Appendix — ‘A’
SUGGESTED FORMAT
FORM TO BE FILLED UP BY BSF PERSONNEL PROCEEDING ON VOLUNTARY —
RETIREMENT /RESIGNATION FROM SERVICE
Part-I (To be filled by Individual
1. | ReatNo 957229811
ae HEAD CONST
oa)oane KADDM YADAV RAD DATTAPRY
4. | Unit BOON Boh
5. | Home Address ( With contact AT Prsh FOWL KAM
Pee SANGRE is Aumed
‘Number ) MAHA ARSELTRR § DIY
6. | Family details with their age, Ss. Name ‘Age Occupation
Education & Occupation No.
D |prasibha Ratlam | 32 Hinge) Le
2) | gpey Keeton ln Stuy
pledeerkaclars | te Stecly
7, | Brief details in 100 words |:
about his experience while in
service, particularly on the
subject. of internal
administration with reasons
for opting to leave the Force
and suggestion, if any
2) GTR gare qT
rep ERY ore aregey” FUT
AT BRT TO TEX
¥
He
a + OTe
FC RY Ee a
os Tae
oer et A
aur aC
Po or ew
RT MEL RO bo
ar esp ater Ta
,
4
ne
-
x.
i
q
per neh)
AGAR
Signature of Indvi
Contd...2/-‘or Office use)
Date of joining BSF & Rank &
Name
ae fbf iggs-
Kolo Jadarcac Dattatry
68 WSTOBL
2. | Due date of Superannuation in 2-12-2032
normal course
3, | Date of proceeding on Voluntary |:|-3 7/7] 9-6 be—
retirement /Resignation
4_| Date of present Rank HEAD Con sy
5.__| Reasons of Voluntary
retirement/Resignation as per DOmEstte prva lem
application
6. | Good entries ov ND
7._ | Bad entries Nile
8. | Aadhar Card No. 2qB FAL] I Yo
9._ | PAN Card No. eBppy 452-5 1
10. | Email id Kolar em Ask gma Ce
TI. | Remarks of Unit Commandant
RIL G Lowy oO
Povu wih m bucks
pre
ein
COMMANDANT
84 BATTALION BSF
k
|