Common Application Form 4
Common Application Form 4
5. Maritial Status :
6. Nationality (attach a copy of evidence):
7. Permanent Postal Address (attach a copy of evidence):
8. Police Station:
9. Current Address:
10. Mobile No.:
11. Mobile No. (WhatsApp messenger) :
12. Email ID :
13. Passport No. (If available) (attach a copy): …………………..
14. Date of Birth (attach a copy of evidence)(dd/mm/yyyy):
15. Age (As on date of advertisement) : Years month(s)
16. Current Designation:
17. Current Employer’s Full Address with contact email and phone number:
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22. Write a brief note describing why would like to be associated with us : (Maximum 250 words)
25. Names and Addresses of two persons from whom we may seek reference about you:
(The two persons must not be related to you and must have interacted with you for more than 2 years in a
Professional and/or academic capacity during the last 5 years)
Name of the person &
Sl Address Phone no E-mail id
designation (if any)
1.
2.
26. Do you have any criminal or corruption charges against you? (If yes furnish details)
27. Have you ever been arrested, indicted or summoned into court as defendant in a criminal proceeding
or convicted, fined or imprisoned for the violation of any law? (If yes furnish details)
28. Have you ever been discharged or forced to resign from any position? (If yes furnish details)
Declaration: I certify that the statements made by me in this application are true, complete and correct to the
best of my knowledge and belief. Permission is hereby given to FREMAA to make such investigations as are
necessary on the information given above. I understand that any misrepresentation or fraudulence or material
omission made herein or in any other document requested by FREMAA would render dismissal and termination
of my candidature/ service/contract apart from other penal action as per the law.
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