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Mil An

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APPLICATION FORMAT

1. Post applied for :


2. Name of the treasury /Spl. Treasury
(as per column 2 of vacancy table) :

3. Name of the applicant( in block letters) :


4. Name of the father/husband :
5. Permanent address :

6. Address for correspondence :


7. Date of birth :
8. Sex male /female :
9. Category S.T/S.C/Gen/SCBC/physical handicapped :
10. Qualification starting from matriculation & onwards :
Examinatio Name of Year of Total Marks % of
n the Passing Marks obtained Marks
Passed Board
/Universit
y

11. Experience ,if any

Date
Full signature of the applicant
Place

DECLARATION
I do hereby declare that all information /documents furnished are true and
correct to the best of my knowledge .in case any information /document
found false /incorrect, the application shall be rejected with out assigning
reason thereof.
Full signature of the applicant

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