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LDC/MTS Application Form Template

This document is an application form for the post of Lower Division Clerk (LDC) or Multi-Tasking Staff (MTS) in Records 58 GR, Happy Valley, Shillong-7. The application requests basic personal information such as name, date of birth, age, addresses, caste, education qualifications, experience, contact details, and includes a declaration by the applicant stating that the information provided is true.

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435 views2 pages

LDC/MTS Application Form Template

This document is an application form for the post of Lower Division Clerk (LDC) or Multi-Tasking Staff (MTS) in Records 58 GR, Happy Valley, Shillong-7. The application requests basic personal information such as name, date of birth, age, addresses, caste, education qualifications, experience, contact details, and includes a declaration by the applicant stating that the information provided is true.

Uploaded by

dakch49
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Regn No.

_____________
APPLICATION FORM (For official use only)

APPLICATION FOR THE POST OF LDC/MTS (PEON) Passport size


To, photograph
OIC Records duly attested
Records 58 GR
by a Gazette
Happy Valley, Shillong-7
Officer
1. Name in full (Capital)
Surname Name Father/Husband Name

2. Date of Birth (Proof attached)


Date Month Year

3. Age as on 15 Feb 2017 _____________ Years________________ Months


4. Permanent Address _________________________________________________________
_________________________________________________________

5. Local Address _________________________________________________________


_________________________________________________________
6. Caste (CTC of cert issued by competent auth to be att) _____________________________________
7. Education Qualification (Xerox copy duly attested)

Exam Passed School/Board/ Subject Total Marks Percentag Division


University Obtained e of marks
(a) (b) (c) (d) (e) (f)

8. Experience, if any ______________________________________________________________


(Xerox copy duly attested attached)
9. Have you been convicted in criminal case : Yes/No
10. Contact No (Telephone/Mobile No.) __________________________________________________
11. Email ID ________________________________________________________________________

DECLARATION

I, hereby declare that all statements made in the application are true and correct to the best of my
knowledge and belief.

I, understand that in the event of particulars or information given hereby being found false or incorrect
my candidature for the examination is liable to be rejected or cancelled and on the event of my mis-
statement/discrepancy in the particulars being detected after my appointment my services are liable to be
terminated without notice to me.

Date : (Signature of Candidate)

Davp 10622/11/0062/1617

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