‚÷Ë ¡ÊÁÃÿÊ¥ ∑§ Á‹ÿ •ÁãÃ◊ ÁÃÁÕ — Æx ¡Ÿfl⁄UË wÆww

INDIAN MILITARY ACADEMY, DEHRADUN

ÿ„U •ÊflŒŸ ¬òÊ Á‚¢„U‹ ¬˝∑§Ê‡ÊŸ, ⁄UflÊ«∏UË (⁄UÁ¡0 Ÿ¢0 vvvyvxÆ) mÊ⁄UÊ ’⁄UÊ¡ªÊ⁄UÊ¥ ∑§ Á‹∞ ¬˝∑§ÊÁ‡Êà „ÒU– ‚ê’ÁãœÃ Áfl÷ʪ ∑§Ê »§ÊÚ◊¸ ¬˝∑§Ê‡Ê∑§/¬˝∑§Ê‡ÊŸ ‚ ∑§Ê߸ ‚ê’㜠Ÿ„UË¥ „ÒU– ◊„Uàfl¬Íáʸ ÁŸŒ¸‡Ê — ß‚ ¡ÊŸ∑§Ê⁄UË ∑§Ê •¬Ÿ ¬Ê‚ ‚¢÷Ê‹ ∑§⁄U ⁄Uπ ‹fl¥, »§ÊÚ◊¸ ∑§ ‚ÊÕ Ÿ ÷¡¥–
IMA-Œ„U⁄Uʌ͟
UNOFFICIAL INSTRUCTIONS FOR CANDIDATE, FOR COMPLETE DETAILS CHECK OFFICIAL NOTIFICATION
•ÊœË-•œÍ⁄UË ¡ÊŸ∑§Ê⁄UË ∑§ »§Ê◊¸ Ÿ ∑§fl‹ •Ê¬∑§Ê ‚◊ÿ fl ¬Ò‚Ê ’’ʸŒ ∑§⁄¥Uª, ’ÁÀ∑§ •Ê¬∑§ ⁄UÊ ÊªÊ⁄U ∑§ •fl‚⁄U ∑§Ê ÷Ë ‚◊Ê# ∑§⁄U Œ¥ª– •Ã— „U◊‡ÊÊ ¬¢¡Ë∑Χà ¬˝∑§Ê‡Ê∑§Ê¥ mÊ⁄UÊ ‚„UË ¬˝∑§Ê⁄U ‚ ◊ÈÁº˝Ã ‚⁄U∑§Ê⁄UË ŸÊÒ∑§Á⁄UÿÊ¥ ∑§ »§Ê◊¸ „UË π⁄UËŒ¥, øÊ„U ©U‚∑§ Á‹ÿ •Ê¬∑§Ê ∑ȧ¿U •Áœ∑§ œŸ „UË ÄÿÊ¥ Ÿ ŒŸÊ ¬«∏U–

÷Ê⁄UÃËÿ ‚Òãÿ •∑§ÊŒ◊Ë, Œ„U⁄Uʌ͟

∑ȧ∑§, Ä‹∑¸§, «˛UÊßfl⁄U, fl≈U⁄U, ◊‚Ê‹øË, ª˝Ê©U᫘U‚◊ÒŸ, ‹Ò’ ‚„UÊÿ∑§
•Œ¸‹Ë, ’Ê’¸⁄U, ’Í≈U ◊∑§⁄U, Á⁄U¬ÿ⁄U⁄U, ª˝È◊, ◊À≈UË ≈UÊS∑§ S≈UÊ»§ fl •ãÿ
ÿÊÇÿÃÊ-Œ‚UflË¥/’Ê⁄U„UflË¥ ¬Ê‚ ¬ÈL§·/◊Á„U‹Ê Offline ¬Œ-v}}
ÁŸ◊AÊ¢Á∑§ÃU v}} Á⁄UQ§ ¬ŒÊ¥ ¬⁄U ÷Ã˸ ∑§ Á‹ÿ ÷Ê⁄UÃËÿ ŸÊªÁ⁄U∑§Ê¥ ‚ •ÊflŒŸ ¬òÊ •Ê◊ÁãòÊà Á∑§∞ ¡ÊÃ „Ò¥U —
∑˝§◊ ¬Œ ∑§Ê ŸÊ◊ •ÊÿÈ flß◊ÊŸ ÿÊÇÿÃÊ
◊Í◊ÍÀÀÿÿ -wÆ
-wÆ M§¬ÿ
M§¬ÿ
Æv. fl≈U⁄U v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚
Æw. ∞◊.≈UË.∞‚ (‚»§Ê߸flÊ‹Ê) v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚
Æx. ¡Ë.‚Ë. •Œ¸‹Ë v}-w| v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚
Æy. ∞◊.≈UË.∞‚ (øÊÒ∑§ËŒÊ⁄U) v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚
Æz. ∞◊.≈UË.∞‚ (◊Ò¥‚¥¡⁄U) v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚–
Æ{. ‹Ò’Ê⁄U≈U⁄UË •≈Uá«¥U≈U v}-w| v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÁflôÊÊŸ ÁflcÊÿ ‚Á„UÖ
Æ|. ª˝È◊ v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ª˝È◊ ∑§ ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
Æ}. ’Ê’¸⁄U v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ’Ê’¸⁄U ∑§ ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
Æ~. ßÄflˬ◊Òá≈U Á⁄U¬ÿ⁄U⁄U v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ‚ê’ÁãœÃ ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
vÆ. ∑ȧ∑§ S¬‡Ê‹ v}-wz v~~ÆÆ-{xwÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ∑ȧÁ∑¢§ª ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
vv. ∑ȧ∑§ •Ê߸≈UË v}-wz v~~ÆÆ-{xwÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ∑ȧÁ∑¢§ª ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
vw. ◊‚Ê‹øË v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ◊‚Ê‹øË ∑§ ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
vx. »§≈U˪◊ÒŸ v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ »§≈U˪◊ÒŸ ∑§ ∑§Êÿ¸ ∑§Ê ôÊÊŸ–
vy. ‚Ê߸Á∑§‹ Á⁄¬ÿ⁄U⁄U v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ‚ê’ÁãœÃ ∑§Êÿ¸ ∑§Ê ôÊÊŸ fl w flcʸ ∑§Ê ∑§Êÿ¸ •ŸÈ÷fl–
vz. ◊Ê≈U⁄U ≈˛UÊ¢‚¬Ê≈¸U «˛UÊßfl⁄U v}-w| v~~ÆÆ-{xwÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ∑§◊ ‚ ∑§◊ w flcÊ˸ÿ •ŸÈ÷fl ‚Á„Uà ÷Ê⁄UË flÊ„UŸ ‹Êß‚¥‚–
v{. ’Í≈U ◊∑§⁄U / ’Í≈U Á⁄U¬ÿ⁄U⁄U v}-wz v~~ÆÆ-{xwÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ‚÷Ë ¬˝∑§Ê⁄U ∑§ ¡ÍÃÊ¥ ∑§Ë ◊⁄Uê◊à ∑§Ê ôÊÊŸ–
v|. ‹Ê•⁄U Á«UflË¡Ÿ Ä‹∑¸§ v}-wz v~~ÆÆ-{xwÆÆ ’Ê⁄U„UflË¥ ¬Ê‚ ÃÕÊ ∑§êåÿÍ≈U⁄U ¬⁄U •¢ª˝¡Ë ≈UÊ߸¬ ◊¥ xz ÿÊ Á„UãŒË ≈UÊ߸¬ ◊¥ xÆ ‡Ê.¬˝.Á◊. ªÁÖ
v}. ª˝Ê©Uá«U‚◊ÒŸ v}-wz v}ÆÆÆ-z{~ÆÆ Œ‚flË¥ ¬Ê‚ ÃÕÊ ª˝Ê©Uá«U‚◊ÒŸ ∑§Ê ∑§Êÿ¸ ∑§⁄UŸ ◊¥ ‚ˇÊ◊ fl ∑§Êÿ¸ ∑§Ë ‚◊¤Ê–
ÿÁŒ •Ê¬∑§ ‡Ê„U⁄U ◊¥ •ÊflŒŸ ¬òÊ ©U¬‹éœ Ÿ„UË¥ „ÒU ÃÊ ß‚ fl’‚Ê߸≈U ‚ •ÊflŒŸ ¬òÊ «UÊ©UŸ‹Ê«U ∑§⁄U Á∑§‚Ë ÷Ë Á¬˝ã≈⁄U ‚ Á¬˝ã≈UU ∑§⁄U∑§ ÷¡ ‚∑§Ã „Ò¥U-

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 Á‚¢„U‹ ¬˝∑§Ê‡ÊŸ, ⁄UflÊ«∏Ë mÊ⁄UÊ ¬˝∑§ÊÁ‡Êà ÁŸ◊A SÕÊŸÊ¥ ¬⁄U ©U¬‹éœ „Ò¥U
Offline Form Shop, CSC Centre,
Online Form Shop, E-Mitra, Cyber
Cafe, Book Shop, Photostat Shop,
•ÊœË-•œÍ⁄UË ¡ÊŸ∑§Ê⁄UË ∑§ »§Ê◊¸ Ÿ ∑§fl‹ •Ê¬∑§Ê ‚◊ÿ fl ¬Ò‚Ê ’’ʸŒ ∑§⁄¥Uª, ’ÁÀ∑§ •Ê¬∑§ ⁄UÊ ÊªÊ⁄U ∑§ •fl‚⁄U ∑§Ê ÷Ë ‚◊Ê# ∑§⁄U Œ¥ª– •Ã— „U◊‡ÊÊ ¬¢¡Ë∑Χà ¬˝∑§Ê‡Ê∑§Ê¥ mÊ⁄UÊ ‚„UË ¬˝∑§Ê⁄U ‚ ◊ÈÁº˝Ã ‚⁄U∑§Ê⁄UË ŸÊÒ∑§Á⁄UÿÊ¥ ∑§ »§Ê◊¸ „UË π⁄UËŒ¥, øÊ„U ©U‚∑§ Á‹ÿ •Ê¬∑§Ê ∑ȧ¿U •Áœ∑§ œŸ „UË ÄÿÊ¥ Ÿ ŒŸÊ ¬«∏U–
Photo Studios, M.P. Online Centre
Á‚¢„U‹ ¬˝∑§Ê‡ÊŸ, ¬È⁄UÊŸË ‚é¡Ë ◊á«UË, ⁄UflÊ«∏UË
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•ÊÿÈ ‚Ë◊Ê — •ÊÿÈ ∑§Ë ªáÊŸÊ •ÁãÃ◊ ÁÃÁÕ ∑§ •ŸÈ‚Ê⁄ ∑§Ë ¡Ê∞ªË– •Ê⁄UÁˇÊÃ
flª¸ ∑§ •ÊflŒ∑§Ê ∑§Ê ©U¬⁄UË •ÊÿÈ ◊¥ ÁŸÿ◊ÊŸÈ‚Ê⁄U ¿ÍU≈U ŒË ¡Ê∞ªË–
•ÊflŒŸ ¬òÊ— •ÊflŒŸ ¬òÊ •¬Ÿ ‡Ê„U⁄U ∑§ »§Ê◊¸ Áfl∑˝§ÃÊ ‚ ¬˝Ê# ∑§⁄¥U ÿÊ fl’‚Ê߸≈U
www.vacancyform.com ‚ «UÊ©UŸ‹Ê«U ∑§⁄U ‹fl¥–
•ÊflŒŸ ‡ÊÈÀ∑§ — ‚Ê◊Êãÿ flª¸ ∑§ •ÊflŒ∑§Ê¥ ∑§ Á‹ÿ zÆ L§¬ÿ ∑§Ê ÷Ê⁄UÃËÿ
¬ÊS≈U‹ •Ê«¸U⁄U ¡Ê Commandant, Indian Military Academy,
Dehradun ∑§ ¬ˇÊ ◊¥ Dehradun ◊¥ Œÿ „UÊ– ¬ÊS≈U‹ •Ê«¸U⁄U ¬⁄U •ÊflŒ∑§
•¬ŸÊ ŸÊ◊ ÃÕÊ ¬Í⁄UÊ «UÊ∑§ ¬ÃÊ ÷Ë ÁŒ∞ ªÿ SÕÊŸ ¬⁄U Á‹π Œfl¥– ∞‚‚Ë, ∞‚≈UË,
•Ê’Ë‚Ë, ÁŒ√ÿÊ¢ª, ߸«UéÀÿÍ∞‚ fl ÷ÍìÍfl¸ ‚ÒÁŸ∑§Ê¥ ∑§Ê ‡ÊÈÀ∑§ ÷ȪÃÊŸ ◊¥ ¿ÍU≈U „ÒU–
•ÊflŒŸ ÷¡Ÿ ∑§Ê ¬ÃÊ— ÷Ã˸ ∑§ Á‹ÿ ßë¿ÈU∑§ ©Uê◊ËŒflÊ⁄UÊ¥ ∑§Ê •¬ŸÊ •ÊflŒŸ
¬òÊ ß‚ ¬˝∑§Ê⁄U ÷¡ŸÊ „UÊªÊ Á∑§ fl„U ÁŒŸÊ¢∑§ Æx.Æv.wÆww Ã∑§ ÿÊ ©U‚‚ ¬„U‹
The Commandant, Indian Military Academy, Dehradun
[UK], Pin-248007 ∑§ ¬Ã ¬⁄U •Êfl‡ÿ∑§ ŒSÃÊfl¡Ê¥ ∑§Ë Sflÿ¢ ‚àÿÊÁ¬Ã
¬˝ÁÃÿÊ¥ ‚Á„Uà ∑§fl‹ ¬¢¡Ë∑Χà «UÊ∑§ ÿÊ S¬Ë«U ¬ÊS≈U ∑§ ◊Êäÿ◊ ‚ ¬¢„ÈUø ¡Êÿ–
•ÊflŒŸ ∑§ ‚ÊÕ ‚¢‹ÇŸ Á∑§ÿ ¡ÊŸ flÊ‹ ŒSÃÊfl¡—
•ÊflŒŸ ¬òÊ ∑§ ‚ÊÕ ÁŸêŸÁ‹Áπà ¬˝◊ÊáÊ ¬òÊÊ¥ ∑§Ë Sflÿ¢ „USÃÊˇÊÁ⁄Uà ¬˝ÁÃÿÊ¢ ÷¡Ë
¡Ê∞¢– ◊Í‹ ¬˝◊ÊáÊ ¬òÊÊ¥ ∑§Ê •ÊflŒŸ ∑§ ‚ÊÕ Ÿ„UË¥ ÷¡ŸÊ øÊÁ„Uÿ–
∑§) ‡ÊÒÁˇÊ∑§ fl √ÿfl‚ÊÁÿ∑§ ÿÊÇÿÃÊ ∑§ ¬˝◊ÊáÊ ¬òÊ (‚Á≈¸UÁ»§∑§≈U)
π) ¡ã◊ ÁÃÁÕ ∑§Ê ¬˝◊ÊáÊ ¬òÊ (•Ê∆UflË/Œ‚flË¥ ∑§Ê ¬˝◊ÊáÊ ¬òÊ)
ª) ¡ÊÁà ¬˝◊ÊáÊ ¬òÊ ∑§Ë ¬˝ÁÃÁ‹Á¬ (•Ê⁄UÁˇÊà flª¸ ‚ ‚ê’ÁãœÃ „Ò¥U ÃÊ)
ÉÊ) zÆ L§¬ÿ ∑§Ê ÷Ê⁄UÃËÿ ¬ÊS≈U‹ •Ê«¸U⁄U (ÿÁŒ ‹ÊªÍ „UÊ)–
«U) •ŸÈ÷fl ¬˝◊ÊáÊ ¬òÊ ∑§Ë ¬˝ÁÃÁ‹Á¬ (ÿÁŒ ¬Œ ‚ê’ÁãœÃ •ŸÈ÷fl „UÊ)–
ø) ŒÊ Sflÿ¢ ∑§Ê ¬ÃÊ Á‹πÊ z-z L§¬ÿ ∑§ «UÊ∑§ Á≈U∑§≈U ‹ªÊ Á‹»§Ê»§Ê–
¿U) w •ÁÃÁ⁄UÄà ¬Ê‚¬Ê≈¸U •Ê∑§Ê⁄U ∑§ Sflÿ¢ „USÃÊˇÊÁ⁄Uà »§Ê≈UÊª˝Ê»§–
(»§Ê≈UÊ x ◊Ê„U ‚ •Áœ∑§ ¬È⁄UÊŸ Ÿ„UË¥ „UÊŸ øÊÁ„Uÿ)
¡) ߸«UéÀÿÍ∞‚/÷ÍìÍfl¸ ‚ÒÁŸ∑§ „UÊŸ ¬⁄U ‚ê’ÁãœÃ ¬˝◊ÊáÊ ¬òÊ ∑§Ë ¬˝ÁÃÁ‹Á¬–
¤Ê) •Ê’Ë‚Ë/÷ÍìÍfl¸ ‚ÒÁŸ∑§ „UÊŸ ¬⁄U Sflÿ¢ ∑§Ê ÉÊÊcÊáÊÊ ¬òÊ–
Ÿß¸ ∑§ê¬ËÁ≈U‡ÊŸ ªÊß«¥U, ¬ÈSÃ∑§, ¬˝ÒÁÄ≈U‚ ‚Ò≈U, ◊ÊÚ«U‹ ¬¬⁄U, ∑§⁄Uã≈U •»§ÿ‚¸,
‚◊‚Ê◊Áÿ∑§Ë, flÊÁcʸ∑§Ë, ◊ÊÁ‚∑§ ¬ÁòÊ∑§Ê∞¥, •ÊŸ‹Êߟ »§Ê◊¸, ‚÷Ë ‚⁄U∑§Ê⁄UË ŸÊÒ∑§Á⁄UÿÊ¥
∑§ •ÊÚ»§‹Êߟ »§Ê◊¸, ªÁáÊÃ, Ã∑¸§‡ÊÁÄÃ, ÁflôÊÊŸ, ∑§êåÿÍ≈U⁄U, ¡Ë.∑§., •¢ª˝¡Ë fl •ãÿ
‚÷Ë ÁflcÊÿÊ¥ ∑§Ë ÁflÁ÷㟠¬˝∑§Ê‡ÊŸÊ¥ ∑§Ë ∑§ê¬ËÁ≈U‡ÊŸ ªÊß« ©U¬‹éœ „Ò¥U–
‚÷Ë ‚⁄U∑§Ê⁄UË ŸÊÒ∑§Á⁄UÿÊ¥ ∑§ •Ê»§‹Êߟ •ÊflŒŸ ¬òÊ ÿ„UÊ¢ ¬⁄U Á◊‹Ã „Ò¥U
‚÷Ë ‚⁄U∑§Ê⁄UË ŸÊÒ∑§Á⁄UÿÊ¥ ∑§ •ÊŸ‹Êߟ »§Ê◊¸ fl •ÊŸ‹Êߟ »§Ë‚ ÿ„UÊ¢ ¬⁄U ÷⁄UË ¡ÊÃË „ÒU
Á‚¢„U‹ ¬˝∑§Ê‡ÊŸ, ¬È⁄UÊŸË ‚é¡Ë ◊á«UË, ⁄UflÊ«∏UË
Á‚¢„U‹ Á¬˝ã≈U‚¸, ‚⁄U∑ͧ‹⁄U ⁄UÊ«∏U, ÁŸ∑§≈U ŸÊ߸flÊ‹Ë øÊÒ∑§, ⁄UÊ◊‹Ë‹Ê ª˝Ê©Uá«U ∑§ ‚Ê◊Ÿ, ⁄UflÊ«∏UË
ÿÁŒ •Ê¬∑§ ‡Ê„U⁄U ◊¥ •ÊflŒŸ ¬òÊ ©U¬‹éœ Ÿ„UË¥ „ÒU ÃÊ ß‚ fl’‚Ê߸≈U ‚ •ÊflŒŸ ¬òÊ «UÊ©UŸ‹Ê«U ∑§⁄U Á∑§‚Ë ÷Ë Á¬˝ã≈⁄U ‚ Á¬˝ã≈UU ∑§⁄U∑§ ÷¡ ‚∑§Ã „Ò¥U-
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•ãÿ ‚Ê◊Êãÿ ‡ÊÃZ fl ÁŸŒ¸‡Ê —
•ÊflŒŸ flÊ‹ Á‹»§Ê»§ Application for the post of _____ ÃÕÊ
v.
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}. Newspaper : Employment News,
Advt No : davp 10628/11/0001/2122
Dated : 20 - 26 November 2021
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SINGHAL PRAKASHAN REGD. NO. 1114130
 GOVT OF INDIA, MINISTRY OF DEFENCE
INDIAN MILITARY ACADEMY, DEHRADUN
PROFORMA OF APPLICATION
Application for the post of_____________________________________________________________________
Ref: Newspaper _______________________Advertisement No____________________Dated_______________
1. Name of the candidate (in Block Letters): _________________________________
(As written in SSC Certificate)
2. Father’s/Husband’s Name (in Block Letters): ______________________________
(As written in SSC Certificate) Passport Size
3. Mother's / Wife name: ________________________________________________ Photograph Paste
4. Name of employment office, ___________________________________________ Here
Registration Number, _______________date and validity date/Year ____________ [Self Attested]
5. Date of Birth (As written in SSC Certificate):______________________________
6. Age as on last date of receipt of application: ____Years______Months _____days
7. Write category to which you belong (SC/ST/OBC/EWS) ________________________________________
(enclose certificate in prescribed format)
8. Whether ex-serviceman __________________________________________________________________
if Yes, then furnish details i.e. length of service along with discharge certificate _______________________
9. Whether Physically Handicapped (also indicate the type of disability):______________________________
10. Nationality: ____________________________________ Religion: ________________________________
11. Permanent Address with pin code:
House No _____________________________ Vill/City/Street/Lane_______________________________
Post Office _________________ Tehsil ________________ Distt_________________Pin _____________
State ___________________ Email _____________________________Mobile number_________________
12. Address for correspondence and Pin Code:
House No _____________________________ Vill/City/Street/Lane_______________________________
Post Office _________________ Tehsil ________________ Distt_________________Pin _____________
State ___________________ Email _____________________________Mobile number_________________
13. Details of Academic/Technical & Professional Qualifications:
Name of the Year of Name of Recognized University % of marks Division Remarks
Exam Passed Passing /Board of Examination obtained

(Self Attested copies of certificate in support of above are to be enclosed)

14. Experience/if any (please attach certificate):____________________________________________________
(Enclose self attested copy of experience certificate and ensure that the certificate must be prior to the date
of publication of advertisement)
15. Whether Govt. Servant. If yes, give details of post held, Pay Scale/Level and date of entry in Govt
Service_______________________________________________________________________________
16. Aadhar Card Number ____________________________________________________________________
DECLARATION
1. I declare that I accept all the terms and conditions given in the advertisement.
2. I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowl
edge and belief. In the event of any information being found false/incorrect or ineligibility being detected before or after
the written test / skill test my candidature will stand automatically cancelled and I will be responsible for that.

Signature of the candidate _____________________________

Name _____________________________________________
Enclosures: -
(1) Two Self-Attested Photographs
(2) Postal Order/DD No_______________& Date _______________for Rs.50/-.
(3) Self-Attested copies of certificates ( ) sheets.
Left hand thumb impression of male candidate and
(Right hand thumb impression in case of female candidate)
 DECLARATION BY OBC CANDIDATES ONLY
(Similar endorsement should be given in the caste certificate from the competent authority)

I __________________________________Son/Daughter/wife of Shri_____________________________.

Residence of _____________________Village/Town/City ____________________District _____________State

_____________hereby declare that I belong to the_____________community which is recognized as a backward

class by the Government of India for the purpose of reservation in service as per orders applicable to the concerned

State. It is also declared that I do not belong to persons/sections (Creamy Layer).

Place : _______________ (Signature of the Candidate)

Date: ________________ Name _________________________________

----------------------------------------------------------------------------------------------------------------------------------------------

FORM OF UNDERTAKING TO BE GIVEN BY CANDIDATES APPLYING

FOR CIVIL POSTS UNDER EX-SERVICEMEN CATEGORY

I understand that, if selected on the basis of the recruitment/examination to which this application relates, my

appointment will be subject to my producing documentary evidence to the satisfaction of the appointing authority

that I have been duly released/retired/discharged from the Armed Forces and that I am entitled to the benefits

admissible to Ex-Servicemen in terms of the Ex-Servicemen (Re-employment in Central Civil Services and Posts)

Rules, 1979, as amended from time to time.

I also understand that I shall not be eligible to be appointed to a vacancy reserved for Ex-Servicemen in

regard to the recruitment covered by this examination, if I have at any time prior to such appointment secured any

employment on the Civil side (including Public Sector Undertaking, autonomous Bodies/Statutory Bodies,

Nationalized Banks, etc.) by availing of the concession of reservation of vacancies admissible to Ex-Servicemen.

Place: ______________ (Signature of Candidate)

Date: ________________ Name _________________________________