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FORM OF RECEIPT

(To be obtained from the Head of Office)

Certified that a copy of application dated 16/01/2011 for selection to the post of Lower Division Clerk on Rs.5250 8390 in the Various Departments (here enter the name of Local Authority/ Co-operative department/Corporation/Company/

Institution) notified in the Gazette dated 31/12/2010has been received by me from Ajith Ganesh, Village Extension Officer Grade II (here enter the name of the applicant and the post held by him/her) and that objections, if any to the entertainment of the application will be communicated to the Kerala Public Service Commission/District Office of the Kerala Public Service Commission within one month from the last date fixed for receipt of applications.

Signature: Name: Officer Place: Sasthamcotta Block Development Office Date : Block Development

Sasthamcotta

(Seal of Office)

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