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    25 views2 pages

    Attestation PDF

    Uploaded by

    raghavbiduru1

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 2
    ATTESTATIO! ANDHRA PRADESH PUBLIC ‘Name in Tul (in Block Capitals) ‘with aliases, it any (please indicate if you have added or dropped at any lage. any part of your name of sumame N FORM SERVICE COMMISSION ‘Surname Name 2. Present Address in Full® (ie. Village, Thana and District or House Number, Lane 1 Street and Road, Pin Code No.) 8. (a) Home Address in Full (ie. Village, Thana and District or House Number, Lane / Street and Road, Pin Code No.) (©) i Originally a resident of Pakistan, the Adress in that Dominion and the date of migration ta Indian Union. 4. Paniculars of places where you have resided for more than one year during the preceding five years From| Ta Residential Address in Ful (ie. Vilage, Thana and District or House Number, Lane / Street and Fload. 5. (a) Father's Name in full wth aliases, any a) (0) Present Postal Address (if dead, give last Address | (b) () Permanent Home Address (c} (@) Profession a) (@) Ifin service, give designation and official Address | (e) 6. () Nationality of {a) Father (a) (b) Mother i) {c) Husband © (a) Wite @ (i) Place of Binh (a) Husband (a) (0) Wite (o) 7. (a) Exact date of Birth (a) (} Present Age (®) (c) Age at Matriculation /S.8.C, © 8 (a) Place of Birth, District and State in wich itis @ situated {b) district and State to which you belong. ©) 9. (a) State Your Religion. (b) “Are you a member of Scheduled Caste, Scheduled | (a) Tribe or Backward Class ? Answer Yes! or'No' and ifthe answer is Yes’ please specify the exact Class | (b) Tribe / Gr. A,B,C, D.” Erne eed 10. Educational qualilications showing places of education with yearin Schools and Colleges since 1Stn year of age Name of School/ College with full Address | Dato otenterng | Dateofleaving | Examinal 11. Ifyou have, at any time been employed, give details Designation of post held or description of work Period Ful address of the office, Firm or Hon Tate Institution 12, Have your ever been convicted by a Cour of law ordetained] under any State / Central Proventive detention laws for any offence ? Whether

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