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Format of Application

This document is an application form for the post of Accounts Assistant in KMDA. It requests information such as the applicant's name, address, father's name, date of birth, age, caste category, qualifications, experience as an accounts clerk, knowledge of computers, and details of application fees. The applicant must declare that the information provided is true and agrees that any false declarations could result in cancellation of their candidature at any stage of the selection process.

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Abhishek Mukherjee
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73 views2 pages

Format of Application

This document is an application form for the post of Accounts Assistant in KMDA. It requests information such as the applicant's name, address, father's name, date of birth, age, caste category, qualifications, experience as an accounts clerk, knowledge of computers, and details of application fees. The applicant must declare that the information provided is true and agrees that any false declarations could result in cancellation of their candidature at any stage of the selection process.

Uploaded by

Abhishek Mukherjee
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application No.

_____________________ (For Official Use) APPLICATION FOR APPOINTMENT TO THE POST OF ACCOUNTS ASSISTANT IN KMDA

Name

Address :

Paste self-attested recent colour photograph of size 4.5 cm X 3.5 cm (Dont staple)

[ Name and address to be filled in capital letters, one letter in each box. Leave one box in between name, middle name, surname, house no. and street / road] 3. 4. 5. 6. Fathers Name: (In capital letters) ____________________________________________________________ e mail address: ____________________________________________________________________ Contact number: _____________________ (Land line), ____________________________ (mobile) Date of Birth: D D M M Y Y Y Y (Attach duly attested copy of age proof certificate)

7. 8.

Age on 01.01.2012: Caste Category:

Years

Months (Please in the correct box) OBC - B

(Attach duly attested copy of relevant Caste Certificate) Gen. SC ST OBC - A

9. 10. 11.

If under EC (Exempted Category): If PWD (Person With Disability):

Yes / No (Attach duly attested copy of certificate issued by Competent Authority) Yes / No (Attach duly attested copy of certificate issued by Competent Authority)

Qualification (Give particulars of the examinations passed commencing from Madhyamik or equivalent examination. Attach duly attested copy of certificates): Board / University Year of Passing Class / Division / Grade Percentage of Marks / Grade Obtained

Examination Passed

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12.

Experience as Accounts Clerk for i) ii) iii) iv)

Years in

(Please specify)

Bank Govt. Office Commercial Firm Company, registered under Companies Act

(Please attach self -attested copy of relevant document) 13. Knowledge in Computer as desirable qualification, if any : ________________________________________________________________ ________________________________________[ attach duly attested certificate]

14.

Details of Fees submitted: (i) (iii) (v) DD / Pay Order No.: Issuing Bank: Amount: Rs. __________________________ __________________________ __________________________ (ii) (iv) Date: _________________

Branch: ___________________

I do hereby declare that all the information stated in this application form are true. In case any of my declarations made and documents attached hereto is found to be not true and if I fail to produce relevant documents in support of the eligibility criteria, my candidature is liable to be cancelled by the appropriate authority at any stage of the selection / recruitment process. Date: Place: ... ... Full Signature of the Candidate

N.B. Two photocopies of the filled in application form and two photographs should be kept ready which may be required during written examination and interview, if eligible.

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