Aadhar Card No._________________________________________________ Advertisement No.________________________________________________ Post Applied for___________________________________________________ Indian Postal Order/Demand Draft No._______________ Date________________ Amount__________ Note: Fee if already paid against previous advertisements, please specify the details of the fee paid: Advertisement Indian Postal order/ Name of the bank & address/ Post Amount Remarks No. Bank Draft No. & Date Office Address Failing to specify the above details, the candidate requires fresh payment of the applicable fee. 1 Name in full (block letters) 2 Name of (i) Father (ii) Mother (iii) Spouse 3 Nationality 4 Date of Birth 5 Marital Status 6 Gender (Please specify) 7 Address for Correspondence with Pin Code and contact Number (Mobile Number), if any. 8 Permanent Address with Pin Code and contact No (Mobile Number). If any 9 Whether a member of SC/ST/OBC? ( if so attach Gen SC ST OBC certificate) 10 Whether Physical Handicapped?(if so attached Yes/ No certificate) 11 Whether Ex-Serviceman? (attach Proof) Yes/ No 12 Is any age relaxation being claimed if so give details? Yes/ No 13 Do you possess the essential educational qualifications Yes/ No as mentioned in the advertisement? 14 Do you possess experience as indicated in the Yes/ No advertisement? 15 Present Employment Status (Give name of Organization, designation & Pay Scale) 16 Whether application routed through proper channel Yes/ No 17 Knowledge about computer applications Yes/ No
Aadhar Card No._________________________________________________ Advertisement No.________________________________________________ Post Applied for___________________________________________________ Indian Postal Order/Demand Draft No._______________ Date________________ Amount__________ Note: Fee if already paid against previous advertisements, please specify the details of the fee paid: Advertisement No. Indian Postal order/ Bank Draft No. & Date Name of the bank & address/ Post Office Address Amount Remarks Failing to specify the above details, the candidate requires fresh payment of the applicable fee. 1 Name in full (block letters) 2 Name of (i) Father (ii) Mother (iii) Spouse 3 Nationality 4 Date of Birth 5 Marital Status 6 Gender (Please specify) 7 Address for Correspondence with Pin Code and contact Number (Mobile Number), if any. 8 Permanent Address with Pin Code and contact No (Mobile Number). If any 9 Whether a member of SC/ST/OBC? ( if so attach certificate) Gen SC ST OBC 10 Whether Physical Handicapped?(if so attached certificate) Yes/ No 11 Whether Ex-Serviceman? (attach Proof) Yes/ No 12 Is any age relaxation being claimed if so give details? Yes/ No 13 Do you possess the essential educational qualifications as mentioned in the advertisement? Yes/ No 14 Do you possess experience as indicated in the advertisement? Yes/ No 15 Present Employment Status (Give name of Organization, designation & Pay Scale) 16 Whether application routed through proper channel Yes/ No 17 Knowledge about computer applications Yes/ No
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