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    PRESCHRIBED PROFORMA

    Ailplied for the Post Name:

    1. FullName2. Date of Birth3. Place of Birth

    (Age as on date of advt):

    4. Education qualification (From 1Oth onwards)

    5. Languages known (Spoken) :-6. Langudges known (Written) :-7. Address for communication with pin code

    E.mail :-

    8. Tel. No. (Residenc & Office)9. Experience in years :-

    Sr.No. Name of the organization Duration of work in years Job responsibilities

    il,

    fllll:r:'

    r,:'1

    10.

    11.

    12.

    Date :-

    Place :-

    Note:-

    1

    Details of employment in chronological order :-

    Nature of present employment :- ( contract/permanent)

    Present total emoluments:-

    Signature

    The applications should reach respective Chief Executive Officer of Zi| parishadby-l-12014 Up to 5.00 P.M. (By post or through hand delivery only, etectronicapplications will not be considered.)

    2. The above mentaioned age is reaxable in case of deserving candidates.3. Knowledge and fluency (both written and spoken) in Marthi and English language is

    essential.

    4. All the candidates of the above positions should be conversant with computer operations.5 Please attested copies of the relevant documents, the application may not be considered if

    not supported by relevant documents.

    6. Applications which are not in prescribed form will be rejected.

    Sr. No Name of the qualifying exam Year of Passing Percentage of marks

    obtained

    1

    2

    Page 7 of8


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