ApplicationFormDraftPrintForAll PDF
ApplicationFormDraftPrintForAll PDF
17.1 WHETHER SCRIBE IS REQUIRED 17.2 WILL YOU MAKE YOUR OWN 17.3 IF SCRIBE IS TO BE ARRANGED
ARRANGEMENT OF SCRIBE? BY SSC, INDICATE MEDIUM
NO - -
18. WHETHER SEEKING AGE RELAXATION? 18.1 IF YES,INDICATE CODE
NO -
19. QUALIFICATION DETAILS 20. DO YOU BELONG TO ECONOMICALLY WEAKER
SECTIONS (EWS) ?
M. SC. (27) NO
21. DO YOU WANT TO MAKE AVAILABLE YOUR PERSONAL INFORMATION FOR ACCESSING JOB OPPORTUNITY IN
TERMS OF DoP&T'S O.M NO.39020/1/2016-ESTT.(B) DATED 21.06.2016 ?
NO
ADDRESS DETAIL
22. POSTAL ADDRESS 23. PERMANENT ADDRESS
123 A RANI KA BAGH AMRITSAR 123 A RANI KA BAGH AMRITSAR
DISTRICT: AMRITSAR DISTRICT:AMRITSAR
STATE: PUNJAB STATE: PUNJAB
PIN : 143001 PIN : 143001
MOBILE NO: 7837064653 EMAIL: raghuraj783@gmail.com
FEE PAYMENT AMOUNT TRANSACTION NO TRANSACTION DATE
NOT EXEMPTED 100 - -
DECLARATION
1. I HAVE READ THE NOTICE OF THE EXAMINATION AND ACCEPT ALL THE TERMS & CONDITIONS OF
THE NOTICE OF THE EXAMINATION.
2. I HEREBY DECLARE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE TRUE, COMPLETE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT IN THE EVENT OF
ANY INFORMATION BEING FOUND SUPPRESSED/FALSE OR INCORRECT OR INELIGIBILITY BEING
DETECTED BEFORE OR AFTER THE EXAMINATION, MY CANDIDATURE/ APPOINTMENT IS LIABLE TO BE
CANCELLED.I AM WILLING TO SERVE ANYWHERE IN INDIA.
PRINT TAKEN ON: 27/08/2019 10:22:14 PM