ICSIL APPLICATION FORM

Arrival Time in ICSIL:

Post Name : JOB ID: DATE: ..

Date of filing application/ registration online : -

D D M M Y Y Y Y
PASSPORT
Name of Applicant : .. SIZE
PHOTOGRAPH
Fathers/ Husbands Name :

Date Of Birth : : - -

D D M M Y Y Y Y

Address : .

Pin Code :

Phone No : Mobile No: . Alternate No: ...

Email ID :

How you come to know about vacancy in ICSIL:

Have you contacted any agency? If Yes, please give details:

Name of Agency: Telephone No: .

Address of Agency: .. Email Address:

Qualification :
(1) 10th Board (Board Name ) : .. Percentage:

(2) 12th Board (Board Name): ..

Stream : Percentage:

(3) Graduation(College/University) : ..

Stream : Percentage:

(4) Post Graduate(College/University):

Stream : Percentage:

(5) Any other Qualification/ Certification:

..

Experience:

............................................................................................................................................................................................

......................................................................................................................................................................................................................................

I hereby declare that all the information given above is true to the best of my knowledge & belief . If any of the above information /
details furnished by me is found to be incorrect / false , my candidature may be cancelled.

Registration Fees: Rs. 200/- (at the time of interview) & Rs. 800/- (at the time of appointment)

(Signature of Candidate)