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    Appendix-I Application Form Officers Training Academy, Gaya (Bihar) - 823005

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    Saii
    This document contains an application form for the post of officers training academy in Gaya, Bihar. The form requests information such as the applicant's name, father's name, date of birth, address, education qualifications, experience, employment details, and includes declarations and undertakings that must be signed. Supporting documents such as photographs, attested copies of certificates and thumb impressions must also be provided with the completed form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Appendix-I Application Form Officers Training Academy, Gaya (Bihar) - 823005

    Uploaded by

    Saii
    48 views4 pages
    This document contains an application form for the post of officers training academy in Gaya, Bihar. The form requests information such as the applicant's name, father's name, date of birth, address, education qualifications, experience, employment details, and includes declarations and undertakings that must be signed. Supporting documents such as photographs, attested copies of certificates and thumb impressions must also be provided with the completed form.

    Original Description:

    Recruitment form

    Original Title

    officers-training-academy-gaya-recruitment-form

    Copyright

    © © All Rights Reserved

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    This document contains an application form for the post of officers training academy in Gaya, Bihar. The form requests information such as the applicant's name, father's name, date of birth, address, education qualifications, experience, employment details, and includes declarations and undertakings that must be signed. Supporting documents such as photographs, attested copies of certificates and thumb impressions must also be provided with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views4 pages

    Appendix-I Application Form Officers Training Academy, Gaya (Bihar) - 823005

    Uploaded by

    Saii
    This document contains an application form for the post of officers training academy in Gaya, Bihar. The form requests information such as the applicant's name, father's name, date of birth, address, education qualifications, experience, employment details, and includes declarations and undertakings that must be signed. Supporting documents such as photographs, attested copies of certificates and thumb impressions must also be provided with the completed form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Appendix-I

    APPLICATION FORM

    OFFICERS TRAINING ACADEMY, GAYA (BIHAR) – 823005

    Application for the post of ………………………………………………..

    Ref : Newspaper…………………………………………………Advertisement No………………………………


    Dated ………………………….
    Paste a recent
    To, passport size self
    The Commandant signed
    photograph.
    1. Full Name (in Block Letter) : ________________________________________
    (As written in SSC Certificate)

    2. Father’s/Husband Name (in Block Letters) :_______________________________

    3. Date of Birth _____________________________________________________


    (As per the School Certificate)

    4. Age as on last date of receipt of application……………….Years…………….months………….days.

    5. Write category to which you belong :………………………………………………………

    6. Nationality ___________________________________________________________________.

    7. Religion_______________________________________________________________________

    8. Address and Pin code in full for communication with nearest Railway station______________
    _____________________________________________________________________________

    9. Present Postal Address:-

    Village/Mohalla/House No _______________________________________________________

    Post Office _______________________ Tehsil _______________________________________

    Police Station ____________________ District ______________________________________

    State _________________________ PIN Code _______________________________________

    10. Permanent Address:-

    Village/Mohalla/House No _______________________________________________________

    Post Office _______________________ Tehsil _______________________________________

    Police Station ____________________ District ______________________________________

    State _________________________ PIN Code _______________________________________


    2

    11. Details of Academic/Technical & Professional Qualifications: -

    Name of the Year of Passing Name of % of marks Division Remarks


    Exam Passed Recognized obtained
    University/Board
    of Examination

    (Attested copies of certificate in support of above are to be enclosed)

    12. Experience/if any (please attach certificate)


    ______________________________________________________________________________

    13. Whether Govt Servant if yes, give details of post held,


    Pay Scale and date of entry in Govt Service___________________________________________

    14. Name of any Employment Exchange, with registration number & date _____________________

    DECLARATION

    I hereby declare that all the statement made in this application are true, complete and correct to the best of
    my knowledge and belief. In the event of any information being found false/incorrect being detected before or after
    the test/interview, my candidature will stand automatically cancelled.

    Dated: 2020 (Signature of the applicant)


    Name:

    Encl : 1. Two Self-Attested Photographs

    2. Attested copies of certificate (_____________) Sheets.

    Left Thumb Impression of Male candidate


    (Right thumb impression in case of female candidate)
    Declaration by OBC candidates only

    (Similar endorsement should be given in the caste certificates from the competent authority)

    “I ______________________________ Son/Daughter of Shri __________________________________ Resident


    _____________________________________________________________ District ___________ State
    ______________________ hereby declare that I belong to the ______________________________ community
    which is recognised as a backward class by the Government of India for the purpose of reservation in services as per
    orders applicable to the concerned State. It is also declared that I do not belong to persons/sections/(Creamy Layer).

    Place : (Signature of the candidate)


    (Name :
    Date :

    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Appendix-II

    FORM OF UNDERTAKING TO BE GIVEN BY CANDIDATE APPLYING FOR CIVIL POSTS UNDER


    EX-SERVICEMEN CATEGORY

    I understand that, if selected on the basis of the recruitment/examination to which this application relates,
    my appointment will be subject to my producing documentary evidence to the satisfaction of the appointing
    authority that I have been duly released/retired/discharged from the Armed Forces and that I am entitled to the
    benefits admissible to EX-Servicemen in terms of the Ex-Servicemen (Re-employment in Central Civil Services and
    Posts) Rules, 1979, as amended from time to time.

    I also understand that I shall not be eligible to be appointed to a vacancy reserved for Ex-servicemen in
    regard to the recruitment covered by this examination, if I have at any time prior to such appointment secured any
    employment on the Civil side (including Public Sector Undertaking, autonomous Bodies/Statutory Bodies,
    Nationalised Banks, etc) by availing of the concession of reservation of vacancies admissible to Ex-Servicemen.

    Place : (Signature of Candidate)

    Date :
    Appendix-III

    Gvoernment of……………
    (Name & Address of the authority issuing the certificate)

    INCOME & ASSEST CERTIFICATE TO BE PRODUCED BY ECONOMICALLY WEAKER SECTIONS

    Certificate No_______________ Date_____________

    VALID FOR THE YEAR__________________

    This is to certify that Shri/Smt/Kumari_____________________Son/daughter/wife of


    _________________permanent resident of
    ______________________village/street_________________Post Office______________
    District________________in the State/Union Territory _______________Pin Code_______ whose
    photograph is attested below belongs to Economically Weaker Sections, since the gross annual income* of
    his/her family** is below Rs 8 lakh (Rupees Eight Lakh Only) for the financial year _______. His/her family
    does not own or possess any of the following assets ***:
    I. 5 acres of agricultural land and above;
    II. Residential flat of 1000 sq.ft. and above;
    III. Residential plot of 100 sq. yards and above in notified municipalities;
    IV. Residential plot of 200 sq. yards and above in areas other than the notified
    municipalities.

    2. Shri/Smt/Kumari_________________belongs to the _________caste which is not recognized as a


    Scheduled caste, Scheduled Tribe and Other Backward Classes (Central List).

    Signature with Seal of Office______________


    Name___________________________
    Designation______________________

    Recent Passport size


    attested photograph of the
    applicant

    *Note 1 :. Income covered all sources i.e. salary, agriculture, business, profession, etc.

    ** Note 2: The term “Family” for the purpose include the person, who seeks benefit of reservation, his/her
    parents and siblings below the age of 18 years as also his/her spouse and children below the age of 18
    years.

    ***Note 3 : The property held by a “Family” in different locations or different places/cities have been clubbed
    while applying the land or property holding test to determine EWS status.

    davp 10627/11/0002/2021

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