Assam Standard Form Generator
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STANDARD FORM OF APPLICATION
(ASSAM GAZETTE PART IX)
To
Sub:- Application for the post of
Ref:- Your Advertisement
Sir
In response to your advertisement quoted above on the subject I have the honour to offer myself as a candidate for the same with the particulars furnished in the prescribed form.
| 1. Name in full(block letters) | : | |
| 2. Present Address | : | |
| 3. Father's Name & Present address | : | |
| 4. Place of birth including Police St. and District | : | |
| 5. Are you a citizen of India if so, how (Copy of citizenship certificates should be enclosed where necessary) | : | By Birth |
| 6. Educational qualification and also the name & full address of the education institution (which read last copies of certificate should be enclosed) | : | |
| 7. Other Qualification | : | |
| 8. Community (a) State your religion (b) Are you member of SC/ST (Answer 'yes' or 'No' if yes state particular's by a copy of certificate) | : | |
| 9. Age on the 1st. January 200 (according to H.S.L.C. Examination copy of which should be enclosed) | : | |
| 10. Present occupation, if any | : | |
| 11. Previous appointment held, if any | : | |
| 12. Are you a temporary or retrenched personal of a temporary Deptt. of the Govt. of Assam ? Answer 'yes' or 'No' if yes state Particulars | : | No |
| 13. re you trained in a member of the N.C.C.or Territorial army, or trained Home Guards and civil defence volunteer's if so, give particulars | : | No |
| 14. Name of Employment Exchange & Regd. No | : | |
| 15. The Name of the Assembly or Constitution | : |
        I am a candidate for the post of and the fact state above are true to the best of my knowledge and belief. In case of a false statement, I am liable to any action Govt. may deem fit and proper.
        A treasury challan of Rs. is attached herewith
        A treasury challan of Rs. is attached herewith
Date.................................
Signature of the Applicant