[go: up one dir, main page]
Scribd
Upload
10K views1 page

Format of Application For Peon

This document outlines the format for an application for the post of peon in the cadre. It requests information such as the candidate's name, address, date of birth, educational qualifications, category, physical disability status if any, religion, nationality, employment exchange registration number, character certificates, extracurricular activities, other experience, and contact number. The candidate is requested to sign a declaration that the information provided is true and correct.

Uploaded by

sanjaya behera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
10K views1 page

Format of Application For Peon

This document outlines the format for an application for the post of peon in the cadre. It requests information such as the candidate's name, address, date of birth, educational qualifications, category, physical disability status if any, religion, nationality, employment exchange registration number, character certificates, extracurricular activities, other experience, and contact number. The candidate is requested to sign a declaration that the information provided is true and correct.

Uploaded by

sanjaya behera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

FORMAT OF APPLICATION

FOR THE POST IN THE CADRE PEON


1. Name of the Candidate :

2. Fathers/Husbands Name :..

3. Sex (Male/ Female) :

4. Marital status (Married/Unmarried) :..

5. Permanent Address :.
.
..
6. Present Address :
.
.
7. Date of Birth (Age as on 15/02/14) : Date of Birth :___________Age as on 15/06/2014 : ___________
8. Educational Qualification (Attach Attested copies of ) :
Name of the
Examination Passed
Name of the
school/Board
Year of
Passing
Aggregate of
marks secured
Grade/ Division %of
marks


9. Category (SC/ST/SEBC/GEN/Sports Person/Ex-Serviceman) (Strikeout which is not applicable and attach
the supporting docoument issued by the competent authority) :

10. Whether physically / Orthopaedically Handicapped(if yes, attach supporting medical certificates issued
by the competent medical authority/board) :.
11. Religion :

12. Nationality :..

13. Employment Exchange Registration No. :

14. Attach two character certificates issued by two Gazetted officer / Medical practitioner/Sarpanch etc.
(mention name and designation of the officers):
15. Extra curricular activities, if any :

16. Experience in any other field, if any :..

17. Contact Number, if any : ..

DECLARATION:
I do hereby solemnly affirm and state that statements made above are true and correct to the best of my
knowledge and belief and based on record .


Signature of the candidate

Paste Self
Attested
PhotoCopy
Here

You might also like