For College Use Only

Application No

Roll No

Class

Semester

Roll #

Candidate's Name

1. Father's Name

2. Occupation

3. Postal Address

4. Email

5. Domicile

6. Marital Status

7. Gender

8. National Identity Card No

9. Religion

10. Date of Birth

Academic Record

Matric/S.S.C

1. Institution

2. Subjects

3. Marks Obtained

4. Total Marks

Intermidiate

1. Institution

2. Subjects

3. Marks Obtained

4. Total Marks

Graduation

1. Institution

2. Subjects

3. Marks Obtained

4. Total Marks

Masters

1. Institution

2. Subjects

3. Marks Obtained

4. Total Marks

Name:

Class:

Semester:

College Roll#:

Test Roll#:

University Coordinator Signature & Stamp

12. Please (✓) Tick 'Yes' or 'No' against the certificate and other documents which you have attached with this application.

National Identity Card

Matriculation

Intermediate

Graduation

B.Ed.

LL.B/LL.M

MA/MSC/M.Ed

M.Phil./Ph.D/Equivalent

F.C.P.S/Equivalent

Research Paper(s)

One Attested Photograph

Domicile Certificate

Experience/Service Certificate(s)

In Case of Govt Service, Departmental Permission Certificate

In case of Disabled Person, Registration and Medical Certificates

If applying on the basis of equivalent qualification, Certificate of equivalence

Certificate of equivalence In case of Overage/Underage, Age Relaxtion Order (in orignal)

If last service was terminated for want of vacancy, Certificate of such service In case of Ex-Serviceman

Discharge Certificate Certificate of Registeration with PMDC/PEC/PCAT/PBC Medical Certificate of Physical standerd

if prescribed Certificate of Practice as Lawyer

if prescribed Certificate of service as Barrister/Advocate/Member of establishment of Courts

Affidavit declaring actively participating in the Profession of Law (if prescribed)

13. I DO HEREBY SOLEMNLY DECLARE THAT THE REPLIES GIVEN BY ME IN THIS APPLICATION FORM ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, I FULLY UNDERSTAND THAT THE FACTS GIVEN ABOVE WILL SERVE AS THE BASIS FOR DETERMINATION OF MY ELIGBILITY BY THE COMMISION AND MY CANDIDATURE SO DETERMINED BY THE COMMISSION WILL STAND PROVISIONAL UNTILL, IT IS VERIFIED WITH THE ORIGINAL, CERTIFICATES AT THE TIME OF INTERVIEW I WILL NOT CLAIM BENEFIT OF ANY INFORMATION WHICH IS NOT MENTIONED IN THE APPLICATION FORM AND IS PRODUCED AFTER THE CLOSING DATE FOR SUBMISSION OF APPLICATIONS

14. I ALSO UNDERSTAND THAT IF AFTER THE CLOSING DATE FOR SUBMISSION OF APPLICATIONS MY APPUCATION IS FOUND INCOMPLETE. WRONGLY FILLED IN UNSIGNED OR NOT ACCOMPANIED BY TREASURY RECEPT/BANK CHALLAN IN ORIGINAL AND ATTESTED COPIES OF OTHER REQUESTIE DOCUMENTS, IT WILL BE LAIABLE TO REJECTION, AND THAT IF ANY FACT IS CONCEALED OR MIS-STATED IN THE ABOVE REPLIES. DISCIPLINARY ACTION SHALL BE TAKEN UNDER THE RULES.

15.I ALSO UNDERSTAND THAT MY RECOMMENDATION FOR SELECTION COULD BE WITHDRAWN BY THE COMMISSION AT ANY STAGE IN MY SERVICE I AM FOUND INELIGIBLE FOR THIS POST.

Date

CANDIDATE SIGNATURE

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