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8/16/2019 HP Patwari Application Form and Admit Card
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APPLICATION FORM FOR
TH
ACCEPTANCE OF PATWARI CANDIDATES
1. Name the Distt. to which applied _
2. Name of the Candidate _
In Block letters)
3. Father s Name
4. Date
Birth _
Affix recent
passport size
photograph duly
attested by a
Gazetted officer
orrespondence Address
House No/Vill age
Post
Office/Tehsil/Sub-
Tehsil/
istrict
State
Pin Code
Contact Number
6 Permanent Address
House No/Village
Post Office/Tehsil/Sub-Tehsil _
District
State
Pin Code
7. Category to which belong, _
8. Educational Qualification
9. Any other qualification /experience _
10. Fee Rs. Demand Draft No. Date
II . Whether registered in any employment exchange Yes/ No
12. If Yes, Registration No. and name of the employment exchange _
13. I hereby declare:-
a) hat I am not involved in any criminal case and no criminal proceedings are contemplat
against me in any court law.
b) That the above particulars mentioned in the application are correct and true to the best m
knowledge and belief . If particulars mentioned by me are found false at any stage . then
shall be liable to be terminated without any notice.
Dated :-
2016. .
Signature
the applicant)
8/16/2019 HP Patwari Application Form and Admit Card
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ADMIT CARD
1. Name Candidate . _
filled
by
the Candidate
S/o O/o
To be filled by the Candidate
3. Roll No.-.:-.
..:..
_
Examination Centre
:
_
4. Date of Examination
Tim .,-- _
To be Affix recent
passport size
photograph duly
attested by a
Gazetted officer
Signature
Candidate
Signature of Issuing Authority