Application Form
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4CONTRACTUAL APPOINTMENT OF CHIEF CUSTOMER SERVICE OFFICER (Post Code-02)
APPLICATION FORM
(FILL THE FORM IN CAPITAL LETTERS ONLY)
For Official Use
Date of receiving application
Remarks:
Paste your self-
:_______________
attested recent
passport size
Whether found eligible: Yes/ No
photograph
TO BE FILLED BY CANDIDATE
I.
Personal Details
Name
Father’s
Name/
Husband’s Name
Mother’s Name
Nationality
Date of Birth
Age as on 31.12.2015
(Enclose
copy
of
Certificate)
Gender
Marital Status
Caste
Category
Caste / Community (If
(SC/ST/OBC/GEN)
SC/ST/OBC)
Whether
Ex-
YES / NO
Period of service as an
Servicemen
Ex-serviceman (Enclose
copy
of
Discharge
Booklet)
Have you joined a
Whether
Physically
YES / NO
Govt. job on the civil
Challenged
side after availing of
the benefits given as
an ex-serviceman
PWD Type
OH/ VI/ HI
% of disability
Whether you belong
Religion to which you
to Religious Minority
belong
Community
II.
Contact Details
Address for Correspondence
Permanent Address
Address
Tel. No.
Mobile No.
E-mail
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