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Application for Home Guard Enrolement

Application for Home Guard Enrolement

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Published by Jagadeesh Kasetti

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Published by: Jagadeesh Kasetti on Mar 27, 2012
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03/27/2012

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SL.No.

Form A Application For Home Guard Enrolment
To, The SP/CP., __________________________________________

Photo to be affixed I desire to be enrolled as a member of the Home Guards 1. Name in Full: (Capital Letters Only) Father’s/ Husband’s name: Date of Birth: Place of birth & Native district : Address &telephone Number if any with nearest Police Station: Male/Female Whether S.T. ? : Educational Qualification: Technical Qualification/Experience :

2. 3. 4. 5.

6. 7. 8. 9.

10. Trade/Occupation 11. Whether convicted\arrested\involved in any crime, If so, give details of such conviction/arrest/involvement Along-with crime details: Encl : i) Passport size photos -2 ii) Photo-copies of documents/certificates reg. Education, Trade/Technical, Nativity, Caste, etc.

Signature of the applicant

Signature of the Candidate 4. Physical efficiency tests (3) Date & Time Venue of the test Result Q NQ NP Signature of the Chief Superintendent Q – Qualified NQ. Qualifying test in 800 mts Date & Time Venue of the test Result Q NQ NP Signature of the Chief Superintendent Name of the Test 7. Physical measurement test Signature of the Chief Superintendent Date & Time 3.HALL TICKET UNIT LEVEL HOME GUARDS RECRUITMENT ANDHRA PRADESH HYDERABAD Identity Card (Candidate copy) for the Post of Home Guard CANDIDATE COPY Registration No. Signature of the Chief Superintendent Paste here firmly a signed recent passport size colour photograph Venue of the test Result Q NQ NP Name of the Test 6. Name of the candidate : 2. (to be filled in by office only) 1. Identification marks: a) b) Name of the Test 5.Not qualified NP – Not Participated .

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