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

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


??????? ?????? : ??.??./????/??????/????-II/20/2010                                                     ??????/ Date :
CIRCULAR No. : EO/ACCOM/VACANCY/AAC-II/20/2010

????????? ?? ?????? ???/Vacancies are                                 :                          H2-233

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

  1. ???? ??? ??????/ Salary Code No.                                   :  ________________________________________________


  2. ??? / Name                                                             :  ________________________________________________


  3. ????? / Designation                                                  :  ________________________________________________


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


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


  6. ???????? ???? ?? ???????? ?????? ?? ??? ????? /
    Type & No. of Quarter Applied for                           :                             H2-233

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


  8. ????????? / Signature                                                   :  ________________________________________________


  9. ?????? / Date                                                           :  ________________________________________________


  10. ????? ???????? ??? ????? ??? ???? ?? ????? ????/
    Last date for submitting application in Estate Office   :  ______________20-04-2010____________________

________________________________________________________________________________________________________________________

?????????? / 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