STANDARD FORM OF APPLICATION
To
______________________________________
______________________________________
______________________________________
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 ____________________ vide T.V No. _______________
dt. ______________ is attached herewith.
__________________
Signature of Applicant
1. Write in Block Letters and in Full your name:
Surname: ________________________ First name: _________________________________
2. Permanent Address:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
3. Present Address:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
4. Date of Birth: Year ____________ Month __________________ Day _____________
5. Place of Birth:
_____________________
Village/Town
____________________
Police Station
__________________
District
6. Fathers / Mothers / Husbands Name: ______________________________________
[Link] Description:
Height: _______ M ______Cm.
Eye Color: ____________________
Hair color: _______________Visible distinguishing marks: _________________________
8. Reference:
Name and Address of Two responsible persons in your locality prepared to vouch for you.
A. ____________________________
B. ____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
[Link] you a citizen of India? (Yes / No): ___________
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If Yes, how? (Enclose a copy of Citizenship Certificate): _______________________
[Link] and other Qualifications (Please attach copies of Certificate, Marksheets, etc)
Serial
No.
Institution/University
Durations
Examination
Passed
Major
Subjects
Percentage
Division
1.
2.
3.
4.
5.
6.
7.
11. Religion: _________________________
12. Are you ST / SC? (Yes / No): _______________ (If Yes, enclose Certificate)
13. Present Occupation, if any: ____________________________________
14. Previous appointment held, if any: _______________________________
15. Are you a Temporary / Retrenched personnel of a temporary Department of the
Government of Meghalaya (Yes /No): ________________
If Yes, give Particulars: ____________________________________________
16. Are you a trained or member of NCC or Territorial Army? (Yes / No): _________
If Yes, give Particulars: _______________________________________________
17. Are you Married / Unmarried: ______________________
18. Registration No.:__________________________________
__________________
Signature of Applicant
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