Directorate General Central Industrial Security Force ( Ministry of ...
Directorate General Central Industrial Security Force ( Ministry of ...
Directorate General Central Industrial Security Force ( Ministry of ...
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QUESTIONNAIRE FORM<br />
1. Have you ever been convicted by any court <strong>of</strong> law or any other judicial<br />
Institution?<br />
2. Is there any case pending against you in any court <strong>of</strong> law?<br />
3. Has any FIR been lodged against you?<br />
4. Have you ever been dismissed from any service under the <strong>Central</strong> or State<br />
Govt.?<br />
5. Have your services ever been terminated while on probation?<br />
Appendix – ‘B’<br />
YES/NO<br />
YES/NO<br />
YES/NO<br />
YES/NO<br />
YES/NO<br />
If the answer to any <strong>of</strong> the above is YES then please provide complete details on a<br />
separate sheet.<br />
UNDERTAKING<br />
I _______________________________ declare that the above information is true to the best<br />
<strong>of</strong> my knowledge and belief. I understand that in case the information is found to be false or<br />
incorrect my candidature is liable to be cancelled apart from any departmental or legal<br />
proceedings that may be initiated against me.<br />
Signature <strong>of</strong> the Candidate<br />
Name ______________________<br />
Place : ____________ Fathers Name ______________________<br />
Dated : ____________ Address _____________________<br />
_____________________<br />
_____________________<br />
_____________________