Professional Documents
Culture Documents
Vint
Vint
8) Age as on 01.07.2011 23 years,9 months,0 days 9) Email Address 10) Telephone (including STD code) 11) Mobile Number 12) Categories to which applied 13) Community to which belongs. 14) Gender 15) Medium of Answering
Male English
DECLARATION TO BE SIGNED BY THE CANDIDATE: I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the examination, action can be taken against me by the Board. I have read the provisions in the detailed Notification for Examination - 2011 carefully and I hereby undertake to abide by the same. I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualifications, caste and all exemptions prescribed for admission to the examination.All original certificates will be produced by me for verification as and when called. I have informed my Head of Office / Department in writing that I am applying for this examination (If applicable). Date : Place :
(Signature of Applicant) (In the box above) This information is meant for candidate's reference only, Hence , candidates may sign and retain it