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DEPARTM IiN't' Otr lil('(

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APPLICATION

FOR

AD-HOC

(PAN ri [,) A

I't](]

^I N',rM IiN't. AS ASSISTANT PROFESSOR

ECONOMICS IN I}IiLI{I

I]N

IVIi]IISI'I'Y

COLLEGES

Name (in BLOCK LETTERS) ^:

1.

2.

J.

4.

Age

&

Date of Birth (10tr'Certificatc):

Fath er/Nlother/llusband Name :

Address:

Mobile No.:

5.

Bducational Qualifications:

If

YES, ^give details: Roll No.

Category : GeneraUSC/ST/OBC/PH :

E-mail Id:

7.

Already in Ad-Hoc Panel List- (YES/|[O) :

If

YES, please mention the Ad-hoc Panel Category:

(ttiltfirnYNNWrr)

(Signature of the Candidate) NOTE: Please attach self-attested photocopies of your certificates and mark-sheets.

Exam Passed

Graduation Onwards

University

Whether cleared NET-UG C/SLET/JRF Exam- (YES/NO) :