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Regd. ID
Personal E-mail ID
Name of the Applicant
Father/Husband Name
Category
Gender
Date of Birth
Regd. ID
Personal Mobile No.
Native State
Correspondence Address
Name of Department
(where Presently working)
Level of the Present Post Hold by the candidate as per 7th CPC Pay Matrix
Present Basic Pay
Department E-mail ID
Department Mobile No.
Address of the Organization, where presently working
Present Post Hold
Date of Appointment in the pay Matrix
Nature of Duty
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Academic Details
Name of Exam
Year of Passing
Board/Univ.
Sub. Studied
%age of Obt. Marks
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Experience Details
Name of Post
Organization
From
To
Pay Band
Grade Pay
Duty performed
I solemnly declare that the statements and details given above in the application form are correct to the best of my knowledge and belief. In case any of the details in the application form are found false at a later stage, my candidature/appointment may be cancelled/withdrawn. I am fully aware that the appointment in the samiti bears as All India Transfer Liability and I am likely to be posted anywhere
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Date:
04-12-2022
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Post Applied for
Final Submission