THE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA
Vadodara-390002
Notification No: ADE 10/7/2015-2016 dated 23-9-2015
APPLICATION FORM FOR
_________________________
LAST DATE FOR SUBMISSION OF COMPLETED FORMS:
1)
Full Name (In Block Letters):
2)
Nationality:
3)
Contact Details:
a.
Residential Address:
b.
Mailing Address:
c.
Contact Phone No.:
d.
Email Id:
4)
Date of Birth:
5)
Gender:
6)
Marital Status:
7)
Whether belonging to SC/ST/SEBC:
(Attach a Certificate, if applicable)
Paste Recent
Passport Size
Photograph
21/10/2015
8)
Academic Qualifications (From SSC onwards):
Sr. No.
Examination Passed:
Year of passing:
Institution:
Subjects: Class and
Percentage / Grade
Please attach attested/ Self attested photocopies of documentary evidence. The candidates
are requested to bring the originals with them at the time of interview for verification:
9) Record of previous / Present employment (Please attach relevant certificate/s)
Name of the Institution Designation
Nature of Duties
Pay
Date of
Joining
Date of
leaving
10) Names. Designations, address, e-mail and contact phone numbers of three references:
1.
2.
3.
Vadodara.
Date:
Name and Signature of the Candidate