The Centre for Entrepreneurship Development

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Application for the Post of Project Leader:

1. Candidate personal information:
Name:
First Name

Middle Name

Surname

Address :
City :

Pin code :
State :

District :

E-mail ID :
Contact No. :
2.
DD

Date of Birth:
MM
YYYY

3. (a) Gender:

Age as on date of Advertisement:

Year
Months
Days

Male:

Female:

(b) Marital Status:

Married:
Unmarried:
(Please () tick whichever is applicable)
4. Category:

Genera
l

5.
Educational
Qualificatio Degree
n
Graduation

SC

ST

OBC

Name of University

PH
Qualification:
Year of Percentage
Passing

PostGraduation
Ph.D
Other, if any

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6. Job Experience: Total in Years:_______Months: ________

(Experience as on date of Advertisement)
a.
Name of
Organization
Designation
Period
From Date
To Date
DD/MM/YY
DD/MM/YY
Y
Y
Work Profile
Remuneration
b.
Name of
Organization
Designation
Period

From Date
DD/MM/YY
Y

To Date
DD/MM/YY
Y

Work Profile
Remuneration
If experience is more than two organizations, please attached separate sheet as above.
7. Language Known: (Please () tick whichever is applicable)
Gujarati
Hindi
English
Read
Write
Speak
8. Additional information, if any, which you would like to mention in support of your suitability for the post
(this among other things may provide information w.r.t. (i) Additional academic qualifications (ii)
Professional training and (iii) Work experience over and above prescribed in vacancy circular/advertisement)
Note : The candidates may indicate information with regard to (i) Research publication and reports and
special projects (ii) Awards/Scholarship/Official Appreciation (iii) Affiliation with the professional
bodies/institutions/Societies and (iv) any other information (Enclose a Separate Sheet if the space is
insufficient)

9. List of Enclosures: (Please attach copies of educational & experience certificates, training,
workshop attended, research papers submitted etc.)
1)
2)
3)
4)
5)
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10. Other information, if any.

(Signature of Candidate)

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