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ANNEXURE-'A'

fplt$-$-[' G1]$rE-qEEIU::$AIEEfftqqtEDULED /Kumari--*t:'t

GASIE/TRIB ES

It is cerrtified that Sl'r./Snrt

Division-**
o,rogni,,rd

ilrbh;rd,,l-d

C;51t1 as per "The Constitutiun

-_---_*State

nunlatl belongs to

Caste -Castes) order' 1950"' (Schedr"rled

which has

been

2 $ilr./Srnt,/l(untari---* -----ancl/hislher ---r:itt'i;t/hivG-i"'* villageitown* .--.--. --:--

family
of Punjab State'

lives

in

$rUlol-Qou(

Signature
Name Designation

O;Tir:e Stanrp

F'lace-*------'-*-Drrte--------*"-"--

ANNEXURE-'B

BY LQBlL.gf*gEl[tUflSA [E_IQ-_EIL it3g-puqeo E&triYUlIBIJjtAgS-UL SUEeABI-qil:lls StA!II

-l'lrisi

cAN DIDATE- rlEtoNQI

Ng To

is to certify lhat lSlr./Srnt./l(urnari--.-,-.--___Son/Daughter

of of
in

ttrmsofPtrnjabGovt.letterNol/41/93/aH1/2009Date1124,2'2009
2,t

rnerrttir:ned irt cli"i 4 "2.09.

il,

any category l-his is also certlfierl that he*/she idr:es not belong to PLr.Govt't)eptt. of Welfare letter No'1/41/93/dH1/2009 i)(rluftrn 3 of the $chedule to

of

perscins/sections

village/towti

Sh'/Smt./|(urniitri_*-__**-attClorhis/lrerfamilyordinarilyreside(s)in the State of Punjah'

c,f

nistTnivn'-----.-of

[)lace

.!tilte
["

ate

[iignature--*
Designation(with office seal of the officer concerned)

Cd,flB,AYlI

ANNEXUIUiE'

AlfidavitfrorntheEx.setvieetnanonnotr-jutlitlialstamppaperofRs.2S/.

t__*__-_,
resirJent of i) ii) iii)

as under:Oo n"i*UV *lernnly affirm and declare

DOEt*----.-s/o

sh----

Ilrat I llo.------r"r*
i
.lhal

am

--** ot -- ]-rrt,l post againsl reserve I lrave; not avaii?ul-;,'y' ;;".*rsion" in respectlife availing me or for any other either by categories meant to, r.,.,*,ui"e.tnan throughout.my
Mentber of nrY farnilY'

n"* to

order Il:r-servicentan released vicle clischarge -.--.dated-*-----__.-*-r -rr--^^/trr^,,,r 4o --rffixing "iri-ttte fr.m Armv/Air/Force/Navy as

lvas clischarged on

'"' grounds--'

iv)
v)

:iii"t'f O"l. not poisess tht.l reqr-risite rlualification for the post' unclertake that lshall not " ]'hat in tlre ev+nt uilhu r;election oi ---l or anv or my clependant against reserue rne avail/take any further c,rn*u*rio,vpost ttir
*riuEorv qtroiais',rat for [ix-s+rviceman itt future'

DEPONENT

l--

to tlre best of my kpowledge and belief' cleclares that nry urroru, =tutuinent ir; c.rrect

- --"..-----.DOB...

---13/O

*ih'

Soletnnly affirms

and

DEF'ONENT A,ttested
b,Y

lr;t Class lvlagistral.e [:'lacr]

lllate

Oourt {it,anrP

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