Department of Heavy Industry (Administration Section) ‘teens Reference O/o the Hon'ble Minister of State (HI&PE) Note dated 17.03.2015 regarding appointment of Shri Kamal Gahtori to the post of Second PA in his personal establishment, 2. In this regard, the Attestation Form (for Police Verification) and a form for Medical Examination are forwarded herewith. It is requested to fill up the Attestation Form and submit 4 sets in original to Administration Section for police verification from concerned authorities. 3. You are also requested to provide photocopies of necessary documents as well as documents in original regarding your educational qualifications for necessary verification of the same. 4, You are further requested to submit undertakings duly authenticated by the Hon'ble Minister of State (HI&PE) to the effect that you have not earlier worked for ten years or more in the personal establishment of any Union Minister in any capacity. Kindly mention the duration of earlier postings in the personal establishment of any Union Minister, if any. Zo (Ajay Ge Under Secretary (Admn,) HY To, Shri Kamal Gahtori. Copy for information to: = PS to MOS (HI&PE)