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Name of the Department : ……………………………………..No. of Computers ……. No. of Printers ………. Scanner (Y/N) …..... Xerox Machine (Y/N) …... Fax Machine (Y/N) ……... Internal Phone (Y/N) …...…..Name Designation Qualifications Specialization Nature of

Appoint-ment

Post against which salary drawn

Any other training received, s.a. SIA/ICT/ Referesher/Orientation Course

Category (Gen/SC/ST/ OBC/PH)

Muslim/ Christian/Sikh/ Jain/ Buddhist

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