Standard Job Application Form I Assam Gazette Part IX

Standard Job Application Form  I Assam Gazette Part IX I

Standard Job Application Form and Assam Gazette Part IX  Download 

Standard Form for Assam Government,  Assam Gazette Part IX Download 

Standard Form of Application Download

Standard Job Application Form Format

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Standard Job Application Form I Assam Gazette Part IX 

To, 
     The…………………………………………………………………………………..
     Name of Post ……………………………………………………………………                                     PHOTO
     Department / Office ……………… …………………………………………. 
1. Name in Full (Block letter)                                         :………………………………………………………..
2. Present Address                                                           : …………………….. Vill/Twon………………… 
3. Permanent Address                                                     : ……………………… Vill/Twon………………… 
4. Father’s Name & Address                                           :………………………………………………………..
5. Place of birth including                                              :……………………………………………………….
 Police Station and District & P.O                                   ………………………………………………………..
 6. Are you a citizen of india and if so how? (Copy of citizenship certificate should be enclosedwhere necessary ) 
                                                                                            :………………………………………………………. 
7. Educational qualification and also the name and full address :…………………………………………….
8. Other Qualifications                                                      :………………………………………………………. 
9. 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 of which should be enclosed. 
10. Age on the 1st January 20…. (According to H.S.L.C certificate copy of which should be enclosed)                                                                                             :………………………………………………………… 
11. Present occupation (if any)                                        :………………………………………………………….. 
12. Previous appointment held (if any)                            :…………………………………………………………. 
13. Are you a temporary or retrenched personal of Temporary Departmental of the Govt. of Assam (Answer ‘Yes’ or ‘No’) State particulars                                                                                                                                                                                                :…………………………………………………………. 
14. Are you trained in or a member of the National Cade Crops of Territorial Army or trained Home Guards and Civil Defence Volunteers, if so give particulars                                                                                                                                                                   :…………………………………………………………. 
15. Employment Registration No.                                     :…………………………………………………………. 
16. Whether there is any Govt./Semi Govt. Employees in your family if any, Particulars of such family member like relationship, name of the job, pay drawn, place of posting, permanent /Temporary etc. should be furnished. 
                                                                                                 :…………………………………………………………. 
17. Family’s income certificate from                                      :…………………………………………………………. 
the Gaon Panchayat /DC/SDO/Circle Officer to be furnished 
18. Examination Centre                                                         :…………………………………………………………. 
       I am a candidate for the post ……………………………………………….. and the stated above are true to the best of my knowledge and behalf. In case of any false statement, I am liable to any action the Government deem fit and proper.
       A treasury challan of Rs ……………………… is attached herewith. 
19. To be filled in by Candidate
 Date: ………………
 Place ………………                                                                                                   Signature of Candidate

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