Biodata / Declaration Form: Affix Self Attested Photograph
Biodata / Declaration Form: Affix Self Attested Photograph
Biodata / Declaration Form: Affix Self Attested Photograph
7. Designation : __________________________
9. Discipline : ________________________
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______________________________________________________________________________
______________________________________________________________________________
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PO :_________________ PS. :____________ Distt : __________________ PIN._____________
2.
3.
4.
5.
21. Name of the nominee for receiving gratuity (Form L to be attached) : _________________________
(a) Name :
(b) Relationship
(c) Address
Declaration:
Date :