APPLICATION FOR ISSUING A CERTIFICATE ADMISSION
UNDER EMPLOYEE WARD QUOTA (SUPERNUMERARY SEATS IN UNDER EMPLOYEE WARD QUOTA
FOR SONS/DAUGHTERS OF FOR SONS/DAUGHTERS OF
BANARAS HINDU UNIVERSITY
(A)
1. Full Name of the Employee ______________________________________________
(In English CAPITAL Letters)
2. Full Name of the Employee ______________________________________________
(In Hindi)
3.Designation and Department _____________________________________________
4.Nature of Employment : Permanent ______ Probation _______ Temporary______
Re-engaged/Retired _____________ Deceased _________
5.Date of Birth __________________________________________________Date of Birth __________________________________________________ Date of Birth __________________________________________________
6.Date of retirement, if already retired _______________________________
7.Date of first continuous appointment _______________________________
Date of Confirmation __________________________
8.Whether in Permanent service during the Period July 1,2011 - June 30, 2012 : YES/NO
(B)
Particulars of the candidate in respect whom certificate is required :-
1. Full Name of the Son/Daughter ____________________________________________
(In English CAPITAL Letters)
2. Full Name of the Son/Daughter ____________________________________________
(In Hindi)
3. Full Name of the Parent __________________________________________________
Father____________________________________________________________
Mother___________________________________________________________
4. Date of Birth Son/Daughter _____________________________________________
5. Course for which Certificate admission is required __________________________
6. UET/PET Roll No. ___________________________________
7. Whether the name of Son/Daughter has been declared in LTC Cell against permanent