Read the notification before filling

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LBS Centre for Science & Technology

Extra Police Road, Nanadavanam, Palayam, Thiruvananthapuram - 695033

Phone:0471-2560321, Fax:0471-2337055   email:   mail@lbscentre.org  website:  www.lbskerala.com    www.lbscentre.org

Application for the Post of Civil Engineer

   Name of the Candidate
   Age as on 01/1/2017
   Date of Birth
   Sex


   Religion
   Reservation Group
   Community
   Are you eligible under Sports Quota
   Percentage of Blindness/Disability if any  (Applicable to Visually/Physically Challenged Candidates only)
   Nationality
   Mother Tongue
   Name of Father/Mother/Guardian
Permanent Address
   Address Line1
   Address Line2
   Address Line3
   Pincode
Address for Communication     (Same as above   )
   Address Line1
   Address Line2
   Address Line3
   Pincode
Other Details
   Whether Government Employee ? (If yes Attach certificates ....)
   Mobile No Landline
   E-Mail
   Qualification  First Class B.Tech degree in Civil Engineering or equivalent from a recognized University
 If Qualification is equivalent to B.Tech, specify the details and also attach proof of Equivalency
   Experience
Fee Remittance Particulars    
   DD Amount Rs.
   DD No.
   DD Date
   Bank Name

UNDERTAKING


I have read carefully and understood the notification No:B2/2913/13 dated 24/10/2017 availed from the Website www.lbscentre.org/www.lbskerala.com and I here by agree that   I shall produce documents in original in proof of qualification, experience, age, community etc. on demand as and when required.
    The data furnished by me are correct and complete to the best of my knowledge and belief; nothing has been concealed/ distorted. If I am found to have concealed/distorted any material information, I understand that my appointment shall liable to be summarily terminated.

I agree