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Ase Limt 2r-{0 \ LARS AS ON 0 r/0e/ 2023
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caL{t / Eafk Pasbook with phoktraph / Aadhm' c d /
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POST OF POLICT DRIVER (CONTR^CTUAL)/DRIVIR (CONTRAC] UAL|,
(f) s,,bn"sn." or nL,rii e rppriation5 w,rr iovire .an.erhtion or .rnd atore 'O'3'
(g) No.pprtduof (r"bererei'.d *4ry add,e$ orher rrran ihe ibove tu.nuoned on€

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r berc-cd throush speed posr/ResisreEd po*.

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nerlillbccnF*;ined
en B.iral, Hodr & Hill Atlai5 D
r.kndr(rderN.2315PL/PA/'lc2l/r0l/d edr0/07/20rTruarwrthsaidDepannenlo {No.
r5ren./pAnc-?r/2017(Pr!.ldr.d oel06/202r., c0. no. 2162 PLlPAl1c.0s/2023 datcd
z2/oa/2a23, c.o. no. 1s22 PL/PA/|C rt/l',7 daied 08/06/2422, C.0 no 2333 PL/PA/1C
as /2a23 darca 72/09 /2023 ard C.A na ?s53 ?L/PA/L 27 /2077 [Pt.] dated 29109/2023

fi. canva$ingin ywaywill d .onsiderc,l for thc posl

irr"\.----/
. 30\ |

Additionrl conmiBsionerof Police (Il),

fil'e chai' man, Re(uitnrcni Comn'ifrce

for Porke Drivei (cdnnduaryDrivd dr cotn.tuarbash.)
 Application for the post of ‘POLICE DRIVER(contractual)/DRIVER’on contractual basis in Kolkata Police.

To,
The Chairman, Space for pasting
Recruitment Committee Self attested
for Police Driver (contractual)/Driver on Contractual basis, recent passport
18, Lalbazar Street, Kolkata-700001 size Photograph
(4.5cm x 3.5cm)

1. Name in Full:
(leave a blank box between
two parts of name)

2. Father’s Name:
(leave a blank box between two
parts of name)

3. Address: Vill/Street:
P.O:
P.S:
Dist:
State :
Pin:
Mobile No:

4. Date of Birth (in dd/mm/yyyy format) : / /

5. Educational Qualification:-

6. Age as on 01.09.2023

7. Technical Qualification: (a). Type of Driving License (b). License No. (b) License No.

(c) Date of issue (d) valid till

(e) License issuing Authority

8. Aadhar No. :

9. Sex :

10. Religion :

11. Experience: (a). Name of the organization

(b) Working from: To :

12. Whether any criminal case is initiated: Yes No

If yes, please furnish the details:

I do hereby declare that the above particulars are true to the best of my knowledge and belief.

Date :-
Place :- (Signature of the applicant)
Note:

 Application form must be filled up in capital letters.

 Self attested copies of supporting documents against the SL No. 3,4,6 & 8 must be attached with the application form.
 Application must be submitted within the due date and time mentioned in Employment Notice.