OFFICE OF________________________________DISTRICT________________
DEPARTMENTAL PERMISSION CERTIFICATE
TO BE SUBMITTED BY THE CANDIDATE WHO ARE IN GOVT./SEMI GOVT. SERVICE
WITH THE APPLICATION FORM DULLY COMPILED , FAILING MIGHT CAUSE REJECTION
OF APPLICATION.
1. The Following particulars Should be filled in by the candidates:-
i) Name__________________________________________________________
ii) Father’s Name __________________________________________________
iii) Substantive Post _________________________________________________
iv) Post held presently_______________________________________________
v) Office/ Department_______________________________________________
vi) Post Applied for__________________________________________________
vii) Advertisement No. /Date__________________________________________
Signature of candidate
2. (This portion should be filled in completely by the Department/Office)
Certified that the above candidate has been permitted to apply for the said post and that:-
i) He /She has been employed in this department / Office
as____________________________ since _________________________.
ii) He /She hold this post in permanent / temporary, adhoc capacity or contract
basis.
iii) The candidate’s domiciled as accepted by this department/ Office and
recorded in official record is __________________________________
District.
iv) There is nothing on record of this Department which may render his/ her
ineligible for the post and that his/ her record of service is satisfactory and no
departmental proceedings are pending against the candidate.
(Signature / Stamp)
Appointing Authority