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8/2/2019 Central Board of Secondry Education, New Delhi
http://slidepdf.com/reader/full/central-board-of-secondry-education-new-delhi 1/2
/03/2012 Central Board of Secondr Education, New Delhi
tamationindia.com/cbseonline/registrationPrint.php?id=1204969
Application Form for Recruitement of CBSE
Basic Details :
Po applied : EXECUTIVE ASSISTANT Regiaion Nmbe: EA1204969
Appling on : Direct Recruitement Basis
Paste Recent Passport sie
Photo here
Caego : GENERAL
Wehe Yo belong o PWD : N
Ae Yo Emploee ih CBSE : N
Whehe o E-Seiceman : N
Lengh of Seice : N/A
Fee details (SC/ST/Women are Eampted) :
Name of Paee Bank :
DD Nmbe :
Depoie Dae :
Ammon : 0
Personal Details :
Fll Name : BIBI MUMTAZ
Dae of Bih : As per our High School Certificate
05/01/1982
Gende : F
Maial Sa : Married
Hband' Name/Fahe' Name : MD QUAISHER JAMAL HOSSAIN
Mohe' Name : BIBI KISHWAR
Naionali : INDIAN
Religion : Mlim
Contact Details :
Address of Correspondence :
Adde line 1 : H.NO.679-B-3
Adde line 2 : MEHRAULI
Adde line 3 : NEW DELHI
Diic : MEHRAULI
Sae : DELHI Pincode : 11003
Permanent Address :
This is Your Application Form Please Print
8/2/2019 Central Board of Secondry Education, New Delhi
http://slidepdf.com/reader/full/central-board-of-secondry-education-new-delhi 2/2
/03/2012 Central Board of Secondr Education, New Delhi
tamationindia.com/cbseonline/registrationPrint.php?id=1204969
Adde line 2 : S/O-MD IZHARUL HOSSAIN
Adde line 3 : ROAD HABIBPUR
Diic : BHAGALPUR
Sae : BIHAR Pincode : 81311
Phone Nmbe : -
Mobile Nmbe : 9654202256
E-mail ID : [email protected]
Ale nae E-mail ID :
Qalificaion Deail :
Eame Passed Subject/Stream Year of Passing Class/CGPA % of Marks
Gadaion cience 2005 Second Cla/C1,C2 48.30
Po Gadae anhopolog 2007 Fi Cla/ B1,B2 63.31
Inemediae(12h) cience 2001 Second Cla/C1,C2 56.50
High School(10h) 1998 Second Cla/C1,C2 47.40
Ohe 2004 Fi Cla/ B1,B2 0.00
Work Eperience :(Start from Current/Latest Emploer)
Name of the Emploer& Nature of Emploment
Designation and Rank if an
Total Period of ServiceNatue of
Duties performed
Pa Scale as per 6th CPC,Grade Pa and Gross Salar
SeFrom To Pa Scale Grade Pa Gross Salar
DECLARATION
I hereb declare that I have carefull read the conditions of eligibilit mentioned in the advertisement.These conditions are acceptab
fulfill these conditions. The details mentioned in the application are true and I shall furnish the necessar certificates in proof of the above
Interview. If an information/details found to be incorrect/false at an stage of the selection or if an fact is found to have been conceadetected even after the appointment, m services ma be terminated. Further , I am aware that all communications with regard to appl
sent b the Board on Email ID mentioned above .
Candidate Signature :
Pin
