Application Proforma

भारतीय पुनर्वास परिषद्
(सामाजिक न्याय और अधिकारिता मंत्रालय का एक सांविधिक निकाय)
दिव्यांगजन सशक्तिकरण विभाग
भारत सरकार
REHABILITATION COUNCIL OF INDIA
(A Statutory Body of Ministry of Social Justice and Empowerment)
Department of Empowerment of Persons with Disabilities (Divyangjan)
Government of India

Application for engagement of Legal Consultant(Contract)

Scanned Recent Coloured Passport Size Photograph in.jpg
format size below 200 kb. ★
Click Here to Upload

1. Applicant's Full name ★

2. Father's name ★

3. Gender ★

4. Date of Birth ★

5. Category ★

6. whether belongs to PwD ★

7. Email ★

8. Mobile number ★

9. Aadhaar No ★

10. Address ★

11. Academic & Professional Qualification ★

Qualification possessed	Board/University	Passing Year	Percentage/CGPA

12. Details of courses/ training programmes attended,if any

13.Details of present employment

14. Total emoluments drawn per month

15.In case the present employment is held on deputation / contract basis,please state
Date of initial appointment

16. Period of appointment on deputation/ contract

16. Additional details about present employment

17. upload documents: ★

1.Signature *Click Here to Upload

2.All documents relating to DOB,Academic,Professional Qualification and experience certificate etc.(single pdf file size not more than 5 MB) to be uploaded duly signed. ★ *Click Here to Upload

Enter the text image. *

I have carefully gone through the Vacancy circular/ advertisement and undertake that information/details furnished above are correct to the best of my knowledge. I also understand that my candidature to the post applied for liable to be cancelled,if any of the above information is found to be false or incorrect.