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EASTERN RAILWAY

Form No. 9

Thumb and Finger Impression of the Applicant

________________________________________ Thumb and Finger Impression of

(Name) _________________________________________ Last Designation

_____________________________________ Station __________________________

Thumb Fore Finger Middle Finger Ring Finger Little Finger

Personal marks of (1) _______________________________________


Identification (2) _______________________________________
(Not less than four) (3) _______________________________________
(4) _______________________________________
________________________________________________________________________

ATTESTED

Station : ______________ Signature : ______________________________

Dated __________________ ________________________________________


Name & Designation of the Gazetted Officer

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