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Chhattisgarh State Institute of Rural Development, - Cgsird.gov.in

Chhattisgarh State Institute of Rural Development, - Cgsird.gov.in

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To,<br />

Application Format<br />

Director,<br />

<strong>Chhattisgarh</strong> <strong>State</strong> <strong>Institute</strong> <strong>of</strong> <strong>Rural</strong> <strong>Development</strong>,<br />

Nimora, Raipur (C.G.)-492015<br />

Please affix<br />

one recent<br />

passport size<br />

photographs<br />

Post Applied for : Senior Consultant / Consultant<br />

1. Candidate's Name :- ……………………………………………………<br />

2. Father's/Husband's Name :- ……………………………………………………<br />

3. Permanent Address :- ……………………………………………………<br />

……………………………………………………<br />

……………………………………………………<br />

4. Date <strong>of</strong> Birth :- ……………………………………………………<br />

5. Gender :- ……………………………………………………<br />

6. Language Known (writ<strong>in</strong>g/speak<strong>in</strong>g) :- ………………………………<br />

7. Educational Qualification (start<strong>in</strong>g for 10 th level)<br />

Sl. No. Exam Passed Board/Inst./ University % <strong>of</strong> Marks<br />

obta<strong>in</strong>ed<br />

(Aggregate)<br />

Year <strong>of</strong> pass<strong>in</strong>g<br />

8. Any other pr<strong>of</strong>essional / technical Knowledge<br />

-------------------------------------------------------------------------------------------------------<br />

-------------------------------------------------------------------------------------------------------<br />

-------------------------------------------------------------------------------------------------------<br />

9. Experience<br />

Sl.No.<br />

Period <strong>of</strong><br />

work<br />

Name <strong>of</strong> the<br />

Post<br />

Nature<br />

<strong>of</strong> work<br />

Name <strong>of</strong> the<br />

Office/Organization/<br />

<strong>Institute</strong><br />

Type <strong>of</strong> organization<br />

(Govt./Non<br />

Govt./autonomous )

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