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11. &rofessional 9ualification:

amination

passed

Name of the

'nstitute;niversit

/ubear of

passin-

? of

a--re-ate

marks

1. 

&articulars of eperience

Name of the

#epartment

2r-anisation

served

#esi-nation &eriod of

service

perience Nature of duties

performed

From 0o >ears (onths

0otal perience

!"#$ #nclose Attested Copies of%

a) &roof of A-e

b) ducational = &rofessional 9ualifications ,ertificates.

c) perience ,ertificates.

d) 2ther ,ertificates

' hereb declare that all statements made in this application are trueD complete and correct to the

best of m kno7led-e and belief. 'n the event of an information bein- found false or incorrect at an

sta-e or not satisfin- the eli-ibilit criteria accordin- to the reEuirementD m application ma be

summaril re