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Application Form , Job Updates & News(Bangla)

This document is an application form for the engagement of a Halt Agent at a specified Halt Station in the Eastern Railway, Sealdah Division. It requires personal information such as name, age, educational qualifications, and medical fitness certification. The applicant must also declare the truthfulness of the provided information and sign the declaration.

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Atashi Mandal
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14 views

Application Form , Job Updates & News(Bangla)

This document is an application form for the engagement of a Halt Agent at a specified Halt Station in the Eastern Railway, Sealdah Division. It requires personal information such as name, age, educational qualifications, and medical fitness certification. The applicant must also declare the truthfulness of the provided information and sign the declaration.

Uploaded by

Atashi Mandal
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 OF APPLICATION FOR ENGAGEMENT OF HALT AGENT AT ____________________

HALT STATION IN EASTERN RAILWAY, SEALDAH DIVISION

1. Name of Applicant (in Capital):

2. Father’s name : Photograph duly


self attested
3. Age, Date of Birth :

4. Educational Qualifications :

5. Permanent Residential Address:

6. Telephone Number (if any) :

7. Whether certificate by Registered Medical


Practitioner showing “fit for active service
and free from any communicable diseases”
submitted or not: (Yes/No) : ………………….…………

8 Whether the applicant is having contract


for any other Halt station. (Yes/No) : ....................................

__________________________
Date: Signature of the applicant

D E C L A R A T I ON

I,……………………………………………son/daughter of …………………..… do

hereby declare that the above information furnished by me is true and I have

not suppressed any fact. If the declaration furnished by me proves false, the

application will be treated as cancelled.

....................................
Signature of the applicant

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