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The furnishing of false information or suppression of any factual information in the Attestation Form would be disqualification and is likely to render the candidate unfit for employment under the Government. BT Ph We Wee Seariae, GR SAINTS WIRE $d.seH SWI ses, Bees Aesferara Fag Gohl VAT g. HS WE al Tuell Va res aT afespsa wroftwars anes Var car sfeeT-aATT THs Halen Wea, aI SWAT HE Hea aqgerifiasta ated ceq7 sacar wowed age. If detained , arrested prosecuted, bound down, fines convicted, debarred, acquitted etc. subsequent to the completion and submission of this form, the details should be communicated, immediately, to the the authorities to whom the Attestation Form has been sent early. failing which it will be deemed to be a suppression of factual information orraet aah Gare aa wed TPIT ad mfedt wee woh fbar aaien afedt eeq7 sacar Pashia oe ae At ara fore Bar wares BRIN WA BS. yeayean FIR Profa ata MRAA-2990 /F H.8C3/ 2040/96 -T If the fact that false information has been fumished or that there has been suppression of any factual information in the Attestation Form comes to notice at any time, during the service of a person, his services would be liable to be terminated. a Pr We Cae sera, ce wa] area aa GRR) AE GR Gel Fra) Sumame Name srard far oreararre’l werd Fees wor seem far cadis ort Tred sae PRN TS aaa) Name in full fin block capitals} with aliases, if any [Please indicate if you have added or dropped in any stage, any part of your name or surname] 2 | wearer apt Ger eeesra ara, aT a fareet fibar ee ware eft sni/eeT ante sree). Present address in full [ie. Village, Thana and District, or House Number,Lane/Streel/ Road and Town], 7s ay ta 4

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