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Candidate Application Form

1. Name in full (in Block capitals) with aliases, if any.*

6. Present Residential address *


7. Permanent Address with police station limits *


7a. If any previous addresses



9. Whether applicant is applying from abroad

Details of person authorised to collect certificate on behalf of applicant

NOTE: (Please upload only png,jpeg,jpg files)
NOTE: (Please upload only png,jpeg,jpg files)
NOTE: (Please upload only png,jpeg,jpg files)
NOTE: (Please upload only png,jpeg,jpg files)

10. Applicant's Passport Information*


11. References*


12. More Details

a) Have you ever been arrested/convicted in a court of law?

b) Have you ever detained under any state/central preventive detention laws for any offence?

c) Whether such conviction was sustained in the court of appeal or set aside by the appellate court if appealed against

d) If any answer is YES the full particulars of the arrests, convictions, sentences and detention should be given.


13. A declaration should be signed by the candidate

I hereby declare that the information furnished in this form is true to the best of my knowledge and belief

(acknowledgement will be sent to this email address)
(Sign the signature on the white paper, scan and upload)
NOTE: (Please upload only png,jpeg,jpg files)

Attachments

NOTE: (Please upload only png,jpeg,jpg files)
(Scan and upload Copy of Residence Proof Affidavit)
NOTE: (Please upload only png,jpeg,jpg files)
(Scan and upload Copy of Education certificate)
NOTE: (Please upload only png,jpeg,jpg files)
(Scan and upload Copy of Identity)
NOTE: (Please upload only png,jpeg,jpg files)
(Scan and upload Copy of Residence Proof)
NOTE: (Please upload only png,jpeg,jpg files)
(Scan and upload Copy of Passport)
NOTE: (Please upload only png,jpeg,jpg files)