You are on page 1of 2

Affix recent passport

size photograph duly


signed

APPLICATION FOR THE POST OF PROBATIONARY OFFICERS

1. Name in full
(in capitals)
2. Sex Male /Female

3. Communication address with PIN

4 Phone: Res No:


Mobile No.
Email ID:
5. Nationality
6. Religion

7. Native Place / Home Town


8. Place of Domicile
9. Date of Birth (in DD/MM/YYYY as of
01.10.2010)
10. Marital Status

11. Educational qualification (as on date of application)


Sl Examination / University Subject Year of % of marks
No. Course Passing
01. SSLC/SSC
02. Pre
-University/Intermediate
03. Graduation
04. Computer Course
05. Post Graduation
(if any)

12. Previous Experience (if any).


Sl From To Name of the employer Designation
No.

13. Centre for Written Test/Interview

14. Particulars of application fee DD No: ___________ Date: _________


including postal charges
Amount: __________

I hereby declare that, all the statements made in this application are true and if any of the
particulars furnished by me are found to be incorrect, my candidature is liable to be rejected at any
stage of the selection process.

PLACE :
DATE : SIGNATURE OF THE CANDIDATE

Note : No enclosures of any certificates/documents along with the application form except the
Demand Draft towards application fee, including postal charges.

1
2

You might also like