"Standard Form of Application" - Meghalaya, India

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STANDARD FORM OF APPLICATION
To
Dated………………...
……………………………………………………………………………………………………………..
………………………………………………………………………………………………….………….
Sir,
I beg to apply for the post of………………………………………………………………………………
And furnish the facts as below. In case of any false statement I am liable to any action Government may deem fit
and proper. A treasury Challan of Rs…………………………….Rupees………………………………………
………………………………Vide T.V. No……………………………………………..is attached herewith.
Signature of Applicant.
1.
Full name in Capital letters with address; if any surname first.
______________________________________________________________________________________
Surname
2.
Date of birth :
……………………
……………………….
………………………
Year
Month
Date
3. Place of Birth:
…………………….
…………………..
…...…………….…
…….……………...
Village/Town
Police Station
District
State
4.
Father’s/Mother’s and Husband’s name (in case of married female).
______________________________________________________________________________________
5.
Personal Description :
A. Height :
B. Colour of Eyes :
………………M ………………..CM
…………………………………………..
C. Colour of hairs:
D. Visible distinguishing Marks (if any):
………………………………….…..
…………………………………………..
6. A. Permanent Address in full :
B. Present Address in full :
………………………………………
……………………………………...
………………………………………
…...…………………………………
……………………………………….
……………………………………...
C. If you have not resided at the above address continuously for the last four years, please give the others
address where you have resided during the period.
From:
To:
Address:
.…………………………
…….………………………….
………………………………..
…………………………...
………..………………………
………………………………..
7.
Reference :
Name and address of two responsible in your localities who would be prepared to Vouch
______________________________________________________________________________________
A.
B.
………………………………………………….
…………………………………………………...
………………………………………………….
…………………………………………………...
………………………………………………….
…………………………………………………...
STANDARD FORM OF APPLICATION
To
Dated………………...
……………………………………………………………………………………………………………..
………………………………………………………………………………………………….………….
Sir,
I beg to apply for the post of………………………………………………………………………………
And furnish the facts as below. In case of any false statement I am liable to any action Government may deem fit
and proper. A treasury Challan of Rs…………………………….Rupees………………………………………
………………………………Vide T.V. No……………………………………………..is attached herewith.
Signature of Applicant.
1.
Full name in Capital letters with address; if any surname first.
______________________________________________________________________________________
Surname
2.
Date of birth :
……………………
……………………….
………………………
Year
Month
Date
3. Place of Birth:
…………………….
…………………..
…...…………….…
…….……………...
Village/Town
Police Station
District
State
4.
Father’s/Mother’s and Husband’s name (in case of married female).
______________________________________________________________________________________
5.
Personal Description :
A. Height :
B. Colour of Eyes :
………………M ………………..CM
…………………………………………..
C. Colour of hairs:
D. Visible distinguishing Marks (if any):
………………………………….…..
…………………………………………..
6. A. Permanent Address in full :
B. Present Address in full :
………………………………………
……………………………………...
………………………………………
…...…………………………………
……………………………………….
……………………………………...
C. If you have not resided at the above address continuously for the last four years, please give the others
address where you have resided during the period.
From:
To:
Address:
.…………………………
…….………………………….
………………………………..
…………………………...
………..………………………
………………………………..
7.
Reference :
Name and address of two responsible in your localities who would be prepared to Vouch
______________________________________________________________________________________
A.
B.
………………………………………………….
…………………………………………………...
………………………………………………….
…………………………………………………...
………………………………………………….
…………………………………………………...
8.
Are you a Citizen of India ? if so, how ? ( copy of Citizenship certificate should be enclosed where
necessary):.……………………………………………………………………………………………………
9.
Educational and qualification : (please attach copies of certificate Mark sheet etc):
Serial
Name of Institution and address Date of entering Date of leaving Examination Division subjects
No.
Passed
& taken
1
2
3
4
5
6
7
1
2
3
4
5
10. Community :
(a) State your Religion:
(b)
Are you a member of Schedule Caste
Schedule Tribe ? Answer ‘yes’ or ‘No’
……………………………………………...
If ‘Yes’ give particulars supported by a
certificate (copy to be enclosed).
………………………………………
11. Present occupation if any :
12.
Previous appointment held, if any :
……………………………………………….
………………………………………….
………………………………………………..
………………………………………….
……………………………………………….
………………………………………….
13. Are you a temporary/retrenched personal of a Temporary Department of Government of Meghalaya (Answer
‘Yes’ or ‘No’ if ‘Yes’ give particulars).
………………………………………………………………………………………………………………………
14. Are you a trained in or a member of the National
15. Are you married or unmarried ?
Cadet Corps or Territorial Army ? if so give
Particulars
……………………………………...
……………………………………………………
……………………………………………………
Signature
Note : Particulars are to be filled in below the column in the space provided.
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