APPLICATION FORM FOR ENROLMENT AS TRAFFIC WARDEN IN KOLKATA POLICE TRAFFIC WARDENS ORGANIZATION - - - - - - - - - - - - - - - - - - -

To The Deputy Commissioner of Police Traffic Department, 18, Lalbazar Street, Kolkata 700 001 Dear Sir,

Affix passport size photograph duly signed by the candidate

I am submitting my resume for your kind consideration to enroll myself as a Traffic Warden. 1) Name of the applicant, in full (in Block letters) 2) Fathers Name, in full (in Block letters) 3) a) Date of Birth b) Age as on 1st January (Proof of age to be attached within 25 50 years as per regulation) 4) Address (mentioning PO & PS) a) Residence : : : : :

a) Office

5) Telephone numbers a) Residence b) Office c) Mobile 6) Educational Qualifications (Must be Graduate or above & proof of Educational Qualification to be attached)

: : : :

Contd.P/2, Page - 2 7) Occupation/Profession :

8) 9)

Languages known Particulars of vehicle owned (if any)

: : :

10 Other Qualifications and ) extra curricular activities/hobbies 11 Whether convicted by any ) Court of Law (yes/no) 12 Whether fit to undertake P.T., ) Parade and other strenuous duty. (Medical certificate to be attached) 13 PAN Card Number ) (Xerox copy to be attached)

: :

I do hereby declare that the above particulars are true and best of my knowledge and belief. Thanking you, Yours sincerely,

Dated :

Signature of the applicant

Enclosure (i) (ii) (iii) (iv) (v) (vi) (vii) Proof of Age. Proof of Educational Qualification. Medical Certificate from any Registered Medical Practitioner. Proof of occupation/profession Proof of vehicles PAN Card Xerox (if any) No Objection Certificate from his/her employer

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