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Service Regularisation Form

This document is an application form for regularizing government service in a particular category. It requests information such as the applicant's name, designation, address, date of birth, dates of first and regular appointments, dates of probation declaration and first appointment in the present category, and total service in the present category. The applicant and an office representative must sign and date the form after verifying the information against relevant documents.

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Sethu Madhav
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12K views1 page

Service Regularisation Form

This document is an application form for regularizing government service in a particular category. It requests information such as the applicant's name, designation, address, date of birth, dates of first and regular appointments, dates of probation declaration and first appointment in the present category, and total service in the present category. The applicant and an office representative must sign and date the form after verifying the information against relevant documents.

Uploaded by

Sethu Madhav
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

PROFORMA - 1

Form of Application for Regularisation of Services


in the Category of :
1)

Full Name of the Candidate

2)

Designation

:
:

3)

Present Address
:

4)

Date of Birth
:

5)

Date of First Appointment in Government


Service in any cadre.
:

6)

Date of regular appointment as


:

7)

Date of declaration of probation in the


category

8)

Date of First Appointment in the present


category as.
:

9)

Total Service in the present category as


:

Signature of the Candidate

Place :
Date :

The above information is checked with relevant documents (i.e) Service Register and
other office orders and found to be correct.

Place :
Date :

Signature &Designation of the Office

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