| Form 3 |
Application
form for the registration for better employment
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1.
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Name in full with Designation and
address |
: |
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2.
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Name of the Establishment |
: |
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3.
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Date of entry in to Govt. service |
: |
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4.
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Present Pay Scale |
: |
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5.
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Fathers Name |
: |
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6.
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Date of Birth |
: |
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7.
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Religion |
: |
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8.
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Whether SC/ST |
: |
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9.
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Reason for better Employment |
: |
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10.
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Educational Qualification |
: |
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I certify that the information mentioned in this
form are correct and true.
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Place |
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Date |
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Signature of Applicant |