Software Technology Parks of India (An Autonomous Society under Department of Information Technology, Ministry of Communication and Information Technology, Govt. of India) APPLICATION FORMAT 1. To be filled in by the candidate in his own handwriting. 2. One extra photograph duly signed by the candidate to be sent along with the Application. 3. Application along with Demand Draft of Rs.100 to be submitted for the post applied. Affix your recent Photograph here Details of Demand draft (please write your name & post code on back of the demand draft) DD No.________ Date _________ Amount (Rs.)_______ Bank ____________________ 1. Name of the Post applied for ___________________________2. Post Code ST 3. CANDIDATE’S 1 NAME (in Capitals) MIDDLE NAME SURNAME 4. Father’s Name (in capitals) 5. Complete Postal Address (in capitals) State Pin code 6. Telephone No (with STD CODE) 7. E-mail id : 8. Date of Birth (in Christian era) Day 9. Category: Month Year (a) General (b) SC (c) ST (d) OBC (e) Physically Handicapped :2: 10. Educational Qualification (write only essential educational qualification) Examination University Year of Passing Main Subjects % Marks Division 11. Experience Employer Name Of Organisation Designation Pay scale/Salary Period of relevant experience From To Govt. Semi Govt. Public Undertaking Private 12. Declaration: I do 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 and agree that in the event of any information being found false or incorrect/incomplete or ineligibility being detected at any time before or after selection, my candidature is liable to be rejected. I shall be bound by the decision of STPI. Signature ______________________ Date: Place: