U8LIC SLkVICL CCMMISSICN U ALLAnA8AD

ALICA1ICN ICkM
1 AdverLlsemenL no
2 ueparLmenL no
3 name of posL applled for
4 name of Lhe candldaLe
a ln Plndl
b ln Lngllsh
3 laLher's name
6 uaLe of 8lrLh
7 CaLegory
8 uomlclle of u
9 Cender
10MarlLal SLaLus
11ermanenL Address

12resenL address for correspondence


13ueLalls of educaLlonal / professlonal quallflcaLlon chronologlcally
name of Lxam name of lnsLlLuLe
8oard / unlverslLy
?ear Max
Marks /
Marks
obLalned






14ueLalls of Lhe appllcaLlon fees
8ank drafL no daLe name of Lhe 8ank and 8ranch AmounL


uLCLA8A1lCn
l declare LhaL all Lhe sLaLemenLs / lnformaLlon glven ln Lhls appllcaLlon form are
Lrue and correcL
uaLe
lace SlgnaLure of Lhe candldaLe