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Details - Department of Revenue, Rehabilitation and Disaster ...

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I.<br />

2.<br />

<br />

4<br />

POST APPLIED FOR ---<br />

Name in full ....................<br />

Father's Name:.<br />

Mother's Name:...............<br />

Permanent Address:<br />

*APPLICATION<br />

FORMAT<br />

(Fill in Block Letters)<br />

Affrx<br />

passport<br />

size<br />

photograph<br />

here<br />

Ph : '<br />

', ;;;;**,:<br />

6.<br />

7.<br />

L<br />

o<br />

Date <strong>of</strong> Birth:<br />

Marital Status:<br />

..........Age as on 01.01<br />

Category to which do you belong:...........,.....(GC/ SC/<br />

Sports Persons/ H<strong>and</strong>icapped)<br />

Note- Attach relevant certificates<br />

10. Nationality:<br />

-ServicemanJ<br />

12. Attach certifiete <strong>of</strong> qualifying Punjabi language.<br />

13. Previous/ Current Employment (if any)<br />

14 Educational Quaftfication, as per the selection criteria

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