ROORKEE COLLEGE ROORKEE

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1.Please, enter Your E-Mail Id

2. Name of Candidate:

3.Father's Name:*

4.Mother's Name:*

5.Date of Birth (dd/mm/yyyy)*:

6. Gender:

7. Marittal Status

8. Category:

9. State of Domicile

10.Correspondence Address:

11. Permanent Address:

Landline (with STD Code)	(Mobile)

13. Post Applied for (Choose Appropriate one)

14. Designation:

15. Department:

16. Others (Please Specify Department):

17. Highest Qualification:

18. Academic Record:(Write -NA- for the class which is not applicable)

19. Experience (Starting from the Latest)

Name of College/University/Company	Designation	From (DD-MM-YYYY)	To (DD-MM-YYYY)	Salary	Reason for Leaving





Total Experience (in years)		Teaching		Industry