APPLICATION FORMAT

(For the Selection of Para Legal Volunteer in District Legal Services

Authority/Taluka Legal Services Committee, South Goa District)

Recent Passport
size
Photograph duly
self-attested.

Dated:-
To,
The Hon’ble Chairman
District Legal Services Authority,
South Goa,
Annexed to District & Sessions
Court Building
MARGAO.

Sub: Application for the selection of Para Legal Volunteer

1. Full Name :______________________________________

2. Father’s/Husband’s Name :______________________________________

3. Full Residential Address :______________________________________

4. Nationality :______________________________________

5. Male/Female :______________________________________

6. Date of Birth :______________________________________

7. Contact Number and

e-mail ID :______________________________________

8. Language known :______________________________________

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9. If working/retired servicemen:______________________________________
Profession

10. The candidate should be preferable matriculate

Sr. No. Qualification

11. Experience, if any : _________________________________

12. Willingness/Place of
preference to work
at District/Taluka level. :__________________________________

____________________________
Applicant’s Signature with date.

Note:

The Candidate shall type the relevant details in the format itself and remove the
printout by downloading the above format and after the same is duly signed,
submit the same to District Legal Services Authority, South Goa, Margao along
with the self attested documents. The appointment of Para Legal Volunteers
shall be purely on the basis of honorarium of Rs. 500/- presently fixed by Goa
State Legal Services Authority.

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