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Security Form

This document appears to be a pro forma or application for security clearance. It requests basic personal information such as name, date and place of birth, nationality, religion, and contact details. It also asks for references who can testify to the applicant's character, educational qualifications, countries visited in the last two years, and security clearance status. The applicant is asked to provide a photograph and sign the document.

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WIKIWSW
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425 views2 pages

Security Form

This document appears to be a pro forma or application for security clearance. It requests basic personal information such as name, date and place of birth, nationality, religion, and contact details. It also asks for references who can testify to the applicant's character, educational qualifications, countries visited in the last two years, and security clearance status. The applicant is asked to provide a photograph and sign the document.

Uploaded by

WIKIWSW
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CONFIDENTIAL

PROFORMA FOR SECURITY CLEARANCE


PIEAS / KINPOE
1. Name Gender
2. Fathers Name
3. Date & Place of Birth
4. Nationality Religion ect !aste
". !N#! No $%ttach Photoco&y'
(. Present %ddress & )ele No.
*. Permanent %ddress

+. Names of t,o references ,ho can testify the candidates character-antecedents./
Name Address Contact Number
0. 1dn-23alification-14&ertise
15. ession $D3ration of t3dies'
11. 6ast #nstit3tion attended
12. D3al Nationality $if held'
13. 7o8ile Phone No. and 1mail
14. Foreign co3ntries 9isited d3ring last " years
Name of Country Purpose
Place. ignat3re.
Date. Name.
Roll No. %llotted 8y P#1%.

Countersigned

CONFIDENTIAL
Photograph
CONFIDENTIAL
SCEF-0001
PROFORMA
INTERNSHIP / FELLOWSHIP
STRATEGIC COMMISSIONS
1. Name $s' of #nternee.
2. on - Da3ghter of .
3.
!N#! No.
4. Desired sched3le of #nternshi&. From )o
a. D3ration. 2514 251(
8. Recommending :ni9ersity . P#1% ;#N<P1
". =en3e to 8e 9isited. P#1% - ;#NP<1
(. !ategory. ---------------
*.
ec3rity tat3s > !leared 8y #)
$#n case ?es@ attach &hotoco&ies'
+. Bio data of #nternee attached.
0. %ny other significant information.
CONFIDENTIAL
?es
No
?es
No
- -

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