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Candidate Character Verification Form

The document consists of two appendices: Appendix A is a Character/Pre-verification Certificate requiring personal details of a candidate and verification of their moral character by an authorized officer. Appendix B is a Declaration against bribery during recruitment, where the candidate affirms they have not paid any bribe for recruitment into the Army. Both sections require signatures and specific information to be filled in capital letters.

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INFOPARK CSC
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11 views3 pages

Candidate Character Verification Form

The document consists of two appendices: Appendix A is a Character/Pre-verification Certificate requiring personal details of a candidate and verification of their moral character by an authorized officer. Appendix B is a Declaration against bribery during recruitment, where the candidate affirms they have not paid any bribe for recruitment into the Army. Both sections require signatures and specific information to be filled in capital letters.

Uploaded by

INFOPARK CSC
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Appendix A

PLEASE FILL ALL DETAILS REGARDING CANDIDATE IN


CAPITAL WORDS (RUNNING WORDS NOT ACCEPTED)

(Both side printing)

CHARACTER/PRE-VERIFICATION CERTIFICATE
1. This is certified that Shri __________________________S/o ____________________

Caste_________________________ House No/Name _______________________________

Village________________________ Post Office ___________________________________

Taluk/Tehsil ______________________ Police Station_______________________________

District ________________________ PIN Code ____________________________________ of

Kerala State whose signature, thumb impression is appended below is know to me for the past

_________________ years.

2. To the best of my knowledge and belief:-

(a) He bears a good moral character.


(b) He has not been imprisoned.
(c) He has not been dismissed for any Govt service.
(d) He has not been serving in the Army/Navy/Air Force/TA or Police.
(e) He has never been convicted by any civil police.

3. Further to this, he is not related to me.

(Signature or Thumb impression of the candidate concerned)

Place :

Dated : (Signature of the officer with office seal)

Note: To be signed by any of the following :-

(a) Sarpanch / Pradhan / Municipal Corporation of native place.


(b) District/Police/Revenue Officials.
(c) Headmaster/Principal of recognized school/college.
(d) Block Development officer/Post master/Panchayat Inspector.
(e) Armd Forces commissioned Officer (in active list).
2

(Affix group family photo size 6” x 4”)

(Signature of Gram Pradhan / Village Sarpanch /


Municipal Corporation with Stamp)

PARTICULARS OF FAMILY MEMBERS

Ser Relation of Name of Family Members Date of Birth


No Candidate
1. Father

2. Mother

3. Brother

4. -do-

5. -do-

6. Sister

7. -do-

8. -do-

9. Name of
Candidate

(Signature of Gram Pradhan / Village Sarpanch /


Municipal Corporation with Stamp)
Appendix B

PLEASE FILL ALL DETAILS REGARDING CANDIDATE IN


CAPITAL WORDS (RUNNING WORDS NOT ACCEPTED)

DECLARATION OF CANDIDATE AGAINST


BRIBERY DURING RECRUITMENT

1. I, __________________________________________________ hereby solemnly declare


that, I have not paid any bribe for recruitment into the Army to any person whatsoever, I also
affair that I would make any false claim to this effect at a later date.

2. The contents of this declaration certificate is well understood by me and I signature it


voluntarily.

Date : (Signature of the candidate)

Place :

Witnesses

1. ____________________________
(Witness 1 Guardian / Independent)
Address

2. _________________________
(Witness 2)
Address

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