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Adobe Scan 11 Mar 2025

The document is an undertaking form for candidates declaring their status as belonging to the Economically Weaker Section (EWS) for government service reservations in India. It requires personal details and a declaration of understanding regarding the relevant government orders. The candidate must sign the document to confirm their eligibility under the EWS criteria.

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0% found this document useful (0 votes)
23 views1 page

Adobe Scan 11 Mar 2025

The document is an undertaking form for candidates declaring their status as belonging to the Economically Weaker Section (EWS) for government service reservations in India. It requires personal details and a declaration of understanding regarding the relevant government orders. The candidate must sign the document to confirm their eligibility under the EWS criteria.

Uploaded by

vjqsb6fmbk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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l'ORIIAT OF UlfDERTAKINO TO BE FURNISHED BY EWS CANDIDATES

UNDERTAKING

"I, ••................... -~f-1~.~~ ~~-~ .. f ~.~.1~.~~~ fr............................... son/ daughter of


Shri ................ -~~~- .. ~.l.~~~!t.. '!M?J~Y. ............................... Resident of
village/town/ city...... ~f!1 ~~A~?.':': ................district ..... -~~~~~~.?.'/.············
state .."T~~ft~~.. hereby declare that I belong to the ECONOMICALLY
WltAKER SBCTION for the purpose of reservation in services under th e
Government of India as per orders contained in Department of Personnel and
Training's Office Memorandum No. 36039/1/2019-Estt (Res) dated
19/01/2019 and 31/01/2019. It is also declared that I have read and
understood the instructions mentioned in the said O.Ms and I have reason to
declare that I come under the criteria of ECONOMICALLY WEAKER
SECTION

Signature of Candidate .. - ~
Roll.No/OTR ID . .\~~~9..9.9~.~.1.o/.~·f?~'?>)
Name .. \'S~~~~!!. .. f~':):T.~~~~~:'!. ....

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