Form 4/1 "Civil Service Employment Application Form" - Bhutan

ADVERTISEMENT
ADVERTISEMENT

Download Form 4/1 "Civil Service Employment Application Form" - Bhutan

Download PDF

Fill PDF online

Rate (4.8 / 5) 18 votes
FORM 4/1
ROYAL CIVIL SERVICE COMMISSION
ROYAL GOVERNMENT OF BHUTAN
Affix
CIVIL SERVICE EMPLOYMENT APPLICATION FORM
Passport
(Fill in BLOCK letters only)
size
Photograph
1.
Full Name:
Sex:
M
F
Religion:
2.
Village/Thromde:
Gewog:
Dzongkhag:
Thram No:
House No:
3.
Date of Birth (DD/MM/YYYY):
\
Nationality:
Citizenship ID No.:
4.
Post Applied For:
5.
Email Address:
6.
Contact Tel. No.:
7.
Family Details:
Relation
Name
CID No.
Address
Phone No.
(a)Father
(b)Mother
(c)Spouse
(d)Children
FORM 4/1
ROYAL CIVIL SERVICE COMMISSION
ROYAL GOVERNMENT OF BHUTAN
Affix
CIVIL SERVICE EMPLOYMENT APPLICATION FORM
Passport
(Fill in BLOCK letters only)
size
Photograph
1.
Full Name:
Sex:
M
F
Religion:
2.
Village/Thromde:
Gewog:
Dzongkhag:
Thram No:
House No:
3.
Date of Birth (DD/MM/YYYY):
\
Nationality:
Citizenship ID No.:
4.
Post Applied For:
5.
Email Address:
6.
Contact Tel. No.:
7.
Family Details:
Relation
Name
CID No.
Address
Phone No.
(a)Father
(b)Mother
(c)Spouse
(d)Children
8.
Declaration:
Sl.
Particulars
Yes
No
No.
i
I have been convicted of a criminal offence/corruption charges or is under
criminal offence/corruption charges;
I have been terminated or compulsorily retired from the Civil Service, a
ii
Government Corporation or Project;
I have voluntarily resigned from the Civil Service at a same or higher position
iii
category;
I have been previously selected for the Civil Service and dishonoured the
iv
selection/appointment;
I have been adjudged medically unfit for employment by a competent
v
medical doctor;
I have intentionally provided false information in the application for
vi
employment or used fraudulent practices in the recruitment examination;
vii
I have furnished fake/forged testimonials/documents;
viii
I have failed to furnish testimonials as required under the BCSR;
I have participated in politics/completed the minimum ‘cooling off period’ of
ix
one year;
I have been otherwise disqualified by the Government for appointment in
x
the Civil Service; and
xi
I have obligation to my former Agency.
9.
Academic Qualification: (please start with the Institute last attended)
Level of
Name of Institute Subjects
Aggregate %
Start Date
End Date
Country
Qualification
10. Marks obtained in percentage in the BCSE (if relevant):
i.
Exam category: ……………………………………………………
ii.
Aggregate %: ………………………..……………………………..
iii. Position/Ranking: ………………………………………………..
11. Training:
Name of Institute
Field of Study
Duration
Start Date
End Date
Country
12. Employment History (if applicable):
Period
Position
Reason for
Organization
Appt. Status
Place Served
Held
Change
From
To
Past Employment:
Present Employment: (attach No Objection Certificate)
13. Declaration: I hereby declare that the information given herein is true and complete to the best
of my knowledge. In the event of detection of false or misleading information, I understand that
the RCSC shall withdraw/terminate my service without any recourse; confiscate all my
transcripts/testimonials; debar from seeking employment in the Civil Service; and prosecute in
the court of law for legal actions. I also undertake to abide by all the Rules and Regulations.
14. Oath of Allegiance: I pledge to serve Tsa-Wa-Sum with Lue-Nga-Yi-Sum.
Date:
Signature of Applicant
(Affix Legal Stamp)
Note1: This form should be accompanied by the following documents:
i.
Copy of citizenship card;
ii.
Copies of academic transcripts and certificate;
iii.
Copies of relevant training certificate;
iv.
Medical fitness certificate;
v.
Passport size photograph;
vi.
No objection certificate, if employed;
vii.
Ensure that online security clearance certificate is valid;
viii. Copies of certificate on Extra-Curricular Activities; and
ix.
Any other documents specified in the vacancy announcement.
Note2: All original documents should be produced at the time of Interview
For use by the recruiting Agency
Verified by:
Agency:
Name:
Remarks: Position Title:
EID. No.:
Signature: