Department of Tourism, Government of Goa, Panaji-Goa Tel: 0832 2494200/209 Fax: 0832 2494227 E-Mail: Web: Application Form
Department of Tourism, Government of Goa, Panaji-Goa Tel: 0832 2494200/209 Fax: 0832 2494227 E-Mail: Web: Application Form
Department of Tourism, Government of Goa, Panaji-Goa Tel: 0832 2494200/209 Fax: 0832 2494227 E-Mail: Web: Application Form
FULL NAME
(In Capital)
Address
Contact No.
Sex
Nationality
Educational
Qualification
Valid Employment
Registration No.
Category
:
15 yrs. Valid
residential
Certificate
Language Known
Experience if any
Date of
Birth:
Gen
Age:-
SC
ST
OBC
Phy.
Handicapped
ExServiceman
CFF
(i)
(ii)
(iii)
(iv)
(v)
Declaration
I hereby declare that I have read and fully understood the instructions and guidelines contained in the
Notification issued by the Department concerned, in respect of the advertisement and the scheme
for recruitment to the post applied for.
I further declare that all the statements made in this application form are true and correct to the best of
my knowledge and belief.
I further declare that all the copies of the documents/certificates attached to this application form in
support of my application to the post applied for, are true copies of the original
documents/certificates and the same are not false or fabricated.
I understand that in the event of any information furnished or certificates attached by me, are found to
be false or incorrect, my candidature for the post applied for is liable to be cancelled/rejected even
after selection.
I understand that I shall be held liable and for the consequences thereon, for any false declaration
made or false certificates attached.
Enclose Self certified certificates copies and tick mark () against the same whichever submitted.
1.
Birth Certificate
2.
3.
4.
Educational Certificates
5.
6.
Cast certificate
7.
Experience, if any