Proforma for application.(Pdf) - IIM Shillong

APPLICATION FOR
THE POST OF
ADVT No. & DATE
PROFORMA FOR APPLICATION
PERSONAL DETAILS
Affix passport size
photo here
NAME (in block letters)
Shri / Smt
DATE OF BIRTH
(dd/mm/yyyy)
AGE AS ON
01 December 2011
______ years ______ months
MALE / FEMALE __________
ADDRESS FOR
COMMUNICATION
CITY_______________________________________________ PIN CODE ________________________
STATE _____________________________________________
PERMANENT
ADDRESS
Phone No./Contact No.
Valid Email
address:
Sl.
Name of the Institution/University
EDUCATIONAL QUALIFICATIONS
Name of the Exam/Degree
Subject/Stream
Passed
Div./Grade/
Class obtained
% of marks
obtained
OTHER QUALIFICATIONS (if any)

DETAILS OF PREVIOUS APPOINTMENT (Starting from the present employment)
1 Name of the Organization & Address Name of Post held
Period of Service FROM ______________ to ______________ = Total _____ Years _____ Months of service
Whether Central Govt./ State Govt. / PSU/Private Gross Salary Drawn
____________________________
_____________________________________________
2 Name of the Organization & Address Name of Post held
Period of Service FROM ______________ to ______________ = Total _____ Years _____ Months of service
Whether Central Govt./ State Govt. / PSU/Private Gross Salary Drawn
____________________________
_____________________________________________
3 Name of the Organization & Address Name of Post held
Period of Service FROM ______________ to ______________ = Total _____ Years _____ Months of service
Whether Central Govt./ State Govt. / PSU/Private Gross Salary Drawn
____________________________
_____________________________________________
4 Name of the Organization & Address Name of Post held
Period of Service FROM ______________ to ______________ = Total _____ Years _____ Months of service
Whether Central Govt./ State Govt. / PSU/Private Gross Salary Drawn
____________________________
_____________________________________________
5 Name of the Organization & Address Name of Post held
Period of Service FROM ______________ to ______________ = Total _____ Years _____ Months of service
Whether Central Govt./ State Govt. / PSU/Private Gross Salary Drawn
____________________________
_____________________________________________
6 Name of the Organization & Address Name of Post held
Period of Service FROM ______________ to ______________ = Total _____ Years _____ Months of service
Whether Central Govt./ State Govt. / PSU/Private Gross Salary Drawn
____________________________
_____________________________________________
TOTAL NO. OF YEARS & MONTHS OF
EXPERIENCE (COMBINED)
_____________ YEARS ____________ MONTHS

GENERAL INSTRUCTIONS
1.
All applicants are required to fill the Proforma completely and legibly; incomplete applications will be
summarily rejected. The proforma may also be typed or neatly handwritten.
2. Only Candidates fulfilling the required criteria may apply. CANDIDATES who are already in service
should forward the application through PROPER CHANNEL
3. Proforma of Application completed in all respect can be forwarded in a sealed envelope super-scribing
“Application for the post of (Post applying for)” on the body of the envelope and sent by post to :
The Chief Administrative Officer
Rajiv Gandhi Indian Institute of Management Shillong
Mayurbhanj Complex, Nongthymmai
Shillong - 793014, Meghalaya
4. Last date of submission of application is on 20 December 2011. Applications received by the office
after the last date will be rejected.
5. . The Enclosures required to be sent along with the application form are:
1. Documents supporting the Educational qualifications.
2. Documents supporting previous appointment
DECLARATION
I hereby certify that the facts and statement furnished herein are true to the best of my knowledge and in case of any
false statement, I am liable to any action the Institute may deem fit and proper.
Date: ___________________
Signature of the applicant