Annexure – A
Application Form
To
Recent self-
The Administrative Officer, attested Passport
Mahatma Gandhi State Institute of Public Administration, size photo to be
Punjab, pasted here
Institutional Area, Sector 26,
Chandigarh – 160026.
Subject: Application for the position of Executive Assistant
Kindly refer to advertisement in the …………………………………..(name of
the newspaper), dated ………………./ MGSIPA's website for the position mentioned
under the subject.
2. I hereby submit my candidature for the purely temporary contractual
position of Executive Assistant. My particulars are as per the following: -
i). Personal details:
(a) Name of the Applicant
(b) Father’s Name
(c) Date of Birth
(d) Nationality
(e) Category
(f) Marital Status
(g) Address
(h) Contact No. Mobile No.
email ID:
ii). Educational qualification:
Examination / Board/ Year of % of Marks Main Subject/ Specification
Degree University passing/
Name Award of
degree
10th
Punjabi
language
exam, if
additional
B.E./ B.Tech/
B.Sc./ B.Com/
BBA
MBA/ MCA
Note: Please attach separate sheet/ add rows, if required.
iii). Work experience:
Sr. Name of the Designation/ Period Total period Job profile
No. employer Post on which of experience
working Joining Leaving (in years and
months)
Note: Please attach separate sheet/add rows, if required.
3. Notice period required to be relieved from the present employer: ………….
4. a). I have read detailed advertisement notice from MGSIPA’s website
(mgsipa.punjab.gov.in) and wish to present my candidature for the purely temporary
contractual assignment of Executive Assistant.
b). I have attached Self-attested photocopy of following documents:
Sr. No. Certificate Page No.
1 Metric Certificate
2. Certificate of Passing Punjabi language exam of matriculate or
above level
3. Final Year / Last Semester mark-sheet of B.E./B.Tech/
B.Sc./B.Com/BBA/ MBA/MCA
4. Category Certificate (s) (for seeking reservation on reserved
post ) issued by the competent authority of the State of
Punjab.
5. Experience Certificate (for experience mentioned at para 2 (iii)
above) issued by the employer).
6. Any other certificate/ documents in support of his/her
candidature
1.
2.
...
Date:
Place: (Signature of the applicant)
DECLARATION
I, ……………………………………………… Son/ Daughter of
………………………………… hereby certify that entries in this form and additional particulars
furnished are truly and correctly stated. I understand that any of the facts stated above are
found to be incorrect at any stage; my appointment is liable to be quashed by the competent
authority besides taking appropriate disciplinary/ legal action against me as per the
rules/Law.
Date:
Place: (Signature of the applicant)
