APPLICATION FORM FOR THE POST OF CLERK ON ADHOC BASIS IN

SESSIONS DIVISION BHIWANI.

Affix Latest passport

To size colored
The District & Sessions Judge photograph of the
candidate attested by
Bhiwani. a Gazetted Officer

Subject:- Application for the post of Clerk on Adhoc basis.

Name of Candidate ____________________________

Father’s / Husband’s Name ____________________________

Date of Birth ____________________________

Age as on 01.01.2020 ____________________________

Sex(Male/Female) ____________________________

Nationality ____________________________

Permanent Address ____________________________

____________________________

Correspondence Address ____________________________

____________________________

Category ____________________________

Academic Qualification ____________________________

Examination /Degree Board/ University Year of Divn/Class %age of Grade Point

passing Marks
10th/Matric

Graduation
Other qualifications, if
any (candidate may
increase rows, if
required)
Experience (if any) ____________________________
Contact/Mobile Number ____________________________
E-mail I.D. (if any) ____________________________

Note:-Attach self-attested photocopy of all relevant documents.

I, ________________ son/daughter/wife of Shri. _______________, hereby

declare that the information given above and in the attached documents is true and correct to the
best of my knowledge and belief and nothing has been concealed therein. I understand that if the
information given by me is found false/not true, I may be prosecuted under the relevant provisions
of law.
Date:………………
Place:……………… (Signature of Candidate)