Application Form: (In Capitals)
Application Form: (In Capitals)
Application Form: (In Capitals)
3. Date of Birth:
Day Month Year
4. Gender: (Write ‘1’ for Male, ‘2’ for Female)
…………………………………………………………………………………………………………..
8. Nationality: ……………………………………..
9. Whether Physical Handicapped? : (Write ‘1’ for Yes, ‘2’ for No)
Office/Instt. Firm Post held Part time/ Exact dates to be Scale of Nature of
Contract Basis/ given (indicate day, Total Period (in years) pay duties
Ad-hoc/ regular/ month & year)
Temp./pmt. From To Years Months Days
2) ……………………………………………....
3) ……………………………………………....
I hereby declare that all the statements made in the application are true and complete to the best of my
knowledge and belief. I understand that action can be taken against me by the Commission, if I am declared
by them to be guilty of any type of misconduct mentioned herein. I have informed my Head Office/Deptt, in
writing that I am applying for this selection.
Place: Address:
1. ………………………………………………
2. ………………………………………………
3. ………………………………………………