NIT AP Non Teaching Application Form-250917

NATIONAL INSTITUTE OF TECHNOLOGY ANDHRA PRADESH
Mentor institute: NIT Warangal

SRI VASAVI ENGINEERING COLLEGE CAMPUS TADEPALLI GUDEM -534102
Advt. No. NITAP/NTS/2017/Advt-001 dated: 14-09-2017.

Application Form for the Recruitment of Non-Teaching Staff positions at NIT ANDHRA
PRADESH
Application Number Date of receipt (To be filled by the Office)
Particulars of Demand Draft

DD Number....................... Date............................ Amount........................
Name of the Bank........................................

Note
1. Self-Attested copies of all certificates/testimonials should be attached. Originals are required to be
shown at the time of interview.
2. Persons in Govt. Employment should send their application through proper channel. They may,
however, send a copy in advance, but it must be on the prescribed form & accompanied by copies of
certificates/testimonials etc.
3. Application received after the due date or found incomplete will not be considered.
Recent Passport size

Photograph to be affixed
Application Form for here
Recruitment of
Non-faculty positions
1. a) Post applied for
2. Name of Applicant (in capital letters)
3. Name of Father/Husband
4. Marital status, Gender
5. Address
a) Permanent address
(Mobile No & e-mail, Phone No.
with STD code-, if any)
b) Address for communication
(Mobile No, E-mail,
Phone No. with STD code, if any)
6. a) Date of birth and age (please enclose

Self-Attested copy of certificate)
7. a) Nationality b) Place of birth
8. Whether you belong to PWD category or not, if Yes, please specify the % of disability:
9. Caste:
SC ST OBC Gen
(In case of reserved category, enclosed duly attested certificate)
10. If you are employed, please state the name of

your employer, your present basic pay & scale of
pay
11. Details of educational qualifications: (Matriculation onwards):

Percentage Division /
Exam Passed Year Institution Board/University
of Marks Class
12. Particulars of previous employment, if any: Give particulars of previous services in chronological
reverse order.
Post held From To Total period Scale of pay & Institute/ Nature of Duties &
of service present basic Organization Responsibility
pay
13. Particulars of present employment, if any
Designation Date of Name & Address of Employer Scale of pay & Nature of Duties
joining present basic pay & Responsibility
14. Languages you can read, write & speak:

Name of Read Write Speak Examination passed if any
Languages
15. Are you a member of any professional body?

If so give details:
16. Have you been a member of the N.C.C. or any

other similar organization?
17. Have you been outside India? If so, state
Country visited Purpose of visit Year
18. Give particulars of places where you resided for more than 1 year during the preceding 5 years
From To Residential Address in Full

19. Summary of Total Working Experience
Experience Yrs - Months
Total experience in Govt. organization on regular basis
Total experience in Govt. organization on adhoc basis
Other Experience
20. Additional Remarks

(Applicant may mention here any special qualifications or experience including that of Computer
knowledge, which has not been included under the heads given above)
21. Reference
(These should be persons resident in India and holders of responsible positions, and they should
be intimately acquitted with the applicants character and work, but must not be relations. If the
candidate has been in employment, he/she should either give his/her present or most recent
employer or immediate supervising officer as a reference)
1. Name :
Occupation :
Address :
2. Name :
Occupation :
Address :
22. Details of enclosures sent with the application(s)

1.
2.
3.
23. UNDERTAKING
I give the undertaking that I have read all the information and instructions given in
Advertisement (Advt. No. NITAP/NTS/2017/Advt-001 dated:14-09-2017) on the mentor Institute
website www.nitw.ac.in and the above information given by me is correct. I understand that my
application shall be rejected if (i) the information is not correct or (ii) all the required certificates and
documents are not attached or (iii) application is incomplete.
Date:
Place:
Signature of Candidate
23. Recommendation/Comments of the present employer with office seal:(For employed person only)
Seal with date Signature of the employer

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NATIONAL INSTITUTE OF TECHNOLOGY ANDHRA PRADESH

Mentor institute: NIT Warangal

Advt. No. NITAP/NTS/2017/Advt-001 dated: 14-09-2017.

Particulars of Demand Draft

Name of the Bank........................................

Recent Passport size

1. a) Post applied for

2. Name of Applicant (in capital letters)

4. Marital status, Gender

6. a) Date of birth and age (please enclose

7. a) Nationality b) Place of birth

(In case of reserved category, enclosed duly attested certificate)

10. If you are employed, please state the name of

11. Details of educational qualifications: (Matriculation onwards):

14. Languages you can read, write & speak:

15. Are you a member of any professional body?

16. Have you been a member of the N.C.C. or any

17. Have you been outside India? If so, state

Country visited Purpose of visit Year

From To Residential Address in Full

Experience Yrs - Months

Total experience in Govt. organization on regular basis

Total experience in Govt. organization on adhoc basis

20. Additional Remarks

22. Details of enclosures sent with the application(s)

Seal with date Signature of the employer

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