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    WCD 26052021 App

    Uploaded by

    mnmmnm1181
    Djsh

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    © All Rights Reserved
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    WCD 26052021 App

    Uploaded by

    mnmmnm1181
    6 views2 pages
    Djsh

    Original Title

    wcd26052021app

    Copyright

    © © All Rights Reserved

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    Djsh

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views2 pages

    WCD 26052021 App

    Uploaded by

    mnmmnm1181
    Djsh

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    GOVERNMENT OF PUDUCHERRY

    DEPARTMENT OF WOMEN AND CHILD DEVELOPMENT


    APPLICATION FORM FOR TEMPORARY ENGAGEMENT OF THE POST OF
    ANGANWADI WORKER AND ANGANWADI HELPER
    Note:

    i) Read instructions in the Notification carefully before filling the application


    ii) To be filled in by the candidate in CAPITAL LETTERS.
    iii) Women candidates aged between 18 to 35 years may only apply.
    iv) Candidates who apply both AWW / AWH posts should apply in separate application for each post.
    v) Candidates, who apply more than one AWC, should apply in separate application for each centre.

    1. NAME OF THE POST APPLIED FOR


    :

    2. Name of the Anganwadi Centre for


    which applying : Name of the Anganwadi Centre

    3. Distance from Residence of the


    Candidate to Anganwadi Centre : ………….…………………….. KM

    4. NAME OF THE APPLICANT :


    (In CAPITAL LETTERS)

    5. FATHER’S NAME / MOTHER’S :


    NAME /HUSBAND’S NAME

    6. DATE OF BIRTH : Date Month Year


    (As per Xth Certificate)

    7. AGE AS ON 31/03/2021 : Years month

    8. RESIDENTIAL ADDRESS :

    ………………………………………………………………………………

    ………………………………………………………………………………

    PIN:

    Region: Puducherry / Karaikal / Mahe / Yanam


    ..2/-
    -2-

    9. Mobile Phone No. :

    10. Total Marks Scored in SSLC / X Std :

    DECLARATION TO BE SIGNED BY THE CANDIDATE

    I Declare that,

    I. I have read the provisions in the Notification carefully and hereby undertake to abide by
    them.
    II. I am a Resident of Union Territory of Puducherry by virtue of continuous residence for the
    last five years immediately preceding the date of Notification and I understand that any
    deviation in this regard will render my selection invalid.
    III. I hereby declare that I fulfill all the conditions of eligibility regarding age limits, Educational
    qualification, etc., prescribed in the Notification.
    IV. I have never been convicted by any court of law. I also declare that no FIR is pending against
    me.
    I hereby declare that all the statements made in this application are true, complete and correct to the best of my
    knowledge and belief. I understand that in the event of any information being found false or incorrect or
    suppressed, my candidature at any stage is liable to be cancelled. I further understand that in case, I am appointed
    in Government service on the basis of false information; my services are liable to be terminated forthwith, without
    notice.

    PLACE:

    DATE :

    SINGATURE OF THE APPLICANT

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