PART-I

APPLICATION
FOR
THE
POST
OF.IN
CANTONMENT BOARD, JALANDHAR CANTT.
Application No.:.
(for office use only)
To
The Chief Executive Officer,
Cantonment Board, Jalandhar Cantt.

Paste self
Signed
passPort size
Photograph.

1.

Post Applied for.

2.

Name of the applicant (In Block Letters)

3.

Fathers/Husband Name (In Block Letters).

4.

Date of Birth.

5.

Age as on 30.10.2015.YearsMothsDays

6.

Category(SC/OBC/GEN)7. Male/Female.

8.

Nationality.. 9. Marital Status

10.

Permanent Address....

...

11.

Correspondence Address with Contact No.(Mobile/Landline).....

12.

Email Address:...

13.

Please mention if registered with respective State Pharmacy Council, if yes, please
mention registration number and year...

14.

Whether the candidate has passed Punjabi subject in matriculation standard:Yes/No..

15.

Whether the applicant is related to any member or employee f the Board:Yes/No

16.

Qualification

Sr.

Education & Profession

No.
1
2
3
4

Qualification

17.

Year
Passing

of University/ Maximum
Board

Marks

%age

Obtained

Experience if any:

Sr. No.

Name of the employer

Designation

Duration
From

1
2
3
18.
a.
b.
c.
d.
e.
19.
a.

Marks

Total Period

To

List of attested testimonials attached. Please (Tick) the ones applicable.

Certificates of requisite education/professional qualification and mark sheets.
Date of Birth Certificate.
Caste Certificate (Wherever applicable).
Two self addressed envelopes affixed Rs. 22/- postal stamp.
Two latest colored passed size photographs.
I hereby certify that:
The above particulars are true and correct to the best of my knowledge and belief. If any
particular is found to be incorrect and false at any stage my
selection/appointments/services are liable to be terminated without notice.

Place:.
Dated:

(Signature of the applicant)

PART-II
ADMIT CARD/CALL LETTER FOR WRITTTEN TEST FOR THE POST
OF..IN CANTT. BOARD JALANDHAR CANTT. Paste self
Signed
passPort size
Photograph.

1.
2.
3.
4.
6.

NAME OF POST.
Name of Candidate..
Name of Father/Husband..
Sex :. 5. Category:(SC/OBC/GEN).
Date of Birth
(FOR OFFICE USE ONLY)

1.
3.
4.
5.

Roll No. 2. Date of Written Test..

Venue
Time : ..Contact No. 0181 260250
Detail of percentage weightage-Written Test 80%, Interview- 20%

EN 27/85

(Signature of Officer)