APPLICATION
FORM FOR LIMITED DEPARTMENTAL COMPETITIVE EXAMINATION FOR PROMOTION TO THE
CADRE OF INSPECTOR POSTS
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PHOTOGRAPH
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1
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Name of the applicant
(IN BLOCK LETTERS)
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2
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Community (UR/SC/ST)
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3
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Designation
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4
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Name of the office in which working
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5
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Name of the Division/Unit
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6
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Name of the Region/Circle
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7
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Date of Birth
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8
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Age in years as on 01.07.2015
in (YY MM DD)
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9
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Date of entry in the Department
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10
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Length of service as on 01.07.2015 in (YY
MM DD)
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11
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Date of joining in LSG cadre in case of
LSG applicants
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12
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Whether ‘APS’ candidate or ‘Non APS’
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13
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Number of chance being availed
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14
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Language in which the applicant wishes to
take the exam (English/Hindi)
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I
________________________________________________hereby declare that the
particulars filled by me in the form are true to the best of my knowledge and
belief.
Date:
(Signature of the applicant)
Place:
i)
Certified that I have
verified all the entries above with reference to the service book of the
official and found correct.
ii)
I recommend/do not
recommend the application for the following reasons.
Signature
of Divisional Head/
Controlling
authority with designation
Date:
Place:
