Application Form For NonTeaching Staff Word

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APPLICATION FORM (Technical, Non-Teaching, Admin)

General Instructions:
Fill the form in BLOCK LETTERS. All columns and fields are Mandatory.
Date of Application: 30-03-2024
Position Applied for: PROGRAMMER
Details of relatives employed in RNSIT Institutions:

EMPLOYEE INFORMATION
Full Name RAJESH GANIGA

Gender MALE Date of Birth 02/07/1986 PAN No. CAVPR6119L


(Male/Female) (DD/MM/YYYY)
Father’s Name SHEKAR GANIGA Mother Tongue KANNADA Aadhar No. 531961327106
Marital Status MARRIED

Birth Place KUNDAPURA State KARNATAKA Nationality INDIA


Physically Mobile No. 1 9743404318 Emergency
Challenged No Contact No.
Mobile No. 2
E-mail ID [email protected]

Category OBC Religion HINDU Caste GANIGA


SC/ST/OBC/GEN
Permanent Address BETTALEMANE NOOJADY KUNDAPURA(TQ) UDUPI(DIST) PIN-576233

Present Address NO.6, SREENIVASM NILAYA SAI NISARGA LAYOUT CHANNASANDRA RR NAGAR BENGALURU-
560098
Are you a EPF member in previous YES.
employment? If yes, give the details of UAN UAN:100317978592
/ PF Account No PF A/C:KN25628

EDUCATION DETAILS

Qualification Specialization Name of Board / Types of Course (Full


Percentage Date of Degree
University Time / Part Time)
/ Discipline Institution
Award
Diploma CSE RNSRPM DTE 2009
FULL TIME
UG CSE BMSECE VTU FULL TIME 57 March 18, 2019

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Any Health-related problems (including Physical/ Visual Disability and Chronic Aliments).

Languages known & fluency: (Good/ Fair/ Slight)

Language Understand Speak Read Write


KANNADA YES YES YES YES
ENGLISH YES YES YES YES
HINDI YES YES YES YES

INDUSTRIAL OR ANY EXPERIENCE OTHER THAN TEACHING


Sl.
Employer Position held Date of joining Date of leaving Gross Salary
No
01 RNSIT MECHANIC 16-03-2009 35142/-

PROFESSIONAL TRAINING/SEMINARS/WORKSHOPS ATTENDED


Organizing
Sl. No Nature of the course Place Duration
Agency

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1. Any Awards certificates received or any other special work done.

Certification of Appreciation as a Coordinator towards the National Conference on Computing


Technology(NCCT-2023)

2. Hobbies or any other Extra Curricular activities:

PLAYING CRICKET,READING BOOKS

3. Indicate your participation / involvement in academic accreditation and organizing


seminars/conferences /workshop

Providing Technical Support of Computer related Hardware/Software and their

Installation/Maintenance/Procurement/Maintenance in the college campus

4. Write a short description about the following:

a. Please indicate as to why you wish to join RNSIT Institutions?

b. How in your opinion do you meet the job requirement?

c. A short paragraph about the development work that you would like to take up at RNSIT.

5.

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PROFESSIONAL REFRENCE

S. No. Name of the Person Company Place Contact No.

I hereby certify that all information provided in this document along with the certificates / testimonials are
true and accurate to the best of my knowledge and belief. I understand that any misrepresentation of
information may lead to termination of services.

Signature

Date:

Place
:

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