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1. Name of the Candidate : ………………………………….
(in Capital letters)

2. Father’s Name : ………………………………... Affix your recent

passport photo-
3. i) Address : graph duly self
attested

ii) Mobile No. : ……………………………….

iii) email ID : ………………………………..

4.a. Aadhaar No. : ………………………………..

b. PAN No. : ..………………………………

5. Date of Birth (As per matriculation certificate) :

(Self Attested photocopy of '' 00 <<<<
Certificate of matriculation to be attached).

6. Sex (M/F) : …………………

7. Nationality : …….…………..

8. Community (SC/ST/OBC/General) …..…………...

9. Personal Marks of Identification

(a)………………………………………………………………………………………

(b)………………………………………………………………………………………

10.Educational Qualifications (Self attested marksheets/certificates to be attached)

6O1R <HDU ([DPSDVVHG

  
  
  
  

11 Qualification of Typewriting and Stenography (Self attested marksheets/certificates to be attached)

6O1R <HDU ([DPSDVVHG

  
  
  
  
12. Details of Application Fee ( Postal Order /DD payable to APO/Recruitment/ICF )

Postal Order / DD No ……………………………… Date………………… Amt…………….

I hereby declare that all the particulars given in this application are true & correct to the best of
my knowledge & belief, If anything is found incorrect or false, the application is liable to be re-
jected and if the mistake is detected after my selection my contract is liable to be terminated. I
hereby declare that I will abide by all conditions stipulated for engagement.


3ODFH

'DWH
Signature of the candidate
(Left Hand Thumb Impression) 6LJQDWXUHLQ&DSLWDOVZLOOEH5(-(&7('

Enclosures: Copies of

1. Birth Certificate 
2. Aadhaar Card 
3. Std XII certificate 
4. Shorthand certificates 
5. Typewriting certificates (if any) 

6. Community certificates 
7. Transfer certificate/Leaving certificate 

8. Application Fee ൟ500/ൟ.250