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Form Civil Defence PDF

This document is an application form for enrollment as a Civil Defence Volunteer. It requests information such as the applicant's name, father's name, date of birth, nationality, identification mark, present and permanent addresses, occupation and office address, contact phone numbers, name and address of present employer, educational and technical qualifications, languages known, previous experience in civil defence if any, whether the applicant has a vehicle or knows how to drive, details of identity cards, whether the applicant has previously been a member of the Home Guard, blood group, whether a regular blood donor, and additional information like height, weight, and Aadhaar number. The applicant is requested to sign at the bottom of the form.

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Dhruv
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11K views1 page

Form Civil Defence PDF

This document is an application form for enrollment as a Civil Defence Volunteer. It requests information such as the applicant's name, father's name, date of birth, nationality, identification mark, present and permanent addresses, occupation and office address, contact phone numbers, name and address of present employer, educational and technical qualifications, languages known, previous experience in civil defence if any, whether the applicant has a vehicle or knows how to drive, details of identity cards, whether the applicant has previously been a member of the Home Guard, blood group, whether a regular blood donor, and additional information like height, weight, and Aadhaar number. The applicant is requested to sign at the bottom of the form.

Uploaded by

Dhruv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form ‘A’

ukxfjd lqj{kk lnL; ds #i esa HkrhZ gksus dk izkFkZuk i=


Application form for Enrollment as Civil Defence Volunteer
1- iwjk uke@Name in Full:...............................................................................................................
2- firk@ifr dk uke@Father’s/Husband’s Name:............................................................................ gky gh esa
3- tUe frfFk@Date of Birth:............................................................................................................ f[kpok,a x,
ikliksVZ
4- jk’Vªh;rk@Nationality:................................................................................................................. vkdkj ds
5- igpku fpUg@Identification Mark:............................................................................................... QksVksxzkQ dks
6- (d) orZeku irk fuokl LFkku (Fkkuk lfgr)@ fn,s x, LFkku
Present Residential Address with Police Station:.............................................................. ij fpidk,
..........................................................................................................................................
([k) LFkk;h irk@Permanent Address:..............................................................................................................
...........................................................................................................................................................................
7- O;olk; ,oe~ dk;kZy; dk irk@Occupation & Office Address:...................................................................
………………………………………………………………………………………………………...
8- nwjHkk’k la[;k (dk;kZy;)@Phone No. (Off.):………………………. fuokl (Residential):………………...
9- orZeku~ fu;kstd dk uke o irk@Name & Address of Present Employer:…………………………………
………………………………………………………………………………………………………………...
10- “kSf{kd ;ksX;rk@Educational Qualification:………………………………………………………………...
11- Hkk’kk Kku (fy[kuk] i<+uk] cksyuk)@Language known (Writing. Reading, Speaking):…………………...
……………………………………………………………………………………………………………….
12- ukxfjd lqj{kk dk;ksZ esa iwoZ vuqHko (;fn gS)@Previous Experience in Civil Defence (If Any):…………..
……………………………………………………………………………………………………………….
13- D;k vkids ikl dksbZ okgu gS \@Do you have any vehicle ?:…………………………………………….
14- D;k vki izkFkfed lgk;rk@okgu pykuk tkurs gSa \@Do you know driving ?:…………………………
15- rduhdh “kS{kf.kd ;ksX;rk@Technical Qualification:………………………………………………………
16- ernkrk igpku i=@vk/kkj dkMZ@ikliksVZ@MªkbZfoax ykbZlsal@cSad ikl cqd@vU; dksbZ ljdkjh QksVks
igpku i= dk fooj.k@Election I-Card/Aadhaar Card/Passport/Driving Licenses/Bank Pass Book/any
other employment Identity Card issued by Govt. Authority, with a photograph, Details:………………….
……………………………………………………………………………………………………………….
17- D;k vki dHkh gksexkM+Z ds lnL; jgs gSa \ ;fn gk rks fooj.k nsa@Whether you are a member of H.G.
earlier? If yes, Please give details:…………………………………………………………………………...
18- vH;FkhZ dk jDr lewg@Blood group of Applicant:………………………………………………………...
19- D;k vki fu;fer jDrnku djrs gSa \@Are you a regular Blood donor?:………………………………….
20- vfrfjDr lwpuk,sa@Additional informations:-
1- yEckbZ@Height :…………………………………..
2- otu@Weight :…………………………………..
3- vk/kkj la[;k@Aadhaar No. : …………………………………. (vkosnd ds gLrk{kj)
(Signature of Applicant)

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