Proforma Post Applied For: - PP
Proforma Post Applied For: - PP
Proforma Post Applied For: - PP
PP
Photo
Name:
Date of Birth:
Date of retirement under Central/State Government rules
Educational Qualifications
Whether educational qualifications required for the post is satisfied. If any qualification has been
treated as equivalent to the one prescribed in the rules, state the authority for the same.
Qualification/Experience
required
Qualification/Experience possessed
by the Officer
Please state clearly whether in the light of entires made by you above, you meet the requirements
of the post.
Details of Employment in choronological order. Enclose a separate sheet duly authenticated by
your signature if the space below insufficient.
Office/Instt./
Orgn.
8.
9.
10.
11.
12.
13.
14.
15.
Date:
Post held
From
To
It is certified that particulasrs furnished are correct and no disciplinary case is either pending or
contemplated against the officer and no penalty major or minor, was imposed on the officer during the
last 10 years and his integrity is beyond doubt.
Signature of the Head of Department (With Stamp)