Application Format - ADV 122

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AERONAUTICAL DEVELOPMENT AGENCY

Affix your latest


passport size
APPLICATION FORM FOR THE POST OF PROJECT ASSISTANT-I photograph
WALK-IN-INTERVIEW

Engineering Discipline/ Stream: _____________________________________________


Criteria No. (as per Advertisement) 1 2 3
1. Name in full (Block letters)
(As per SSLC/ 10th Certificate)
2. Father’s Name (Block letters)
3. Mother’s Name
4. Date of Birth (as per 10th /
SSLC certificate (DD/ MM/ YYYY)
5. Age as on date of walk-in-interview
6. Gender (Male / Female / Others)
7. Nationality
8. (a) Category
SC/ ST/ OBC/ EWS/ Unreserved
(Attach Self-Attested Copy of Certificate)
(b) Physically Handicapped Yes / No
9. Are you claiming Age relaxation as per
Yes/ No
Sl. No. 8

10. Address for Communication


with PIN Code
Mobile No:
Email Id :

11. Educational Qualification (attach relevant copies) :


Period of course Total %/ Board/
Details of Courses and Total
From To Marks CGPA University/
Specialization Marks
(MM/YY) (MM/YY) Obtained Score Institution
SSLC/ Matriculation/
10th Std.
10 + 2 / PUC/
Intermediate/ Diploma
Graduation
(BE / B.Tech / B.Sc)
Post Graduation
(ME / M.Tech / M.Sc)

(P.T.O)
::2::
[

12. Are you having GATE/NET Score Card? Yes/ No


(If Yes, Please attach valid Score Card/ Certificate)
Year Score Marks Rank Registration No.

13. Details of Employment (in Chronological Order) (attach relevant copies)


Name of the
Period Whether
Organisation & Place
working on
(Please specify whether Gross
Position(s) regular basis/
Central Govt./ State Nature of Work Pay
held From To contractual
Govt. / Public Sector/ Scale
(MM/YY) (MM/YY) basis/ Adhoc
Autonomous Body/
basis etc.
Private Sector

14. Any other information:

15. Are you under any Bond / Contractual


obligation to serve Central/ State Govt/ PSU/
Autonomous or any other body/ Organization
16. Whether dismissed from service from any other
institution/ office or debarred by the Public
Service Commission. If Yes, give details

 I hereby declare that all the statements made in this application are true, complete and correct to
the best of my knowledge and belief.
 I understand that in the event of any information being found false or incorrect at any stage, my
candidature/ appointment shall be liable to be cancelled/ terminated summarily without notice or
any compensation in lieu thereof.

Place: Signature:
Date: Name:

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