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    Prescribed Proforma APPLICATION FOR THE POST OF

    Uploaded by

    Balaji Rao N
    This document is an application form for an unspecified position. It requests standard applicant information like name, address, date of birth, category, educational and employment history. The applicant must declare that all information provided is true and correct. They also acknowledge that providing false information could lead to rejection or termination. The form includes spaces for the applicant's signature and left thumb impression.

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    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    Prescribed Proforma APPLICATION FOR THE POST OF

    Uploaded by

    Balaji Rao N
    1K views3 pages
    This document is an application form for an unspecified position. It requests standard applicant information like name, address, date of birth, category, educational and employment history. The applicant must declare that all information provided is true and correct. They also acknowledge that providing false information could lead to rejection or termination. The form includes spaces for the applicant's signature and left thumb impression.

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    Prescribed Proforma

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    This document is an application form for an unspecified position. It requests standard applicant information like name, address, date of birth, category, educational and employment history. The applicant must declare that all information provided is true and correct. They also acknowledge that providing false information could lead to rejection or termination. The form includes spaces for the applicant's signature and left thumb impression.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views3 pages

    Prescribed Proforma APPLICATION FOR THE POST OF

    Uploaded by

    Balaji Rao N
    This document is an application form for an unspecified position. It requests standard applicant information like name, address, date of birth, category, educational and employment history. The applicant must declare that all information provided is true and correct. They also acknowledge that providing false information could lead to rejection or termination. The form includes spaces for the applicant's signature and left thumb impression.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    PRESCRIBED PROFORMA

    APPLICATION FOR THE POST OF _______________________

    Male Candidate _________ Female Candidate ________________

    1. Full Name of applicant (in Block Letters): __________________

    2. Father’s Name : ______________________________________

    3. a) Amount of fee __________________________________

    b) Demand Draft No. & date _________________________

    c) Name of Branch of State Bank of India payable at New Delhi _________________

    4. Date of Birth Day __________ Month _____________ Year _________

    (in words) ____________________________________________________________

    a) Age as on 30.11.2010 Year _________ Month _______ Day __________

    5. Are you a citizen of India __________________________________________________

    by birth or by domicile?

    6. Permanent Address:
    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

    7. Postal Address:
    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

    8. Category SC/ST/OBC/Genl: _______________________________________


    Category code (Genl. – 01, Sc – 02, ST

    9. Whether PH/Ex. Service man, if any: _________________________________


    Code – (PH – 05) (Ex./SM – 06)

    10. Educational & Technical Qualification (From Matriculation onwards for Gr.’C’ & Middle
    onwards for Gr. ‘D’ posts):-
    11. Experience / particulars of previous and present employment:-

    S.No. Examination Passed University / Subjects %age of Year of


    Board Marks Passing

    12. Details of other academic and professional achievements and extra curricular activities:-
    S.No. Name and full Designation/ Scale of Pay Period of employment
    Address of Duties From To
    Employer

    13. List of Enclosures: 1. …………………………. 2. ……………………………….. 3. ………………………………

    4. …………………………. 5. ……………………………….. 6. ………………………………

    DECLARATION

    I do hereby declare that all the statements made in the application are true. Complete and
    correct to the best of my knowledge and belief. I also declare that I have submitted one
    application only. I am fully aware that in the event of any particulars or information furnished by
    me being found to be false/incorrect/incomplete or for indulging in some unlawful act, my
    candidature for the post is liable to be summarily rejected/ cancelled and in the event of any
    statement/information submitted found false/incorrect even after my appointment, my services
    are liable to be terminated without any notice.

    Left Thumb Impression of Candidate


    Signature of Candidate

    (Space for Left Thumb impression) (Space for Signature)

    Date : __________________ Name of Candidate : ___________

    Place : __________________
    FORM OF DECLARATION TO BE SUBMITTED BY THE OBC CANDIDATE
    (IN ADDITION TO THE COMMUNITY CERTIFICATE (OBC)

    I ………………………………………. son/daughter of Shri ……………………………………………….

    resident of Village / town / city ………………………………… district state ………………………………

    hereby declare that I belong to the …………………………………………………. community which is

    recognized as a backward class by the Government of India for the purpose of reservation

    in services as per orders contained in Department of Personnel and Training Office

    Memorandum No. 36102 / 22 / 93 – Esstt. (SCT) dated 8-9-93. It is also declared that I do

    not belong to persons / sections (Creamy Layer) mentioned in column 3 on the Schedule

    to the above referred Office Memorandum dated 8-9-1993.

    (SIGNATURE OF THE CANDIDATE)

    Full Name : ………………………………..

    Address :

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