Directorate General Central Industrial Security Force ( Ministry of ...

Roll No. _______________ (to be filled by the application receiving authority)
FORM APPLICATION FOR RECRUITMENT OF EX-SERVICEMEN IN CISF
POST APPLIED FOR : ___________________ Trade ___________________(for Followers only)
1. Name (in Block letters) : ________________________
2. Father’s Name : ________________________
3. Nationality : ________________________
4. Religion
5. Date of Birth
6. Category (SC/ST/OBC/GEN)
7. Whether Hillman/ Tribesman
8. State to which the candidate
belongs
: ________________________
: ________________________
: ________________________
: ________________________
: ________________________
9. Educational Qualification : Civil ________________
10. Army No.
11. Rank
12. Trade
13. Date of Joining Army/ Navy/Air
Force
14. Date of discharge from
Army/Navy/Air Force
Army ________________
: ________________________
: ________________________
: ________________________
: ________________________
: ________________________
15. Last Unit served : ________________________
16. Character at the time Discharge
17. Medical category at the time of
discharge
18. Visible identification mark
19. Address for communication :
20. Permanent Address :
: ________________________
: ________________________
: ________________________
House No. ___________
Vill/Ward ____________
P.S. ____________
State ____________
House No. ___________
Vill/Ward ____________
P.S. ____________
State ____________
Appendix ‘A’
Affix your recent
passport size self
attested photograph
Post _____________
Dist _____________
Pin Code _____________
Post _____________
Dist _____________
Pin Code _____________
Contd…..P/2