Professional Documents
Culture Documents
File 787
File 787
( FORMAT OF APPLICATION )
Important Notes: (i) Before filling this form, read the instructions carefully. (ii) All entries should be made in CAPITAL
LETTERS. (iii) The Application to be made strictly in the following format and to be filled in ENGLISH Language only. (iv)
Kindly attached the documents viz. Domicile Certificate, 12th Class passed certificate for LDC and B.Com for Jr. Accountant,
Caste Certificate and Demand Draft, as applicable.
1. Candidate's Name (IN CAPITAL LETTERS) (please keep one box blank between name, middle name & surname)
2. Father's/Husband's Name (IN CAPITAL LETTERS) (please keep one box blank between name, middle name &
surname)
5. Category (Please mark (√ ) tick 6. Sub-Category (Physically Challenged) / Ex Serviceman / J & K/Govt./Any other
Please indicate
7. Are you SAI Regular Employee [Write: Yes/No] 8. Are you SAI Adhoc /Daily Wage / Casual/Temporary/ 9. Gender (tick (√ )
Contract basis Employee (Wirte: Yes/No)
13. 14.
For the Post of LDC, indicate the Name of the For the Post of Jr. Accountant, Name the
Region/Sub-Centre from where class 12th passed Region / Sub-Centre from where B.Com
completed
15. 16.
Do you Posses If yes, write the name of State/UT from where Based on the Sl No. 15 and above
Domicile Certificate you obtained Domicile certificate (out of the please indicate
(Yes/No) Region/Sub Centres) Regional Name of the
Code Examination
Centre
`
Name :
Please affix one recent
Father’s Name : passport size Photograph
without attestation
Address :
District :
Candidates Name, Father’s name, address, telephone number, date of birth and category should be written on the reverse side of the Demand
Draft
20. Experience
Address :
:
Please affix one
recent passport size
District : attested Photograph
State :
Pin Code: :
DECLARATION
I hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I
understand that in the event of any information being found false or incorrect or not satisfying the prescribed eligibility
criteria for the post applied for, my candidature is liable to be cancelled / rejected at any stage of selection .
Place: