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Character Application

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375 views1 page

Character Application

Uploaded by

jadhavmanoj241198
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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Nashik Rural

Application cum Personal Particulars Form for Character & Antecedents Verification

पतत : वतरषष पपललस तनरलकक , Wavi P. Station पपललस षठणण.

खठललल नममद ममददठदवर अररदठर रठधव

Nashik Ruralकदपनलचण Nashik Ruralनठव SELF यठदचल चचकशल करन ममळ कठगदपतठदसह अहवठल पडतठळणल शठखठ,

तव. शठखठ,Nashik Rural यणथण सठदर करठवठ.

१) अररदठर तदलणलयठ पततयठवर कणवहठपठसमन रठहत आहण ?

२) अररदठरठतवरद आपलण पपतलस षठणयठचण अतभलणखठवर गमनहण , आकणपठहर ननदल आहण त कठ?

असलयठस गमनहठ ननद क., कलम,कपरर ,कपरर कणस क. व गमननठचल सदससथतल कळवठवल.

रठवक क. /तवशठ/पडतठळणल/तद. / /२० पपउप आयमकत, तव.शठ.Nashik Rural कतरतठ

Applicant's Name JADHAV MANOJ BABURAO Application ID NSGR11241000353

ID Name Others ID No 676513019970

Aadhar Card No. Mobile No. 9373008736

Email ID

Present Residential Address


DODI KH DODI BK SINNARNASHIK Dodi Kh. Sinnar Nashik MAHARASHTRA-422606

Previous Address

Do you need to verify your previous address


Address

Native/ Permanent Address

DODI KH DODI BK SINNAR NASHIK Dodi Kh. Sinnar Nashik MAHARASHTRA 422606

Company Name and Address where NOC/ Certificate is submitted

Designation SELF Company SELF

Address DODI BK DODI KH SINNAR NASHIK Dodi Kh. Sinnar Nashik MAHARASHTRA 422606

Particulars of places where the Applicant has resides during last 10 years
Sr. No Address From To Pincode

1 AT DODI KH POST DODI BK TAL SINNAR 12/1998 10/2024 422606

Present Occupation / Service ( Joining date, Post, Office Address & Telephone)
05/11/2024

Visible Identification Mark

Have you been Arrested / Prosecuted? If yes, give case details ( C.R. No. & P.Stn )
No

Have you been Active in Politics? If yes, give details of the party / organisation.
No

Is there any Criminal Offence registered against you?


No
Name, Address & Signature of two persons in your locality who knows you.
Name & Address Mobile No.
VITTHAL KARDEL AT POST MANORI 9922829582
JADHAV SACHIN DODI BK 7410550992

I hereby solemnly state that information provided above by me is true and correct.

Place SINNAR
Date 05/11/2024 Applicant's Signature

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