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Ministry of Home Affairs, Govt. of India

The document is an application form for the post of ACIO GRADE-II/EXECUTIVE in the Ministry of Home Affairs, Government of India. It contains personal information of the applicant such as name, father's name, date of birth, gender, religion, nationality, domicile, contact details, educational qualifications and a declaration signed by the applicant stating that the information provided is true.

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Adarsha Parial
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66 views

Ministry of Home Affairs, Govt. of India

The document is an application form for the post of ACIO GRADE-II/EXECUTIVE in the Ministry of Home Affairs, Government of India. It contains personal information of the applicant such as name, father's name, date of birth, gender, religion, nationality, domicile, contact details, educational qualifications and a declaration signed by the applicant stating that the information provided is true.

Uploaded by

Adarsha Parial
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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https://www.onlinesubmit.in/mha/RegisteredUsers/CompleteApplication.

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Ministry of Home Aairs,Govt. of India


Post Applied For :
Personal Informa on: Applicant's Name: Father's /Mother's Name: Rela onship: Category: FATHER GENERAL ADARSHA PARIAL TAPANKUMARPARIAL Gender: Religion: MALE HINDU Date Of Birth: Others Religion: 9/6/1989 Your Photo

ACIO GRADE-II/EXECUTIVE

Applicant's Registra on No :MHA300279243

Are you a Central Govt. Employee with 3 or more years of Con nuous Service? : NO Na onality: Are you an Ex-Serviceman? INDIAN NO State of Domicile: WEST BENGAL

Domicile of J&K during the period 01.01.1980 to 31.12.1989 : NO Qualica on Details: Name of Gradua on Degree: Month & year of Passing: Final Result Declared as on closing date: College/Ins tute Name Name of University aliated: Addi onal Qualica on (if any) : Addi onal Informa on: Contact No. (Only Digits): Email ID: Choice of Examina on Center: Address Line 1: Address Line 2: Address Line 3: City/Town: HOWRAH PIN: Home State to which candidate belong to: WEST BENGAL Are you prepared to serve anywhere in India? YES Declara on I hereby declare that the the informa on given above is true and correct to the best of my knowledge and I fulll the eligibility condi ons for appearing in the recruitment test conducted by Ministry of Home Aairs(MHA) for the post of ACIO-II/Exe. I further declare that in case any of the above informa on is found to be false/incorrect or any ineligibility being detected before, during or a er the test, my candidature for the post of ACIO-II/Exe is liable to be forfeited. 919903898946 [email protected] Alternate Mobile No. (if any): Alternate Email ID (op onal): KOLKATA NISCHINDA WEST GHOSHPARA POST OFFICE BALLY 711227 State: WEST BENGAL 91 Btech Month: JULY Year: 2011 YES Dura on of the Course: Division/Class of Passing: Years: 4 Months: 0 FIRST

BENGAL INSTITUTE OF TECHNOLOGY AND MANAGEMENT WEST BENGAL UNIVERSITY OF TECHNOLOGY NO

(Applicant's Signature)

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7/22/2013 3:28 PM

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