EMPLOYMENT APPLICATION FORM

Application form
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Give particulars of all examinations passed and degrees/technical qualifications obtained, commence with reverse chronological order.
Sr. University, college or board Date From Date To Degree Maximum Marks Obtained Marks Division / Grade
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Employment record/professional experience (In reverse chronological order please).
Sr. Organization Position Contact no. Date From Date To Salary Reason Of Leaving
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Declaration
It is hereby certified that all information given in this application form is accurate and to the best of my knowledge, nothing relevant has been concealed. I understand that if I am hired, this application will become a part of my official employment record. I understand that any statements on this form which prove to be untrue or purposely misleading will render the application void.
Furthermore if discrepancies are highlighted at a later stage University retains the right to withdraw any offer made or dismissal at any time without any notice. I authorize the University to contact educational institutions, previous employers and others to verify the accuracy of the information contained in this application. I hereby release the University from any liability as a result of such contact.

I have read, understood and by my signature, agreed with these statements.