Ne 2 é 2 Name (¢t)__ tae Fle Zz 2. Nationality and Religion. as Qtdalegi) Lele eu By Rides eletiiuab nig t folie po? — (AFR) UU et bis eu Tia 4- Father's name and residenda Gaiety) * = 12-1993, 5- Date of birth by christian era as 22-12 = TS —_ nearly as can be ascertained rive Fgtst) oe 6- Exact height by measurement ———S = —4-__— (59) T-- Personal mark of identificatior. ———SL-_——————— (stu) b B. Left hand/right hand thumb and finger-impressions of (Non-gazetted officer) (tBu SGA tenes itexrSy) Little Finger Ring Finger Middle Finger 9) (FAL ). Signature of Govt. Servent GFL iS) i , Note: The enteries in this page should be renewed or re-attested at least every five years and the signatures in lines 9 and 10 should be dated. Finger prints need no be taken after every 5 years under this rule. ayo 2 LuFit tone 2, Copia Qt NV iGiel Ayn Pep Stal Wb yb Loo t6L pS| = s | Whether sie 7 sitgmtve | goindane nl | | Seating | afpammener | payin | ad : 1 grating /aFeRenersewes] subctamtve | “poy er | ling | Dateot | Stnaturet | | Name of Post permanentor | coumision | “Position | offing [under the | @ppeint | Goverment | i sranmtat | pnanir undertne|rent | sera | 1 tres ae . 5 bene - eile Pie | Semen | HF Ss L SA | oie HK | ib | | Rs. | Ps. t { | aps: Wa e IL 2 | t Veena) ESE j 1770) | ly 6 ps | t BP) Wve, 14/ eS 175%)‘altosting otticer fo woo Gr Cunt appointment promotion, transfer, dismiss epee rnb 12 Signature of the head of the ofc or tie Astesting} ‘lat leave cation of paiod a erage pay UB to four mont (of eemed eave net excesing 120 | ye sept wich ave Salary debabeto aaer Government Signature of ofthe office o other attesting Officer (Government to which debitable aif