Annexure-A' Application Form: A. Matriculation B. 10+2 C. Others

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ANNEXURE-A

Application form
1. Post applied for : ___________________________________________________
2. Advertisement Notice No : __________________________________________
3. Name of the Applicant (as appears in
Matriculation Certificate) in Block letters.____________________________
4. Parentage : _________________________________________________________
5. Date of Birth : _______________________________________________________

Recent Passport
Size
Photograph

6. Category : __________________________________________________________
7. Permanent Address : ________________________________________________
8. Present Address : ___________________________________________________
9. Address for correspondence : _______________________________________
10. Qualification : _____________________________________________________
(Attested copies to be attached with the Application Form)
_______________________________________
Certificates attached

1. Date of Birth certificate


2. Qualification certificate
a. Matriculation
b. 10+2
c. Others
3. Permanent Resident Certificate
4. Character certificate
5. Self addressed envelope
6. Category certificate
No. of enclosures :
of the Applicant

006

Signature

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