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1 MAHILA ARTHIK VIKAS MAHAMANDAL (Govt. of Maharashtra Undertaking) A P P L I C A T I O N F O R M To, Vice Chairman & Managing Director, Mahila Arthik Vikas Mahamandal, Griha Nirman Bhavan (MHADA), Bandra (East), Mumbai – 400 051. SUB:- Application for the post of ............................................ REF:- Advertisement No.............. 1. Applicant Details : Name (first-middle-last) Date of birth (dd-mm-yyyy) Age as on ................. Place of birth Category (SC,ST,OBC, JNT, other) Marital Status ( ) Single ( ) Married ( ) Divorced Sex ( ) Male ( ) Female Permanent Address Tel.No. Mobile Latest Passport Size Photograph of applicant self attested

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1 MAHILA ARTHIK VIKAS MAHAMANDAL (Govt. of Maharashtra Undertaking) A P P L I C A T I O N F O R MTo, Vice Chairman & Managing Director,Mahila Arthik Vikas Mahamandal,Griha Nirman Bhavan (MHADA), Bandra (East), Mumbai 400 051. SUB:- Application for the post of ............................................ REF:- Advertisement No.............. 1. Applicant Details : Name (first-middle-last) Date of birth (dd-mm-yyyy) Age as on ................. Place of birth Category (SC,ST,OBC, J NT, other) Marital Status ( )Single() Married () Divorced Sex ( )Male() FemalePermanent Address Tel.No.Mobile Latest Passport Size Photograph of applicant self attested2 No. Current Address (If different than permanent address) Tel.No.Mobile No. E mail ID SECTION B 1. Educational Details (From S.S.C. onwards) QualificationUniversity/Board% of Marks Year of Passing Subject/ Specialization 2.Other Courses /Additional Qualification Sr.No.Title of the course / qualification / award Institute / University Part time / Full Time Duration & Year of passing 3 3.Workshops & trainings Attended Sr.No. Name of the ProgramConducted byDurationYear SECTION C 1. Nature of present employment :- (contract/ permanent) 2.Experience Details : (In chronological order) Sr. No. Name of OrganizationJ oining Date Leaving Date Position heldRole / Nature of duties 3.Details of the current /last employment : Current /Last Employer Place Per month Salary in Rs.Annual Salary in Rs. 4 SECTION D 1. Skills : 2.Extra Curricular Activities /Interests : 3. 4.Computer Skills Details : (Examination Passed) (1) (2) (3) 5.Any other information the applicant would like to mention (Research papers, Publications) --------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ I, the undersigned, hereby declare that all the above information is valid and accurate to the best of my knowledge. Date ----------------------- Place -----------------------Signature :............................