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Aro, Guntur.: Part-1: Undertaking by The Candidate
Aro, Guntur.: Part-1: Undertaking by The Candidate
Aro, Guntur.: Part-1: Undertaking by The Candidate
PRINT PART I ON FRONT SIDE AND PART II ON REVERSE SIDE OF SAME SHEET
FRONT SIDE
=O^ Q=
ARO, GUNTUR.
PHOTO OF
CANDIDATE TO BE
ATTESTED BY
TESTER JCO
Ji H
\ Z@+<
>~ *"
3. I AM NOT / HAVE NOT BEEN A MEMBER OF ANY BANNED / POLITICAL ORGANIZATION AND HAVE NOT BEEN IN CUSTODY / JAIL
AND NO CRIMINAL OR JUDICIAL CASE WAS HELD AGAINST ME/PENDING AGAINST ME IN ANY COURT OF LAW IN INDIA/ABROAD, I
HAVE NEVER BEEN CONVICTED/TRIED FOR ANY OFFENCE UNDER THE LAW.
<# Z@=O\ ~^K# e\H P~<*+< #O^ _< O_^. < g^ U q^"# q, Hq# H, <~~} =x,
* tH# J#qOz O_^x `K<#. q+=# =~Q~z LO_^x ^$gHiOKK<#.
4.
Particulars of Candidate
Name.......................................................................................................................................................................
~
Son of.......................................................................................................................................................................
`O_ ~
Date of Birth......................................................................................................................................................................
\# `k
Educational Qualification.................................................................................................................................................
Z_H+< q=~=
Religion....................................................................................................................................................................
U O`=
Sub Caste.........................................................................................................................................................................
H
Caste........................................................................................................................................................................
=
Address: Door Number................................................................................................................................................
z~<= : _~ <O
Village......................................................................................................................................................................
Q==
Post Office........................................................................................................................................................................
Police Station...................................................................................................................................................................
b +<
Tehsil/Taluka....................................................................................................................................................................
=O_O / `H
District......................................................................................................................................................................
l
State.........................................................................................................................................................................
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PIN...........................................................................................................................................................................
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6.
Married / Un Married
Married Status :...................................................................Date
of Marriage : (If Married)..............................................
Date :
Signature of Candidate
`k :
Z_= "e =^
Ji H O`H=
REVERSE SIDE
"#H Q=
PART-II : DOCUMENT SCREENING SLIP
1.
CATEGORY SOL (TDN) 8TH/10TH PASS / SOL GD/ SOL TECH/ NA/VET)/SOL (CLK/SKT)
2.
EDUCATION
H@yi
SSLC
HSC
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
K^= q=~=
3.
DATE OF BIRTH
4.
NATIVITY CERT
\# `k q=~=
<y\q\ iH\
5.
CASTE CERT
= ^$gH~} `=
6.
CATEGORY FOR BONUS MARKS : (a) NCC A/B/C (b) SOWW / SOW / SOEX / SOX (c) SPORTSMAN
8.
DATE :
20
Date :
This is certified that Mark Sheets/Education Certificates of the candidate / date of birth as details mentioined
overleaf has been verfied and found correct. Verification report has been endorsed on two photocopies of the Mark
Sheet/Education Certificate.
Date :
Form No 2
CHARACTER/PRE-VERIFICATION CERTIFICATION
1.
NOTE : Please note that incorrect information will lead to undesirable Candidature.
Witness No. 1
Witness No.2
............................................................
.............................................................
............................................................
Date :
Signature :
PHOTO NAME
Name :
AND
Place :
DATE OF BIRTH
PRINTED DULY
(Signature of Candidate)
ATTESTED
Form No 3
Date :
(Signature of Individual)
Place
Date
Guntur