APPP08102010
APPP08102010
5. DATE OF BIRTH:
Graduation
Post Graduation
Name and address of the employer Designation Job profile Period Duration
11. DID YOU APPLY 4 TIMES IN THE PAST FOR THE POST OF OFFICER IN GR.'B' ? WRITE (Y) FOR YES AND (N) FOR NO
(Applicable only to Unreserved i.e. General Category Candidates)
12. POSTAL ADDRESS : (IN ENGLISH AND IN CAPITAL LETTERS WITH PIN CODE
NO. – DO NOT WRITE YOUR NAME)
I hereby declare that all the statements made in this application are true, complete and
correct to the best of my knowledge and belief. I understand that if at any stage, it is found
that any information given in this application is false/incorrect or that I do not satisfy the
eligibility criteria according to the Board, my candidature /appointment is liable to be E-mail address, if any
cancelled/terminated. I have read and understood the stipulations given in the
advertisement and hereby undertake to abide by them. Tel. No. (with STD code), if any
PLACE :
DATE : _______________________
(Signature of the Applicant)
Name :
Very important points to be noted by the candidates : (i) Candidates must complete the application in all respects including Pasting of photograph.
(ii) Incomplete applications in any respect will be rejected and no correspondence will be entertained by the Board in this matter.