MAHATMA GANDHI ANTARRASHTRIYA HINDI ...

›MAHATMA GANDHI ANTARRASHTRIYA HINDI VISHWAVIDYALAYA(Established by Parliament by Act No. 3 of 1997)Panchteela, Umari, Wardha- 442001 (Maharashtra)Ph. (07152) 255707 fax (07152) 230903E-mail:info@hindivishwa.org , Website : www.hindivishwa.orgApplication Form for the post of: Internal Audit Officer on Deputation Basis1. Full Name (in Block Letters)2. Father's Name3. Permanent and Mailing Address4. Official Address5. Date of Birth (in Christian era)6. Permanent Address7. E-mail and Contact No.8. Date of retirement under Central/State Governmentrules /Universities/other Autonomous Bodies Rules9. Educational Qualifications:Sl. Name of theNo. Examination Passed1 High SchoolUniversity/Board % Division Subjects2 Intermediate3 Graduate4 Post Graduate5 OthersProfessional/Technical Qualification678910

10 Details of Service (starting from entry in Govt. service)Office/Institutions Posts held withpay scaleDurationNature ofAppointment(regular/adhoc)FromTo9 Full office address & telephone no. wherepresently employed.10 In case, the present employment is ondeputation basis, indicate-(a) Date of initial appointment(b) Period of appointment on deputation(c) Name of parent office/organization11 Whether applied on deputation or absorptionbasis:12 Are you in revised scale of pay? if yes,indicate pre-revised scale of pay and date ofrevision13 Additional information, if any, which youwould like to mention in support of yoursuitability for the post.14 Whether belongs to SC/ST/OBC/PH:15 Any other information relevant to the post16 RemarksSignature of the candidate

DeclarationI ……………………………………… do hereby declare that all the statements made inthis application are true, complete and correct to the best of my knowledge and belief. Iunderstand and agree that in the event of any information being found false orincorrect/incomplete or ineligibility being detected at any time before or afterselection/interview, my candidature is liable to rejected and once selected I will notwithdraw my candidature.Date:Signature of the candidatePlace: