This document is a security vetting proforma used to issue airport entry passes. It collects personal information such as name, date of birth, nationality, education, employment history, references, and requires certification that the applicant is not involved in illegal activities and will surrender the pass if adverse remarks are reported. The proforma collects details necessary to screen applicants and issue secured access to airport facilities.
This document is a security vetting proforma used to issue airport entry passes. It collects personal information such as name, date of birth, nationality, education, employment history, references, and requires certification that the applicant is not involved in illegal activities and will surrender the pass if adverse remarks are reported. The proforma collects details necessary to screen applicants and issue secured access to airport facilities.
This document is a security vetting proforma used to issue airport entry passes. It collects personal information such as name, date of birth, nationality, education, employment history, references, and requires certification that the applicant is not involved in illegal activities and will surrender the pass if adverse remarks are reported. The proforma collects details necessary to screen applicants and issue secured access to airport facilities.
This document is a security vetting proforma used to issue airport entry passes. It collects personal information such as name, date of birth, nationality, education, employment history, references, and requires certification that the applicant is not involved in illegal activities and will surrender the pass if adverse remarks are reported. The proforma collects details necessary to screen applicants and issue secured access to airport facilities.
Space for 1. Name/Alias ____________________________ Photograph 2. Father’s/Husband Name, profession & address ____________________________ __________________________________________________________________ (Passport Size ) 3. a) Date/Place of Birth _____________________ b) Nationality _______________ 4. a) N.I.C No. (Attested Copy) __________________________________________ 2" x 1 ½" b) Passport No. (with date and place of issue)______________________________ 5. Origin of Family ____________________________________________________ 6. Religion / Sect ______________________ 7. Caste _____________________ 8. Education Qualification _______________________________________________ 9. Name of Educational Institutions attended ________________________________ 10. Department (where presently serving) ____________________________________ 11. Present Address with telephone No. ______________________________________ 12. Permanent Address with telephone No. ___________________________________ 13. Date & Rank of Initial Joining Service ____________________________________ 14. Present Appointment with Date & Telephone No. ___________________________ 15. Place of postings for the Last 10 years ________________________________ 16. Previous Service (if any) ___________________________________________ 17. Marital Status / Size of Family _______________________________________________ 18. Visit Abroad (with purpose) ____________________________________________ 19. Social/Religious/Political activities(Present/Past) ___________________________ 20. Name & Address of Two Close Relatives __________________________________ ____________________________________________________________________ ____________________________________________________________________ 21. Name & Address of Two Close Friends (not related) __________________________ ____________________________________________________________________ _____________________________________________________________________ 22. Last Year’s Airport Entry Pass No. (if issued) ________________________________ 23. a) Airport(s) for which pass required ____________________________________ b) Area(s) for which pass required (Nature of Duty) _________________________ _________________________________ c) Justification (for which purpose pass is required) __________________________ 24. Letter No. with date for Last Security Clearance and Name of Security Agency (if any) ___ ___________________________________________________________________________
CERTIFICATE
1. The information given above is complete & correct in all respect.
2. I am not involved in any illegal / anti state / anti Government activity. 3. I will surrender the Airport Entry Pass in case of adverse remarks reported by security agency.
Signature ____________
COUNTERSIGNATURE WITH OFFICIAL STAMP BY ________________________
THE HEAD OF DEPARTMENT / NOMINA OFFICER (Name of Applicant) Date ________________
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