APPLICATION FORM

10. Address for communication
11. Permanent address Permanent address same as Communication address
Profile Image
S.No Name of Exam. Passed Name of Institution/Examining Body Year of Passing Mark Details Percentage(xx.xx%)
Max Marks. Marks obtained
1 High School(Class 10th)
2 Intermediate(Class 12th)
3 Graduate(Degree)
4 Post Graduate
5 Others
S.No Name of Organization Post Held Period Total Experience Nature of work Experience
From To Year Month Days
1
2
3
4
5

Declaration

I, Son/Daughter of Shri hereby declare and solemnly affirm that I have fully understood the essential eligibility clause provided in the advertisement and accordingly all the particulars stated in the application formare true to the best of my knowledge and belief. I will submit the required documents/certificates of eligibility on demand to the Commission. If at any stage of selection, the information submitted by me is found false/fake/misinterpreted/incorrect or myself does not satisfy the eligibility criteria for the post applied, the Commission will have a right to cancel my candidature/selection and if the same comes to the notice, even after my appointment, my services may be terminaed, in additon to any legal action as deemed fit. I will not claim any refund of fees or compensation or any sort of damages.

Place:

Date:

Signature of candidate

Encl: 1-Self attested copy of each Certificate in support of the above details.