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Instructions

1. Complete and accurate response to the items is, extremely important. Incomplete or false information will make your candidature null and void.
2. In all matters relating to recruitment, the decision of the Institute will be final and binding on the applicants. No correspondence will be entertained from the applicant regarding his/her non-selection.
3. After submission of this form take a printout and bring it along with other testimonials when you come for interview.
4. Please avoid using single or double quote.


PERSONAL DATA

Post Applied For:

Name

First

Middle

Last

Date of Birth

Completed years of age on the last date of application

(in years)

Gender

Category

PERSONS WITH DISABILITIES (PWD)

Nationality

ADDRESS FOR CORRESPONDENCE

House No.

Lane

Street

City

State

If Others

PIN Code

Country

If Others

Telephone No.

Mobile

Primary Email

Alternate Email ID


EDUCATIONAL DETAILS

Qualification

Other Qualification

Institute/ University

Starting Year

Finishing Year

% of Marks

Class / Division

PG

UG

XII

X

Others


SCHOLARSHIP, HONORS & AWARDS

1.

2.

3.

 

WORK EXPERIENCE (Starting with latest/ current employment)

S.No.

Organization

Type of Organization

Others

Designation

From
(YYYY-MM-DD)

To
(YYYY-MM-DD)

Total exp per company

Basic Pay

Grade Pay

Gross Salary

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

* Please bring the total experience certificates and the copies of the all salary slips at the time of interview.


Please write a few lines on to how you are suited for this position and what contribution you would make to IIM Ranchi(100 Words).

REFERENCE DETAILS
Reference Details I Reference Details II
Name           Name           
Designation Designation
Address        Address       
Phone            Phone           
Email            Email           
Payment Details (For General and OBC Candidates) Pay Online

Transaction No.

Amount (Rs.)

Date Of Transaction

DECLARATION

I certify that the particulars furnished above by me are true and complete to the best of my knowledge and belief.
I understand that if any particulars found to be false at a later date, my candidature shall be liable to be cancelled without assigning any reason.

PLEASE CHECK THIS FORM ONCE AGAIN AND MAKE SURE THAT YOU HAVE COMPLETED ALL THE REQUIRED FIELDS.