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APPLICATION FORM
Post Applied for :____________________
1. Full Name : ______________________________________________
2. Father’s Name :______________________________________________
3. Permanent Address : ______________________________________________
______________________________________________
______________________________________________
4. Address for Correspondence /
Present Address : _____________________________________________
_____________________________________________
_____________________________________________
5. Date of Birth : ________________ 6. Sex : Male : Female :
7. Religion : ___________________ 8. Nationality : ____________________________________
9. Domicile : __________________ 10. Category:
(State)
11. Ex-Serviceman
Date of Joining Service : ______________________________
Date of Discharge from Service : ______________________________
12. E-mail id : ____________________________
13. Telephone No. (With Std Code) : ____________________________
14. Mobile No. (If any) : ____________________________
SC ST OBC EXSM PH
Affix recent passport
size photograph
Identity should be
certified by an officer as
mentioned in the
advertisement with
designation / seal of
office.