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GOVERNMENT OF JAMMU & KASHMIR

STATE LEGAL SERVICES AUTHORITY


OLD SECTT.SRINAGAR
1. Application for the post of_________________________________________
2. ADVERTISEMENT NOTICE NO_______________________________________
3. NAME Of the applicant (in Block letter)_______________________________
4. Fathers Name (in Block letter) ______________________________________________
5. Permanent Adress__________________________________Tehsil__________________
Distirct__________________________________Pincode_________________________
6. Address for correspondence____________________________________________________
Tehsil________________Disrict_____________________pincode_________________
7. Date of Birth _____________________________
8. Category___________________________________________________________________
General S.c S.T L.A.C R.B.A SOCIAL P.H.C EX-SERVICEMAN
CASTE

9. Are you already in Govt.service/KVIB (If yes, indicate name of the Department with length of
service as such
10. Educational Qualification (Attach Attested copies)
S:NO EXAMINATION YEAR BOARD/UNIVERSI SUBJECT MARKS PERCENTAGE
TY OBTAINED

11. Experience. i__________________________ ii________________________________________


12 Bank draft no___________________Dated__________________for an amount of Rs_____________
Name of the Bank___________________________________payable_______________________
Bank branch___________________________________________

Signature of the Applicant


Declaration by the candidate:-
I here declare that:-
V.The information furnished in this application form is true and correct to the best of my knowledge and belief. I
further declare that has been concealed
vi.There is no willful miss-representation of facts and concealment of information and if it is proved so, the
board may cancel my candidature and I shall be liable for action as warranted under rules including debarring
me either permanently or for a specified period of applying for the posts advertised by it.
Vii.I have never been arrested, prosecuted or convicted in any criminal case
Viii.I fulfills all the requisite qualification prescribed for the post.
Signature of the Applicant