FORMAT OF APPLICATION
Name of the Post applied for & Category : Photograph
Advt. No. & Date :
Fee paid reference no. and date :
1. Name (Full in block letters) :
2. Date of birth :
3. Father’s name :
4. Mother’s name :
5. Address :
6. Nationality :
7. Sex :
8. Category (Whether General/SC/ST/OBC/EWS) :
Whether Ex-serviceman/ PwBD
9. Phone No. & Email Address
10. Educational Qualifications in a Table (in chronological order)
:
Sl. Name of the Board/University Class Year of Division % of
No. passing marks
11. Experience
Sl. Name of the post held Name of the Period from Pay Band
No. Dept.
12. Any other qualifications/activities (may be used separate sheet)
Certified that the above information are true to the best of my knowledge and belief.
Any information if found to be wrong at any stage, candidature shall be cancelled without
further enquiry.
Date : Signature of the applicant
List of Enclosures :
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