FORMAT OF APPLICATION
APPLICATION FOR THE ____________________________IN_______________________STATION/UNIT
1.
Post applied for:__________________________________________________________________
2. Name of the candidate (in block
letters): ________________________________________________
3. Father's/ Husband's Name:___________________________________________________________
4. Date of Birth: ____________/________________________/________________________________
(Attach copy of Birth Certificate
self attested)
5. Age (as on last date prescribed for receipt of application)
Years___________Month______________Days
6. Address for Correspondence : _________________________________________________________
________________________________________________________________________________
7. Permanent Address:
House No/Street/Village:__________________________
Post Office:________________________
Distt. __________________________
State: __________________Pin Code:__________________________
8. Caste: __________________Gen/OBC/SC/ST/PH:
(Attach certificate in case of SC/ST/OBC/PH)
9. Education Qualification : (Attach education
certificate self attested)
Exam Passed / Year
|
School/Board/University
|
|
|
10. Any other qualification / Experience:___________________________________________________
11. Technical Training/Experience :
12. Domicile : _______________________(Attach
self attested copy)
13. Whether registered with any Employment
Exchange (Yes /No)
If yes, mention Registration No.
and name of employment Exchange.
Declaration
I
hereby certify that above particulars mentioned in the application are correct
and true to the best of my knowledge and belief, if particulars mentioned by me
are found false at any stage then I shall be liable to be terminated without
any notice.
Place: (Signature
of Candidate)
Dated:
FOR OFFICIAL RECORD ONLY
1. Received on________________________________
2. Accepted / Rejected
______________________
3. Reason for rejection:
Underage/Overage/incomplete documents/Any other reason to be
specified______________
4. Index No____________________ Date of Test/
Interview____________________
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