Name & Address of Organization/ Employer
Scale of pay
Total Period (in years)
Nature of Job
English Shorthand Speed
Typing Speed on Computer
(iii) Data Entry Speed - Key Depressions Per Hour : (for Computer Operator)
_______________________________ _______________________________ _______________________________
Any other Qualification
I hereby declare that the particulars given above are true and correct to the best of my knowledge and believe and nothing has been concealed therein.
Date : Place :
Signature of the Candidate
Encl : Attested copies of all documents.