Notification Dated 30.7.2010. GOVERNMENT OF TAMIL NADU ...

FORM OF APPLICATION FOR THE POST OF ASSISTANT DIRECTOR OFEX-SERVICEMEN'S WELFARENote: 1. The Application should be sent by post to reach the followingaddress before the last date and timeFrom2. The envelope should be superscribed "APPLICATION FOR THEPOST OF ASSISTANT DIRECTOR OF EX-SERVICEMEN'SWELFARE:".3. The Department is not liable for postal delays4. Applications received after the last date and time will besummarily rejected.ToThe Director of Ex-servicemen's Welfare,No.22, Raja Muthiah Salai,Chennai - 600 003.Sir,Sub:Ref:Application for the post of Assistant Director of Exservicemen'sWelfare in the Department of Exservicemen'sWelfare.Your Advertisement No.dated. . .I hereby apply for the post of Assistant Director of Ex-servicemen'sWelfare in the Department of Ex-servicemen's Welfare, Government of TamilNadu. I furnish the following details:-

27. Details of Gallantry/Non-Gallantry Awards.Name of Award Year Category Serving Unit atthe time ofAward28. OPERATIONS / AID TO CIVIL POWEROPs Name From To29. Period of Field Service :30. Period of Peace Area Service :31. Pension Details(a) Service Pension :(b) Disability Pension :32. COURSES ATTENDED AND GRADINGCourse Name Institute Grading33. Details of marital status (to be left blank where not applicable):-(a)Whether single/married/widower/divorcees, If married specify:-Date ofMarriagePlace ofMarriageUnderwhatrites/lawTo whomNationalityof spousebeforemarriageAuthority(b) Details of Family MembersSl.No. Name Relationship Age andDate of BirthOccupation

For Serving personnel onlyPROFORMA IForm of certificate for Serving personnelI hereby certify that, according to the information available with meNo.------------------------------Rank ---------------Name -----------------------------------------is due to complete the specified term of his engagement with the Armed Forceson the Date --------------------Place:Date:Signature of Commanding OfficerOffice Seal.

PROFORMA IIFor Serving Personnel onlyUndertaking to be given by the candidate“ I understand that, if selected on the basis of the recruitment/examination towhich this application relates, my appointment will be subject to my producingdocumentary evidence to the satisfaction of the appointment authority that I havebeen duly released/retired/discharged from the Armed Forces and that I amentitle to the benefits admissible to Ex-Servicemen in terms of the Ex-servicemen(Re- employment in terms of the Ex-Servicemen) (Re – Employment in CentralCivil Services and Posts) Rules, 1979, as amended from time to time.Place:Signature of Candidate.