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Annexure-1
RASHTRIYA AYURVEDA VIDYAPEETH, NEW DELHI
APPLICATION FORM FOR THE POST ON CONTRACTUAL BASIS
1. Post applied for: _____________________________________
2. Name of applicant (in the Block Letters): ______________________________________
3. Father’s/Husband’s Name: _____________________________________ Affix passport
4. Gender : (Male/Female) __________________________________________ size photo duly
self-attested
5. Date of Birth : _______________________________________________
6. Age as on (29-11-2024) _________Years __________Months
7. Nationality : ________________________________________________
8. Correspondence Address :
______________________________________________________________________________
______________________________________________________________________________
9. Permanent Address :
_____________________________________________________________________________
______________________________________________________________________________
10. E-mail : _______________________________________________________________________
11. Telephone/Mobile No. : __________________________________________________________
12. Aadhar Card No.: _______________________________________________________________
13. Educational Qualification :
S.No. Degree/Diploma College/University Name University/Year of
passing
(Please attach a copy of self-attested certificate): -
14. Professional Experience (if any):
S.No. Name of Organization Position Held Period of Service
(in reverse chronological order)
From To
(Please attach a copy of self-attested certificate): -
15. Last Pay drawn/Emoluments: ______________________________________________________
16. Two references (I) ____________________________________________________________
(II) ____________________________________________________________________
17. I solemnly affirm that the above declaration is true and I understand that in the vent of the
declaration being found to be incorrect after my appointment, I shall be liable to be dismissed
from service.
Date : ________________________ Signature : __________________________
