INDIAN SPACE RESEARCH ORGANISATION

HEADQUARTERS
DEPARTMENT OF SPACE, GOVERNMENT OF INDIA
ANTARIKSH BHAVAN, NEW BEL ROAD, BANGALORE 560 0231

Affix your
latest
APPLICATION FOR THE POST OF Attested
LIGHT VEHICLE DRIVER - A passport size
color
photograph

1. Post applied for LIGHT VEHICLE DRIVER-A

2. Advt. No & Date ISRO:HQ:ADMN:4.26(7)/2011
Date:14.02.2011
(Name of the newspaper in which appeared)

3. Name in full (in Block letters)

4. Date of Birth Day Month Year

5. Nationality

6. Father/Spouse Name

7. Address for correspondence

(in Block letters)

State:

PIN

8. Permanent address

State:

PIN
 9. Nearest Railway Station

10. Whether SC/ST/OBC/Ex-

Service/PWD/Sportsperson

11. Educational qualifications

Year of Class & % of

Exam passed Board Name Main Subject
Passing Marks

12. Do you possess LVD license Yes/No

13. Contact No.

14. Details of the previous/present employment held, if any

Name of the Period Scale of pay
Nature of
employer with Post held Salary
From To duties
address drawn

DECLARATION

I affirm that the information given in this application is true and correct. I also fully
understand that if at any stage it is discovered that any attempt has been made by
me to willfully conceal and misrepresent the facts, my candidature may be
summarily rejected and my employment terminated.

(Signature of the Candidate)

Place:

Date :