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The document is an application form for the Society for Child & Women Empowerment. It requests personal details such as name, date of birth, address, education qualifications, employment history, and reasons for joining a non-governmental organization. Applicants are to tick the posts they are applying for, which include Block Coordinator, District Supervisor, and State Manager. At the end, candidates must sign to declare that all information provided is correct.

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Bishal Kumar
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272 views2 pages

Form

The document is an application form for the Society for Child & Women Empowerment. It requests personal details such as name, date of birth, address, education qualifications, employment history, and reasons for joining a non-governmental organization. Applicants are to tick the posts they are applying for, which include Block Coordinator, District Supervisor, and State Manager. At the end, candidates must sign to declare that all information provided is correct.

Uploaded by

Bishal Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SOCIETY FOR CHILD & WOMEN EMPOWERMENT

Application Form
Form No: ………………

(To be filled in capital letters)


Affix a passport
Name : …………………………… …………………… …………………………… size self attested
Fathers Name : ………………………………….. photograph
DOB :……………….. Sex : …………………………
Mother Tongue :…………………………..Nationality………………………….
Current Address : ………………………………………………………………….....
City............ ………..State…………..........…Pin Code………………………..
Permanent Address :
…………………………………………………………………………………………………
City............ ………..State…………..........…Pin Code………………………..

Educational qualification:

Course Institute University/Board Year Marks

Post Graduation

Graduation

12th

10th
Any other
Please specify

Reasons for break in education, if any:……………………………………………………………………………………....


..........................................................................................................................................................
DD Details
DD Number : ……………………… Amount : …………………….No. of post applied for………………

Please Tick
the Posts Applied for:

Block Coordinator Why do you want to join a NGO…………………………………………………...


…………………………………………………………………………………………………….
District Supervisor …………………………………………………………………………………………………….
…………………………………………………………………………………………………….
State Manager …………………………………………………………………………………………………….
Details of Present and Previous employment:
S. No. Name of Organization Designation Duration Salary Reason for leaving/
break in Service

DECLARATION :

I …………………………………………………………………. Son/Daughter of …………………………………………….……………


Declare that all the information given in this application form are correct .

Date : ……………………..

Place : ……………………..

Signature of the candidate

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