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$SSOLFDWLRQIRUPIRU([HFXWLYH$VVLVWDQW'LJLWDO2IILFH$VVWRQ&RQWUDFWEDVLV 5HDGWKHLQVWUXFWLRQVEHIRUH\RXVWDUWILOOLQJXSWKHDSSOLFDWLRQIRUP 1. Name of the Candidate (in Capital letters)
: ………………………………….
2. Father’s Name
: ………………………………...
3. i) Address
:
ii) Mobile No.
: ……………………………….
iii) email ID
: ………………………………..
4.a. Aadhaar No.
Affix your recent passport photograph duly self attested
: ………………………………..
b. PAN No.
: ..………………………………
5. Date of Birth
:
(As per matriculation certificate) (Self Attested photocopy of Certificate of matriculation to be attached).
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6. Sex (M/F)
: …………………
7. Nationality
: …….…………..
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8. Community (SC/ST/OBC/General) …..…………... 9. Personal Marks of Identification (a)……………………………………………………………………………………… (b)……………………………………………………………………………………… 10.Educational Qualifications 6O1R
(Self attested marksheets/certificates to be attached)
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11 Qualification of Typewriting and Stenography (Self attested marksheets/certificates to be attached) 6O1R
([DPSDVVHG
12. Details of Application Fee ( Postal Order /DD payable to APO/Recruitment/ICF ) Postal Order / DD No ……………………………… Date………………… Amt…………….
I hereby declare that all the particulars given in this application are true & correct to the best of my knowledge & belief, If anything is found incorrect or false, the application is liable to be rejected and if the mistake is detected after my selection my contract is liable to be terminated. I hereby declare that I will abide by all conditions stipulated for engagement.
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Enclosures: Copies of 1.
Birth Certificate
2.
Aadhaar Card
3.
Std XII certificate
4.
Shorthand certificates
5.
Typewriting certificates (if any)
6.
Community certificates
7.
Transfer certificate/Leaving certificate
8.
Application Fee ൟ500/ൟ.250
Signature of the candidate
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