Form has been closed on 10th of April 2025.

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 Consultant (Programme) and Consultant (Academics)

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Post Applied For

Personal Details

Full Name:

Father's/Husband's Name:

Date of Birth

Age

Email Id

Mobile Number

Aadhar Number:

Gender

Address

House NO

Road /village

Locality

City

Pin Code

State :

District :

Qualification Details

Sl. No	Course / Programme / Degree / Diploma	University/Board Name	Percentage / Grade	Passing Year	Action
1

Experience Details

Sl. No	Organization Name	Organization Type	Post Held	Nature of Duties	Last Pay drawn	From	To	Experience	Action
1

Total Experience

Training Programme Details

Sl. No	Name of Training Programme	Duration	Organization Name	Action
1

Publication (National / International)

Sl. No	National/Internationa	year of publication	First Author /single Author	Action
1

Achievements / Other work

Sl. No	Details	related Institution	remarks	Action
1

Details of Last Employements

Organization Name

Designation

Date of Retirement

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Declaration :

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.

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