Pt. Deendayal Upadhyaya Institute

Registration Form

Use Tab Key to Jump to New Column in the Online Application Form.
Keep Ready the Demand Draft/Pay Order of Amount mentioned in the Advertisement. Demand Draft No., Date and Name of Bank is required in the Online Application Form;
Separate Application Form and Demand Draft is required for each post;
After Filling up the Form, Click on "Preview" Button, if you are satisfied with all the filled-up details then Press "Submit" Button else on "Go Back" Button; After Pressing the "Submit" Button, you will not be able to Edit the Form.
After Submission of the Online Form, there will be an automatic generated Registration Number, you immediately Note Down that Registration Number;
On the same page there will be a "Print Application Form" Button, By Pressing the same, You take the Printout and send the Printed Application Form along with Demand Draft/Pay Order/ attested photocopies of qualifications, experience etc. by speed post to : The Director,Pandit Deen Dayal Uphadhyaya Institute For the Physically Handicapped, 4 .Vishnu Digamber Marg New Delhi - 110002.
The Application will be received primarily mode only latest by 5.00 PM of 19.05.2015 subsequently the printed application form of online submitted application along with its enclosures including demand draft its original should reach latest by 26.06.2015 (by 01.06.2015 from northeast states and J &K).
Please ensure that a Printer is Ready with the computer on which the form is being filled-up online;
In case due to some technical problem, after submitting the Online Application Form, you are not able to take the printout, you just go to Duplicate Print Application Form Button and fill your Registration No., Name and Date of Birth to take the print out.
* Reservation Benefit Like SC/ST/OBC will be admissible only in case of Caste Certificate Issued by the Competent Authority of Govt.
In case any difficulty/ problem in filling up the Online Application Form, you can send an email with the problem you are facing at pduiph.delhi@gmail.com

Online Application Form for Recruitment

Post Applied For: *

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DD/Pay Order No.: *

DD/Pay Order Date: *

Amount in Rs.: *

Name of Bank: *

Type of Applicant : *

Name of Applicant: *

Date of Birth : *

Category: *

Gender: *

Nationality: *

Phone Nos. *

Email *

Father's Name: *

Mother's Name: *

Correspondence Address: *

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Qualifications

Examination*	School/Institute/College/University*	Year of Passing*	Marks/ CGPA(%)*	Division*	Subjects*
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Experience

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Online Application Form for Recruitment
Registeration Number :
Post Applied For: *	--Select--	Advertisement No.		Date of Advertisement:
Image :
DD/Pay Order No.: *		DD/Pay Order Date: *		Amount in Rs.: *
Name of Bank: *				Type of Applicant : *	Direct
Name of Applicant: *				Date of Birth : *
Category: *	--Select--	Gender: *	--Select--	Nationality: *
Phone Nos. *			Email *
Father's Name: *
Mother's Name: *
Correspondence Address: *
Pin Code: *
Permanent Address: *
Pin Code: *
Typing Speed *				Shorthand Speed *
Qualifications
Experience
Any other Information which you want to furnish:

Pandit Deendayal Upadhyaya Institute for the Physically Handicapped
(Ministry of Social Justice and Empowerment, Govt of India)
Department of Empowerment of Persons with Disabilities
4,Vishnu Digamber Marg, New Delhi – 110002 ,Phone-01123236207
Email : pduip.delhi@gmail.com

Registration Number :

Post Applied For:

--Select--

Advertisement No.

Date of Advertisement:

Type of Applicant :

Direct

DD/Pay Order No.:

Amount in Rs.:

Name of Bank:

Name of Applicant:

Father's Name:

Mother's Name:

Date of Birth :

Phone Nos.

Category:

--Select--

Gender:

--Select--

Nationality:

Mailing Address:

Pin Code:

Permanent Address:

Pin Code:

Email :

Typing Speed :

Shorthand Speed :

Educational Qualifications

Experience

other Information :

Declaration:

I hereby certify that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I have read all the provisions mentioned in the advertisement/notice carefully and I hereby undertake to abide by them. I have also wclosed duly attested and legible copies of all the relevant documents/certificate. The information submitted herein shall be treated as final in respect of my candidature for the post applied for through this application form. I understand that in the event of information being found false or declared incorrect or incomplete at any stage prescribed in the notice or any ineligibility being detected before or after my appointment on contract, my candidature/ selection/appointment is liable to be cancelled/terminated automatically without notice to me and action can be taken against me.

Place :

Date :

For those applicants who are applying through proper channel:
I also declare than I have informed my Head of Office/Department in writing that I am applying for this post (for the candidates working in Govt. Department/Autonomous Bodies/Universities).

Place :

Date :

Signature of the candidate
1. Recommendations of the employer ( to be submitted by those who are in employment under Govt. Department/Autonomous Bodies/Universities)

Place :

Date :

Signature & seal of the employer
Age limit :
Not exceeding 56 years of age as on closing date of the application.

(Signature of Candidate with Date)

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