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
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.