Nayagarh Kalaparisad

CHILD CARE INSTITUTION

APPLICATION FORM

Note:-Please read the recruitment notice and guidelines carefully before applied.
Fields marked with ‘*’ are mandatory fields.

Select Post Applied ^*

Name ^*

Gender ^* Male Female Other

Select Caste

Date of Birth ^*

Age (As on 01.01.2022) Year (Age Between 21-45) :

Religion ^*

Nationality

Mobile No ^*

E Mail

Father's Name ^*

Mother's Name ^*

Present Address ^*

Permanent Address ^* Same As Present Address

Qualification ^*

Education	Stream	Name of the Board/Council/University	Subject	Total Marks	Mark Obtained(without Extra optional)	Percentage % of Mark	Full Time/ Part Time

Technical Education : (PGDCA, TALLY, ETC)

Technical Education	From	To	Grade/ % /mark	Name of the Institution

Experience

Name of the Organization	Post held on	From (date Format)	To (date Format)	Years of Experience(Autometic)	Nature of Duties

Upload Documents: (PNG/JPG /JPEG)

Photo ^*

Note: Maximum file size 1 mb

Signature ^*

Note: Maximum file size 1 mb

10th Certificate ^*

Note: Maximum file size 1 mb

10th Marksheet ^*

Note: Maximum file size 1 mb

+2 Certificate ^*

Note: Maximum file size 1 mb

+2 Marksheet ^*

Note: Maximum file size 1 mb

+3 Certificate ^*

Note: Maximum file size 1 mb

+3 Marksheet ^*

Note: Maximum file size 1 mb

Professional Qualification Certificate & Marksheet

Note: Maximum file size 1 mb

Residence Certificate

Note: Maximum file size 1 mb

Caste Certificate (SC/ST/OBC/SEBC)

Note: Maximum file size 1 mb

Identy Proof (Aadhar Card / Pan Card / DL / Voter ID) ^*

Note: Maximum file size 1 mb

Declaration ^*

I hereby declare that, the above mentioned particulars are true to the best of my knowledge and belief.

Guidelines for Grant-in-Aid to Registered Child Care Institutions