Application Form For A Certificate For Eligibility Page 2
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(A) Constructional Post
( I ) Designation
(B) Government Service
(i) Service (Central/State)
(ii) Designation
(iii)
Scale of pay including
Classification, if any,
(iv)
Date of appointment to
the post
(v)
Age at the time of promotion
To class I post ( if applicable)
II.
Employment in International
Organization e.g. UN
UNICEP, WHO
(i)
Name of the organization
(ii)
Designation of Services
(iii)
Periods of Services
(Indicate date from .____________________to _________________ )
III. Death / Permanent Incapacitation (Omit if not applicable)
(i)
Date of Death /permanent
Incapacitation putting an officer out of services
(ii)
Details of permanent incapacitation.
(C) Employment in public Sector Undertaking etc.
(i)
Name of the Organization
(ii)
Designation
(iii)
Date of Appointment to the post
( D ) Armed forces including pare-military Forces
(This will not include person holding civil post)
(i)
Designation
(ii)
Scale of pay
( E ) Professional Class (other than these covered in item Nos B & C ) and those
engaged in trade, Business and Industry
(i)
Occupation / Profession
( F ) Property owner
(A)
I. Agricultural Land Holding: owned by mother
Father & minor, Children
(i)
Location
(ii)
Size of Holding
(iii)
(a) Irrigated
(Type of Irrigated land )
(i)
(ii)
(iii)
(b)
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