GITAM
Online Registration No : 151270
*Post Applied for : 
*1. Name of the applicant:
*2. Father’s Name :
*3.Gender :
*4.Marital status :
*5. Date of Birth(As per SSC)(*dd/mm/yyyy) :
Age :
    *6 (a) Address for Communication :
   *(b) Phone / Mobile No :
 
     (c) e-mail ID* :
7. Category :
8. Educational Qualifications:    
S.No Name of the Course Year of Passing Class / Grade % of marks(Only Numbers) Name of the College/Institution Name of the University/Board
1
2
3
4
5
9.Technical Qualifications:    
S.No Name of the Course Year of Passing Class / Grade % of marks(Only Numbers) Name of the College/Institution Name of the University/Board
1
2
3
4
5
10. Work Experience(if any)    
Sl.No. Name of the post From To Employer Details Total
Experience
(Years/Months)
1 Y M
2 Y M
3 Y M
4 Y M
5 Y M
6 Y M
Y M
8 Y M
9 Y M
10 Y M
  Total   Y M
11.Upload Your Bio-data/resume  

Note: 1. I solemnly affirm that, all the above information / statement furnished by me are true, complete and correct. I understand that, in the event of information / statement furnished by me are being found to be incorrect / false / fake after my appointment with GITAM University, I shall be liable to be dismissed from the services of the University.
2.The Applicant should provide information in all the columns. Incomplete application will summarily be rejected

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