Survey Application Form

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Format of application form

To be applied by the candidate in his/her own hand writing


Post applied for
1.
2.
3.
4.
5.

T.T.T. A

Name in full(Block letters) :


Parent/spouse name
:
Nationality
:
Whether belongs to SC/ST or OBC :
Permanent address
:

Affix Photograph
duly attested
Gazetted officer

6. Address for correspondence :

7. Date of birth
:
8. Educational qualification in chronological order
Starting with matriculation with percentage of mark obtained- overall and
subject in each subject.
Attach attested copy of marks sheet/card.
S.no

Name
of Board/
Examination
University

Year

Overall percentage Percentage marks in


of
marks
and each
subject
in
Division obtained
qualifying
examination
%
Division
Subject
% Marks
obtained
1.
2.
3.
4.

9. I 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 understand
that bringing any outside influence to further my candidature will be a
disqualification.

Place:

(Signature of applicant)

Dated:

(Name)

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