National Highway Authority
National Highway Authority
National Highway Authority
(Administration Wing)
Prescribed Performa
6. Domicile:
10. Whether Serving in Govt Deptt (if yes, mention Designation/Department and the nature of appointment i.e
regular or on contract):_________________________________________________________________
11. Rendered continuous service in Govt Deptt for more than 2 years. From _____________To____________
12. Qualification:-
Certificate / Passing Years (date of Division Name of Board / University / Equivalency of Certificate /
Degree issuance of Detail Institute Degree (In case of Foreign
marks sheet/result card) Education)
(date-month-years)
13. Experience:
S.No Mention Designation & Name of Department(Govt/ Duration Total Period of experience
Grade Semi Autonomous Bodies / till closing date of application
Private Firms) From To Years Months Days
a.
b.
c.
Total Period
14. I hereby undertake that the information provided by me is correct and any information found incorrect at later
stage will lead to cancellation of my candidature for the above mentioned post. Also, I am aware that incomplete filling
up of form will result in disqualification of my candidature, with no subsequent claim whatsoever.