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Application Form (Intake) - Special Recruitment Drive For Persons With Disabilities, India Page 4

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CHECK LIST FOR THE CANDIDATES (TO BE ATTACHED WITH THE APPLICATION)

(Put X in the Boxes applicable)

1. Copy of application completed and attached

2. Self attested Photograph affixed on the applications

3. Application signed

4. A self attested copy of each of the following certificates is

attached :-

a. Proof of Date of birth

b. Caste certificate

c. PWD Certificate

c. Educational & professional qualifications

(Mark list/Board/Degree Certificate - 10

Std. onwards)

d. Domicile certificate if domiciled in Kashmir Division of

the State of Jammu & Kashmir (if applicable)

e. Relevant document if a family member of those who died

in 1984 riots (if applicable)

f. Discharge certificate from Defence Service (if applicable)

g. Forwarding letter if employed in Central Govt. / State Govt. /

PSU (if applicable)

h. Check list attached

Signature:-------------------------------

Place : __________

Date : ___________

Name : ______________________

Application Form (Intake) - Special Recruitment Drive For Persons With Disabilities, India Page 4