APPLICATION FOR THE POST
OF.
1. Name in full(IN BLOCK LETTERS) :
2. Fathers/ Husbands Name
:
..
3. Postal Address
:
4. Permanent Address
:
.
.
5. Date of birth
:
.
6. Age (as on 01-09-2016)
:
..
7. Education qualification
:
.
8. Sex and Marital status
:
9. Phone/ Mobile No. (if any)
:
10.
Category ( SC/ST/OBC/ General) :
11.
Demand draft No. with date :
..
12.
List of enclosure :
13.
Any other relevant information with
Reference to requirement of the post
( attach extra sheet, if necessary) :
..
14.
Nationality:
15.
Religion :
DECLARATION
I hereby declare that all statements made in this application are
true, correct and complete to the best of my knowledge and belief
and in the event of any information being found false my
candidature is liable to be cancelled.
DATE : .
PLACE : ..
SIGNATURE OF
APPLICANT IN FULL