Central University of Rajasthan - Application Form http://cuor.eadmissions.net/Recruitment/CUOR2009_RecruitmentApplic...

Online Application Form

* Mandatory Fields

Position applied: ASSISTANT

*
Post code: * AT Control No: * 600079
Instructions

The Application form is divided into multiple sections as given above. Applicant is advised to fill complete details in each section
one by one.
After filling up all sections Press Confirm Button to lock your Application. Then Press Print to take printout of application form.

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Central University of Rajasthan - Application Form http://cuor.eadmissions.net/Recruitment/CUOR2009_RecruitmentApplic...

Online Application Form

* Mandatory Fields

Position applied: ASSISTANT

*
Post code: * AT Control No: * 600079
Personal Details

Personal Details:

1. Name of the Candidate: * First Name Middle Name Surname

( Please do not write Mr. / Ms. / Sh. /
Smt./Dr. / Prof.) *
2. Father’s / Husband's Name: * Required
First Name Middle Name
Required
Surname
*
3. Mother’s Name: * First Name Middle Name Surname
*

4. Date Of Birth (DD/MM/YYYY): / /

5. Sex:*

6. Category*

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7. Nationality :

8. Whether
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(a) Physically Handicapped : Yes No
(b) Regular employee of central Univ.
of Rajasthan : Yes No

The candidates who are working in central university of rajasthan on temporary basis and through agency will not be considered in house
service candidate.
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9. Place of birth
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Give place of birth with name of District and State (Separate with a comma.)

10. Candidate's Mother tongue

11. Name of other language(s) (Sepatate with a comma, if entering more than one)

11. (a) Read

11. (b) Write

11. (c) Speak

12: Mobile Number: +91 *

12:(a) Confirm Mobile Number: +91 *

(10 digit Mobile No.)

13 : STD Code:
(Max. 4 Digits, Please don't put 0 before STD code)

14 : Phone Number (Land Line):

15 : E-Mail ID: Email Id Required

16 : Confirm E-Mail ID: Email Id's not same

17 : Address for correspondence (Please do not Write Name / Fathers Name)

17. (a) HouseNo / Village

17 (b). Locality / Post / Via:

17 (c). Landmark:

17 (d). District / City:

17 (e). State:

17 (f) : Pincode:

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Central University of Rajasthan - Application Form http://cuor.eadmissions.net/Recruitment/CUOR2009_RecruitmentApplic...

Online Application Form

* Mandatory Fields

Position applied: ASSISTANT

*
Post code: * AT Control No: * 600079
Qualification Details

18.Educational Qualification Detail (as on Date of Advertisement):

Board/University Year of Division / Aggregate % Remarks(Dist

Exam Passed Exam Name Subject
Name Passing Grade Marks Obt. any)
(1) High Sch. / Sec. or
equivalent
(2) High. Sec. / P.U.C. or
equivalent
(3) Sr. Sec. / Inter. or
equivalent exam.
(4) Graduation(B.A. /
B.Com / B.Sc. etc.)

Degree /
Board/University Year of Division / % Marks Subject / Title of
Exam Passed Diploma Specialization Re

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Name Passing Grade Obt. Dissertation
Name
(5) P.G. exam. or equiv.
(M.A. , M.Com. , M.Sc.,
M.Tech. etc. )
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(7) Any other Degree(s)
/ Diplomas

Attach photocopy of Qualifying examination, JRF/ NET and Ph.D. certificate.

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Notes:–

1. Where no division /Grade is mentioned, clarification should be given in the ‘Remarks’ column.
2. Self attested copies of mark sheets for each examination should be attached.
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3. Give details of Scholarships and Fellowships or Medals won.

4. If necessary, enclose details on a separate sheet of paper. Medals won.

20 : Did you hold any position of authority ? Did you hold any distinction
(other than scholarship) in Games & Sports and /or other Social activities
in College / University ?

( Enclose photocopy of documents mentioning full details in support of your claim.)

21. Whether applying as retired employee. Yes No

22. Whether applying for deputation. Yes No

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1 of 1 22/02/2011 04:07 PM
Central University of Rajasthan - Application Form http://cuor.eadmissions.net/Recruitment/CUOR2009_RecruitmentApplic...

Online Application Form

* Mandatory Fields

Position applied: ASSISTANT

*
Post code: * AT Control No: * 600079
Employment Status

23 : Present Position :
Post with detail of Date of Appointment in Other allowances, if any, Date of next
Present Grade Basic Pay Nature of job
Organisation the present post. and total emolumnents increment

24 : Appointments held before joining the present post :-

Name and address Appointment Basic Reasons for
Name of post Leaving Date Grade Nature of job
of employer Date pay leaving the post

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24 (b). Job experience in years as 24 (c). Job experience in a grade equivalent or
24 (a). Total job experience in years
per requirement of the post just lower to the post applied.
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25 : Any additional relevant information you will like to furnish.

26 : Names and Office addresses of three persons to whom reference could be made :
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Name Rank Address E-Mail Mobile / Phone no.

Copyright © 2010 UMC Green Technologies(I) Pvt. Ltd.

1 of 1 22/02/2011 04:13 PM
Central University of Rajasthan - Application Form http://cuor.eadmissions.net/Recruitment/CUOR2009_RecruitmentApplic...

Online Application Form

* Mandatory Fields

Position applied: ASSISTANT

*
Post code: * AT Control No: * 600079
Fee Details

27 : Application Fee: SC / ST / PWD / In-houses service candidates will be exempeted from fees.
(a). Bank Name*

(b). Issuing Branch.*

(c). DD. No.*

(d). Demand Draft Date :* / /
(e). Amount ( Rs. 300/- for Gen and OBC)
.
28 : Conditions, for acceptance, if offered:
29 : Time needed to join the service, if selected:
30 : Other particulars, if any :

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Copyright © 2010 UMC Green Technologies(I) Pvt. Ltd.
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1 of 1 22/02/2011 04:17 PM
Central University of Rajasthan - Application Form http://cuor.eadmissions.net/Recruitment/CUOR2009_RecruitmentApplic...

Online Application Form

* Mandatory Fields

Position applied: ASSISTANT

*
Post code: * AT Control No: * 600079
Final Confirmation

Before Confirm, Please check your detail. Once you lock your form, you can not edit your detail.

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