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Employment History (From latest to previous)
Mode of Education in Highest Qualification
Employer NameStart Date
(MM/YY)
End Date
(MM/YY)
Team Size
Handled
Gross Salary per
Month (in Rs.)Last Designation Held
Function/Domain/
Role
JEEV KAi Bihar Rural Livelihoods Promotion SocietyCandidate Application Form -
Full Name (As per Matriculation Certificate)
Position Applied For
Gender Date of Birth(As per Matriculation Certificate)
One visible mark of identification
Email ID
Application ID
Affix Passport Size
Photograph
(3.5 cm X 4.5 cm)
coloured
Signature of CandidateFather’s Name Category:
Permanent
Address
(with Pincode)
CurrentAddress(with Pincode)
Total Relevant Exp. in Months Sr. Managerial Exp. in Months
Areas of RelevantExperience
Govt. Employment
Information:
Education Details
Alternate/Land Line Number
Mobile Number
Qualification
12th
Graduation
PG
University/Board InstitutionDegree/Course
Specialisation Year ofpassing
Percen-
tageMedium ofInstruction
Block/City
District
State
City
State
Total Experience in Months
MS Office SkillsAdditional
Experience if any?
Application ID:
Part - A
(As per Matriculation Certificate)
JEEV KAi Bihar Rural Livelihoods Promotion Society
REGISTRATION SLIP FOR BIHAR RURAL LIVELIHOODS PROMOTION SOCIETY
(The original of this slip is to be retained by the candidate and will be required
for appearing in all future rounds)
Application ID
Name of Candidate
Gender
Position Applied For
Affix Passport Size
Photograph
(3.5 cm X 4.5 cm)
coloured
Job Code
Date of Birth
Part - B
Signature of Candidate
Language Proficiency
English Hindi
Local Language(s) known
Instructions to the Candidate
1. Corruption or Fraud Practices Helpline
2. Assessments
3. Next Steps
1. No money is proposed to be collected from candidates at any stage or for any reason.
a. No entity is empowered to promise you a job by shortcuts or bribe or Special Favours
b. Should somebody seek money from you or you observe someone else being asked money, please contact HR Agency using any of the following modes:
i. Fax: +91-40-27893725
ii. Email: [email protected]
c. We investigate anonymous tips also. Please feel free to give as much information on fraudulent and corrupt practices as possible.
1. Written Test, Personal Interviews, Group Discussions, One Night Village Immersion, 45 Days Village Internship etc. are the various forms of Assessments planned to
be deployed. Please view the assessment grid to know position-wise assessment details. All rounds are eliminatory in nature.
1. Please note that candidates have to submit copy of valid documents pertaining to the following when and if selected for appearing in next steps.
a. Caste and Domicile certificate in case of candidates applying against reserved category.
b. Proof of Qualification and experience details will also be required during the next stage.
“ ” “ ” “ .”
Application ID:
Declaration: I hereby declare that all statements made in this application are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found suppressed/false or incorrect or any
ineligibility being detected before or after the examination, my Candidature/ appointment is liable to be cancelled. I know that
mere eligibility doesn’t guarantee a job. Based on application received BRLPS reserves the right to shortlist candidates based on
qualification & relevant experience. Signature of the Candidate
Application ID:
Application ID: