Annexure II

Application

Name of the Post Applied for : .

1. Name of the Candidate (Capital Letters):

2. Surname:

3. Father / Husband Name:

4. Age:

5. Date of Birth:

6. Gender:

7. Type of Disability if any (VH/HH/OH) :

8. Residential Address:

9. Caste:

10. Place of study / 7 years consecutive stay:

(4th

to 10th

class)

11. Essential Qualifications:

( As per Job Chart/TOR)

12. Preferential qualifications

( As per Job Chart/TOR )

13. Experience certificates:

( As per Job Chart/TOR )

14. Contact Phone Number:

Signature of the Candidate

Date:

Station:

Affix Passport

size photo

attested by

Gazetted Officer

HALL TICKET PROFORMA

1. Name of the Candidate (Capital Letters) :

2. Surname:

3. Father / Husband Name :

4. Age:

5. Date of Birth:

6. Gender:

7. Type of Disability if any (VH/HH/OH):

8. Residential Address:

9. Identification:

1.

2.

10. Venue:

Signature of the Candidate Signature of the DTCO

Date:

Station:

Passport Photo to

be attested

By Gazetted

Officer