AddressPRASAR BHARATI
(INDIA’s PUBLIC SERVICE BROADCASTER)
REGIONAL NEWS UNIT
ALL INDIA RADIO: SRINAGAR Affix Passport
*********************** size photograph
APPLICATION FORM FOR ENGAGEMENT AS Part-Time Correspondent for
District, Srinagar
1. Name
2. Father’s / Husband’s Name
Address
3.
4. Mobile No.
5. Email id
Date of Birth
6.
(Proof to be enclosed)
Category
7.
8. Marital status
9. Nationality
10. Qualifications (Copies to be enclosed)
Degree /
Sl.No. Qualifications Exam University / Board Grade
Passed
(a) Academic
(b) Professional
11. Work Experience (Copies to be enclosed)
Name of Institution / Date from which
Sl.No. Designation
Organization working
1.
2.
3.
12. Present employment (Copies to be enclosed)
Name of Institution / Date from which
Sl.No. Designation
Organization working
1.
2.
3.
I hereby declare that all the statements made in this application herein above are
true and correct to the best of my knowledge and belief. I understand that in the event of
any information being found false, incorrect or incomplete or if I am found ineligible due to
non-fulfillment of eligibility criteria, my candidature is liable to be cancelled / rejected at
any stage without notice.
Signature of Applicant
Place
Date
