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Last Date for Submission of Application : 19th of August 2010

NEHRU YUVA KENDRA SANGATHAN


Autonomous body under
MINISTRY OF YOUTH AFFAIRS & SPORTS, GOVT. OF INDIA
Application form for Project Officer (on purely contract basis)
1. Full Name (in Capital Letters)

2. Sex

3. Date of Birth DD/MM/YYYY: _ _/_ _/_ _ _ _

4. Age as on 1st January 2010

5. Father’s Name/Husband’s
Name
6. Category Gen/SC/ST/OBC
(Tick appropriate category)
7. Educational Qualification
(Please specify the subject of
the post graduation Degree)
with year of passing alongwith
the percentage of marks
8. Name of the
University/Institution from
where PG Degree is
completed by the
applicant
9. Professional, Technical &
Other qualifications, if any,
give details.
10. Other achievements,
credentials, if any, pl.
specify.
11. Current status of applicant Student/Employed/Unemployed/ Self-
employed/others
(Please specify)
12. Language Known Speaking :
Reading :
Writing :
13. Address 1.Permanent Address:

House No. _________________________


Village/Town/Colony_________________
Block _____________________________
District_____________________________
State______________________________
Pin Code:__________________________
2.Present Address:

House No. _________________________


Village/Town/Colony_________________
Block _____________________________
District_____________________________
State______________________________
Pin Code:__________________________

14. Contact Details Mobile: ________________________


(Since applicants will be
informed for interview, etc. in Telephone with STD code: ____________
short notice through e-
mail/mobile, filling this column is
mandatory) Email ID: _____________________________

* Detailed Bio-data may also be attached with the application form.


Declaration:

I declare that the particulars furnished in this application form are true,
complete and correct to the best of my knowledge and belief. I have
neither convicted by any court of law and in any criminal proceedings
anywhere in India. I am fully aware that serving as project officer is a
full time assignment on purely contract basis and they cannot be any
claim for regularization in NYKS by me. I may be deployed anywhere in
the country.

I am solely responsible for the information furnished above

(Signature of Applicant)

Name of Applicant__________________

Date :
Place:

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