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Application For The Post of IN - Unit

This document is an application form for a job posting. It requests information such as the applicant's name, father's name, date of birth, address, category, educational qualifications, technical training or experience, and domicile. The applicant certifies that the information provided is true and correct, and understands they could be terminated if any information is found to be false. The form also includes acknowledgment and annexure sections for additional documentation required from ex-servicemen applicants, such as certificates of service completion and an undertaking.

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Bharath V Achar
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
510 views4 pages

Application For The Post of IN - Unit

This document is an application form for a job posting. It requests information such as the applicant's name, father's name, date of birth, address, category, educational qualifications, technical training or experience, and domicile. The applicant certifies that the information provided is true and correct, and understands they could be terminated if any information is found to be false. The form also includes acknowledgment and annexure sections for additional documentation required from ex-servicemen applicants, such as certificates of service completion and an undertaking.

Uploaded by

Bharath V Achar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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APPLICATION FOR THE POST OF IN _____________________________________ Unit

1. Post applied for : _______________________


2. Name of the candidate (in block letters) : _______________________
3. Father’s Name : _______________________
4. Date of Birth : __________________
(Attach copy of Birth Certificate self-attested)
5. Age (as on the last date : ________ Yrs. _________ Months ______ Days
prescribed for receipt of application)
6. Address for Correspondence:
House no/ street/village_______________
Post office______________________ Distt _______________
State_________________ Pin code _____________
7. Permanent Address:
House no/ street/village_______________
Post office______________________ Distt _______________
State_________________ Pin code_____________
8. Category: OBC/SC/ST __________ (attach self-attested certificate in case of SC/ST/OBC)
9. Educational Qualifications : ____________ (attach self-attested copies of education certificate)
10. Any other qualification/Experience: __________________________
(Attach self-attested copies of education certificate)
11. Category for which applied: Gen (UR/OBC/SC/ST/Ex-serviceman/Meritorious sport
Person/physically handicapped___________________
12. Technical Training/Experience: ___________________________
13. Domicile: _________________________ (attach self-attested copy)
14. Whether registered with any Employment Exchange: Yes/No
(If yes, mention Registration NO and Name of employment exchange)
15. I hereby certify that above particulars mentioned in the application are true and correct to the best of
my knowledge and belief, if any particulars mentioned by me are found false at any stage then I shall be
liable to be terminated without notice.

Date:
Place: (Signature of candidate)
FOR OFFICIAL RECORD ONLY

1. Received on ________________________
2. Accepted/Rejected ___________________
3. Reason for rejection: Underage/Overage/incomplete documents/any other reason to be
Specified ______________________________________________________________
4. Index No: __________________ Date of Test/Interview _____________
ACKNOWLEDGEMENT CARD
POST of ______________________________________
1. Name: _________________
2. Father’s name: ___________________
3. Address for correspondence (To be filled same as per column 6 of application form)
House no/street/village__________________
Post Office______________ Dist:____________
State______________ Pin code _________________
4. Index no ______________ date and time of test/skill/Practical/physical test_________
5. Venue of written test/ skill/practical/physical test________________

Signature of controlling officer

Annexure to be submitted with the application by Ex-serviceman as per


Air HQ/23049/POLIC/PC-3 dated 10 Aug 07

PROFORMA OF CERTIFICATE FOR EMPLOYED OFFICIALS

I hereby with the information available, certify that shri…………………………….. (Name)


……………….. (Service number) ………………. (Rank) would complete prescribed period
Of appointment on ……………………………………………. (Date).

Place signature of commanding officer


Dated Official seal

Annexure-II
FORAM OF UNDERTAKING TO BE GIVEN BY CANDIDATES APPLYING FOR CIVIL POSTS
UNDER EX-SERCEMAN CATEGORY

1. I understand that if selected on the basis of the recruitment to which the application relates, my
appointment will be subject to my producing documentary evidence to the satisfaction of the appointing
authority that I have been duly released / retired / discharged from the armed forces and that I am
entitled to the benefits admissible to ex-serviceman in terms of the ex-serviceman (Re-employment in
central civil service and posts). 1979, as amended from time to time.
2. I also understand that I shall not be eligible to be appointed to a vacancy reserved for ex-serviceman in
regard to the recruitment covered by this examination, if have at any time Prior to such appointment
secured any employment on the civil site (including public sector undertakings, autonomous bodies /
statutory bodies, national banks etc) by availing of concession of reservation of vacancies admissible to
ex-serviceman.

Place signature of candidate


Dated davp 1080/11/010/1617

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