Shiksha Mandal's Jankidevi Bajaj College of Science, Wardha (An Autonomous, NAAC 'A' Grade College)
Application for the post of Laboratory Assistant (Application form is available on
Email address *
Salutation *
First Name *
Middle Name *
Last Name *
Address *
Mobile No. *
Email id *
Date of Birth (DD/MM/YYYY) *
Attach copy of leaving certificate for proof of date of birth *
Examination/s Passed *
Enter the details of qualification you have checked above (Eg. SSC-65% - 1999, HSC-61% - 2001, B.Sc.-58%- 2004, M.Sc.-52%- 2006, Typing Eng - 40 WPM, Typing Marathi - 30 WPM, MSCIT-72%-2004, etc.) *
Experience (Eg. From July 2009 to Dec 2014 as Clerk/Lab Assistant at ABC department, Paratwada, From January 2015 to till date at XYZ department, Nagpur)
Are you presently employed? If yes NOC from the present employer is required. Format for NOC is available in the application form at * *
Date of advertisement and name of news paper in which it was advertised * *
Postal Order No. and Amount (Eg. BM 41521 - Rs. 100 or MB 41521 Rs. 50 + MB 441522 Rs 50), Date * *
Have you attached all the requisite documents with the application ? [List of documents to be attached - 1. SSC/HSC/UG/PG Marksheet 2. MSCIT Certificate 3. Eng/Marathi typing certificate (if any) 4. Experience Certificate (if any) 5. Copy of leaving certificate to confirm date of birth 6. Other relevant documents (if any)] * *
Application Mode - By hand / By Post - Date of application (Eg. By Post - 28/02/2019) *
All the information furnished by me is correct and I am aware that my candidature will be rejected at any stage if false/incorrect information detected during the selection process. *
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