
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Employer Name & Address
Designation
Job Profile
Period
Duration
Action
From
To
Years
Months
Academic Qualifications as on 30/06/2018:
Qualification
Examination
Main Subjects
Year of passing
University / Institute
Overall (%) of marks
Class/ Division
Graduation
*
Post-Graduation
*
Any Other (1)
Any Other (2)
Any Other (3)
Any Other (4)
Any Other (5)
Address Line 1
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:
Address Line 2
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District
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State
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Pincode
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E Mail
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Mobile
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Telephone with STD code
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I declare that the information furnished above is true and correct to the best of my knowledge & belief. I understand that if at any stage, if found that any information given in this application is false/ incorrect or that I do not satisfy the eligibility criteria according to the Board, my candidature/ appointment is liable to be cancelled/ terminated. I have read and understood the stipulations given in the advertisement and hereby undertake to abide by them.
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a. Additional pages may be used to provide extra details when emailing copy of the application to SEBI-HRD.
b. Kindly do not use abbreviations/ acronyms in the on-line form.
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Details of Work Experience as on 30/06/2018:
Employer Name & Address
Designation
Job Profile
Period
Duration
From
To
Years
Months
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