?????? ???????????? ??????? ?????
INDIAN INSTITUTE OF TECHNOLOGY, BOMBAY

???? ?? II ?? ??? ????? (???????? ????/???????? ?????? ?? ???)/APPLICATION FOR TYPE H2(for SC/ST)


??????? ?????? : ??.??./????/??????/????-II/15/2010                                                           ??????/ Date :
CIRCULAR No. : EO/ACCOM/VACANCY/AAC-II/15/2010

????????? ?? ?????? ???/Vacancies are                                 :                            H2-90

 ???? ??? /To,
 ????????? ???????(?????) / Executive Engineer(Estate)
 ????, ?.?.??. - I ?? II / Secretary, AAC-I & II

  1. ???? ??? / Salary Code                                              :  ________________________________________________

  2. ??? / Name                                                             :  ________________________________________________

  3. ????? / Designation                                                  :  ________________________________________________

  4. ?????/?????? / Department/Section                                :  ________________________________________________

  5. ?????? ??? ????? ???? ?? ???? / Date of Joining                      :  ________________________________________________

  6. ???? ?? ???????? ????/???????? ??????
    ???? ?? ????/ Do you belong to SC/ST category                   :   ???/YES______________  /  ????/NO _______________
    (??? ???, ?? ????? ??????? ?????? ?? ??? ?? ???????
    ??? ?????? ???? ??????? ???? )/(IF YES, PLEASE OBTAIN                    ???. ??. /SC _______  /  ???. ?. ????/ST ________
    CERTIFICATION FROM THE ADMIN. SECTION
    ON THE SPACE PROVIDEDIN THIS FORMAT)

  7. ???????? ???? ?? ??? ????? / Type of Quarter Applied for      :  ___________________H2-90_____________________

  8. ??????? ???????? ?????? / Present Quarter No.                       :  _______________________________________________

  9. ????????? / Signature                                                   :  ________________________________________________

  10. ?????? / Date                                                           :  ________________________________________________

  11. ????? ???????? ??? ????? ??? ???? ?? ????? ????/
    Last date for submitting application in Estate Office   :  _______________25-03-2010_____________________

________________________________________________________________________________________________________________________

?????????? / CERTIFICATION

???????? ???? ?? ??? ?? ?? ??????? ?? ??????? ?? ??????, ????????? ????? ???????? ???? / ???????? ?????? ?? ???
Certified that according to the records of the Institute, the above applicant belongs to SC/ST.


?????? / DATE  :                                                                                                                ??????? / REGISTRAR
???? ??? /To,
????, ?.?.??. - I ?? II / Secretary, AAC-I & II

Legacy of Egypt