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The document is an application form for the position of Forest Guard/G Watcher. It contains the applicant's personal details including name, gender, address, father's name and address, date of birth, education qualifications, religion, caste, age, present and previous occupations, employment details, family information, and payment details for the application fee. The applicant, Kiran Neog, affirms that the information provided is true to the best of his knowledge.

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Kiran Neog
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229 views2 pages

103.8.249.31/online-Application/applicant - Php?link Browse Application Form

The document is an application form for the position of Forest Guard/G Watcher. It contains the applicant's personal details including name, gender, address, father's name and address, date of birth, education qualifications, religion, caste, age, present and previous occupations, employment details, family information, and payment details for the application fee. The applicant, Kiran Neog, affirms that the information provided is true to the best of his knowledge.

Uploaded by

Kiran Neog
Copyright
© © All Rights Reserved
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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Application Form

To
O/o The Principal Chief Conservator of Forests and Head of Forest Force, Assam,
Aranya Bhawan, Panjabari, Guwahati –781037

Application No: 1089006


Name of the Post: Forest Gurd/G watcher
1. Name in Full(Block Letter): KIRAN NEOG
2.Gender: Male
3. Present Address:

Village/Town: baharua gaon


Post office: missamora
Police Station: dergaon
District: Golaghat
State: Assam
Pincode: 785618
4. Permanent Address:

Village/Town: baharua gaon


Post office: missamora
Police Station: dergaon
District: Golaghat
State: Assam
Pincode: 785618
5. Father's Name & Address:

Father's Name: pobon neog


Village/Town: baharua gaon
Post office: missamora
Police Station: dergaon
District: Golaghat
State: Assam
Pincode: 785618
6. Place of Birth including Police Station, Post Office & District:

Place of Birth: baharua gaon


Police Station: dergaon
Post Office: missamora
District: golaghat
7. E-mail: [email protected]
8. Mobile No: 8134078894
9 . Are you citizen of India and if so how?:

Yes
By Birth

10. Educational qualification:

Qualification Name: Higher Secondary or equivalent pass


Institution Name: radiant college,dergaon
Institution Address: dergaon
11. Other qualifications:

1. computer PGDCA
2.
12. Religion: Hindu/Sanatan
13. Caste: General
14. Age on the 1st January 2016:

(As per HSLC certificate): 20 Years 00 Months 24 Days


15. Present Occupation(if any): No
Please mention: NA
16. Previous Appointment(if any): No
Please mention: NA
17. Are you a Temporary/Contractual/ Casual or retrenched personnel Forest department of the Gov t. of Assam?

If any: No
Please mention: NA
18. Are you trained in or a member of the National Cade Crops of Territorial Army or trained Home Gurds and Civil Defence Volunteers?

If any: No
Please mention: NA
19.Employment Registration Number (if any): 1360/14
20. Whether there is any Gov t./Semi Gov t. Employees in your family?

If any: Yes
Relationship: father
Name of job: police
Pay drawn: 240000/
Place of posting: dergaon
Permanent/Temporary: permanent
21. Family's income certificate:

If any: No
22. Preference of Examination Centre in Assam:

Name of centre: Jorhat


23. Payment Details:

Transaction ID/ Ref . No: MO29018912


If exempted- BPL certificate enclosed: No
Category: General
Amount(in Rs.): 250
Date of Transaction: 01/23/2017
Payment status: Verified

I am a candidate for the post of Forest Gurd/G watcher and the information/facts stated above are true to the best of my knowledge and behalf. In case of any
false statement, I am liable to any action the Government deem fit and proper.

Date: 01/23/2017      Signature

Place: dergaon      

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