(Enclose Certificate in The Prescribed Format) : Affix Your Photograph
(Enclose Certificate in The Prescribed Format) : Affix Your Photograph
Affix your
photograph
3. Sex: M/F :
4. Father’s Name :
5. Nationality :
6. Category-General/SC/ST/OBC :
(Enclose Certificate in the prescribed format)
13. Undertaking
I affirm that the information given above is true and correct. I further declare that if any at
stage it is discovered that an attempt has been made by me to willfully conceal or mis-
represent facts, my candidature may be summarily rejected or my employment terminated.