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Sikkim Public Service Commission: Application Form For The Post of Veterinary Officer

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Sikkim Public Service Commission

GANGTOK 737101, SIKKIM


Affix your recent
stamp size
photograph.
&
1 Extra photo.
Do not pin orstaple

APPLICATION FORM FOR THE POST OF


VETERINARY OFFICER
(Write in CAPITAL letters only)

ROLL NO. :

(For Office use only)

1. Name of the Applicant as in the Certificate of Class X Board Examination.

2. Fathers Name

3. If Married; Husbands Name

4. Gender

Male

Female 5. Date of Birth & Age :

Date

Village:
District :

City:

Month

Year

Age

Place of Birth :

6.

State:

7. Address for Communication (do not repeat name)

City

District

Contact No. : Phone :

Pin Code :

Mobile :

8. E-MAIL ID :
9. (a)
PT
(b)

(c)

Category : ( Tick) :

Gen

OBC (CL)

OBC (SL)

Do you belong to BPL category? if yes,


Certificate No:
Issuing Authority:
Whether any of the following category ( Tick) in the appropriate box.
ESM
PWD
SPAE NONE

BL

ST

Date:

SC

10.

11.

Sikkim Subject/Certificate of
Identification No.

Issuing Authority

Educational Qualification

District

Details of Educational Qualifications (from X Standard onwards)

Sl.
No.

12.

Name of the Month & Year


Qualifying Exam of Passing

14.

Name of the Board/ % obtained


University

Permanent Address (do not repeat name)

City

13.

Name of the School/college


studied

District

Employment Card No. :

Pin Code :

Issuing Authority

(a)

Whether employed: ( Tick)

(b)

If employed, nature of appointment : ( Tick) Regular MR

(c)

If employed, name of the Department :

Details of fee remitted


Bank Receipt No.
:

Yes

District

No

Dated :

Ad-hoc

Amount :

Contract

15.

(a) Age relaxation sought as employed under the State/Central Govt. Dept., etc as mentioned in the
advertisement.
Yes

No

16. Name of the Organization/Programmes/Projects:

Details of Certificates in possession:


Sl.
Particulars of Certificates submitted
No.
1
Class X Mark sheet
2

Class X Pass Certificate

Class XII Mark Sheet

Class XII Pass Certificate

Degree/Diploma Mark sheet

Degree/Diploma Pass Certificate

Post Graduate Mark Sheet

Post Graduate Certificate

OBC (Central List)/OBC (State List) BL/PT/ST/SC


Certificate

10

Sikkim Subject/Certificate of Identification

11

If employed, NOC from the employer

12

Employment Card (renewed)

13

Unmarried Certificate in case of female candidate (If


necessary)

14

Incase of married female candidates Husbands C.O.I.

15

Incase of unmarried female candidates fathers C.O.I.

16

Certificate of ESM/SPEA/PWD

Certificate Sl. No.

Issuing Authority

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