Application form - Rashtriya Sanskrit Vidyapeetha

APPLICATION FORM FOR NON-TEACHING POSTS
(To be filled in by the Candidate in his/her handwriting)
RASHTRIYA SANSKRIT VIDYAPEETHA
(Established under section 3 of UGC Act, 1956)
TIRUPATI – 517 064
Sl.No.
Name of the post applied ___________________________________
Advertisement No. _____________________ dated ______________
Details of Demand Draft ____________________________________
Affix here a recent
passport size
photograph attested
by Gazetted Officer
Amount Number Bank’s Name
Name of the Candidate :
Eligible / Not Eligible :
FOR OFFICE USE ONLY
REGN. No.
Date: Member Member Member Chairman
S C R U T I N Y C O M M I T T E E
1. Full Name of the candidate ______________________________________________
(IN BLOCK LETTERS)
2. Father’s Name ____________________________________________________
3. Date of Birth ______________ _______________ _________________
Day Month Year
Age. in years _________________ ________________ ________________
(Proof furnished vide Enclosure No. _____________________)
4. Please tick (√ ) to which caste you belong to SC/ST/PWD/OBC
Proof furnished vide Encl No._______________

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5. Sex *
MALE /FEMALE
6. Whether Married/Unmarried *
Married / Unmarried
In case of married ladies,
Name of the husband _______________________________________________________
* Delete whichever is not applicable.
7. Permanent Residential Mailing Address
PIN
Phone No.
e-mail :
PIN
Phone No.
e-mail :
8. Details of educational/technical qualifications:
(From Matriculation onwards)
Examination
passed
Year of
passing
University/Institution
Division/
Class with
% of marks
Subjects taken
and passed
Proof
furnished
(Encl. No.)

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9. Do you possess knowledge of Sanskrit reading, writing & speaking; Yes/No (proof to be
furnished).
10. If you are employed furnish the particulars of all posts held to date:
Name of the
post held and
nature of
employment
Name of
Employer
and address
Period of service
Length of service
From To From To
Scale of
pay &
salary
drawn
Proof
furnished
Encl. No.
11. State details of present salary:
a) Scale of Pay : Rs._____________________________________
b) Present Basic Pay : Rs.____________ Any other allowances
give details)
c) D.A. : Rs._________ i)______________ Rs._________
d) H.R.A. : Rs._________ ii)_____________ Rs._________
e) C.C.A. : Rs.___________
Date of Next Increment _________________
Total salary per month : Rs._______________
12. State in brief, the nature of duties assigned/performed:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

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13. Are you a permanent or Temporary Govt./
Quasi Govt./Public.
Undertaking/University Servant?
If yes, give the particulars of the post held.
__________________________________
__________________________________
14. State whether you have been at any time __________________________________
(a) dismissed, removed or debarred from
Service or (b) convicted by a Criminal Court. __________________________________
15. State clearly how you satisfy the requirements __________________________________
of the advertisement in respect of qualifications
and experience prescribed for the post.
16. Give the names of two responsible persons 1.________________________________
not related to you to whom a reference can
be made about you. Also give their addresses.
________________________________
________________________________
2.________________________________
_________________________________
_________________________________

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17. Declaration to be signed by the candidate:
I hereby declare that all the entries made in this application are true to the best of my
knowledge and belief.
Place____________
Date_____________
Signature __________________________
Full Name__________________________
(The endorsement below is to be signed and forwarded by the Head of the Department/Employer in the
case of the in-service candidates whether in permanent or temporary capacity failing which the
application is liable to be rejected.)
FORWARDED
No._____________
The applicant Shri/Smt./Kum.___________________________________ holds the
post of __________________________ in this University / College / Institution / Organization
in a temporary / permanent capacity with effect from _____________ in the scale of pay of
Rs.___________________________. He/She is drawing a basic pay of Rs.__________ total
emoluments of which are Rs._________________ as on date ________________. His / Her
next increment is due on _______________. There is no objection for his/her application
being considered.
Date: ________________
Signature of the forwarding Officer
Designation
(Seal)
Place: ________________

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RASHTRIYA SANSKRIT VIDYAPEETHA
(Established under section 3 of UGC Act, 1956)
Tirupati – 517 064
Administration
Date: ____________
ACKNOWLEDGEMENT
Received one Application Form bearing Serial No. ______________ from
_________________________ for the post of ________________________ along with a
Demand Draft bearing No. __________________ dated _____________ for
Rs.______________ drawn on Bank ________________________________________.
Signature of the receiver
RASHTRIYA SANSKRIT VIDYAPEETHA
(Established under section 3 of UGC Act, 1956)
Tirupati – 517 064
Administration
Date: ____________
ACKNOWLEDGEMENT
Received one Application Form bearing Serial No. ______________ from
_________________________ for the post of ________________________ along with a
Demand Draft bearing No. __________________ dated _____________ for
Rs.______________ drawn on Bank ________________________________________.
Signature of the receiver