CSK Himachal Pradesh KRISHI Vishvavidyalaya, Palampur-176062

Application form for employment (Category “B” & “C” posts)

(To be filled in by the candidate in his own hand)

FOR OFFICIAL USE ONLY

Bank Draft No. Space for affixing
Dated Amount recent passport
Application Complete/Incomplete size photograph
Applicant Called for interview Yes/No

1 Post applied for :

2 Category against which applying :
(Please refer to item No. 9 below)
3 Name of applicant in full :
(IN BLOCK LETTERS)
4 Father’s Name :
5 Date of Birth :
6 State of domicile :
7 Address for correspondence :

8 Permanent Address :

9 Category to which you belong say ‘Yes’ or ‘No’ as the case may be, in the blank space left
below the category concerned:
General Sch. Caste Sch. Tribe OBC Ex-Man IRDP Physically Freedom
Handicapped Fighter

10 Educational Qualifications, beginning with the High School Examination

Sr. Certificate/Diploma Years of Subject offered Class with % of Institution/ Remarks
No. or Degree obtained study marks obtained Board/ University
11 Whether at any stage terminated removed compulsory retired or dismissed earlier from the
employment. If so give full details:

12 Experience regarding previous and present employment:

Period of employment
Sr. No. Employer Post held Pay drawn with Remarks
scale From To

13 Any other information not covered above.

I certified that the information furnished above is true and correct to the best of my knowledge.

______________________
Dated: (Signature of the applicant)
Contact No. ___________________
Email ID _____________________
List of enclosures:

INSTRUCTIONS FOR CANDIDATES

1. The application form should be filled in, complete in all respects, (with attested
copies/testimonials) giving correct information. Incomplete applications shall be rejected.

2. Candidates called for test/interview will bot be paid any T.A/D.A.

3. Summoning of a candidate for interview is merely an indication of his suitability for the post but
not an assurance that he will be recommended or selected or that his conditions put by him in
the applications are accepted.

4. The University reserves the right not to fill up any of the posts advertised.

5. Application should reach the office of the Registrar, CSK Himachal Pradesh Krishi
Vishvavidyalaya, Palampur-176062, before 5 p.m. on the due date or on the following
working day, if the due date happens to be a holiday.

Registrar
CSK Himachal Pradesh Krishi Vishvavidyalaya
Palampur - 176062