| Position Applying for: |  | 
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                                                                            | Consolidated salary |  | 
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                                                                            | Preffered Location: | 
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                                                                            | Readiness to be considered for other Departments: | 
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                                                                            | Title 
 
 | First Name 
 
 | Middle Name 
 
 | Surname 
 
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                                                                            | Fathers Name 
 
 | Are you an Ex-service Personnel?: |  | 
                                                                        
                                                                            | Category 
 
 | Are you employed in any Govt./Semi-Govt./PSU/Autonomous Bodies? |  |  | 
                                                                        
                                                                            | Are you employed in C-DAC? |  |  | 
                                                                        
                                                                            |  | Gender 
 
 | Nationality 
 
 | Marital Status 
 
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                                                                            | Address for Correspondance | 
                                                                        
                                                                            | Address Line 1 
 
 | Address Line 2 
 
 | City 
 
 | State 
 
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                                                                            | Pincode 
 
 | Country 
 
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                                                                            | Permanent Address Same as Above
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                                                                            | Address Line 1 
 
 | Address Line 2 
 
 | City 
 
 | State 
 
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                                                                            | Pincode 
 
 | Country 
 
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                                                                            | Contact Nos(with STD Codes) | 
                                                                        
                                                                            | Office 
 
 | Residence 
 
 | Mobile 
 
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                                                                            | Fax 
 
 | E-Mail 
 
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                                                                            | Have you been interviewed for recruitment in any post in C-DAC earlier? | 
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