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OFFICE OF THE PRINCIPAL JUDGE, FAMILY COURT:::NALBARI
APPLICATION FORM
1. Full Name (BLOCK LETTERS):
2. Father’s Name in full (BLOCK LETTERS):
3. Mother’s Name in full (BLOCK LETTERS):
4. Gender (Male/ Female/ Others):
5. Date of Birth (In DD-MM-YYYY format):
6. Age on 1st January 2020:
7. Nationality:
8. Marital Status:
9. Category (attach supporting documents if applicable):
10. PWD (Please Tick appropriate box)
11. A) Present Address: B) Permanent Address:
Years Months Days
OH HI
VI Others specify
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State…………………………..……PIN……..……
Contact No:……………………………………….
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State…………………………..……PIN……..…….
Contact No:…………………………………………
APPLICATION FOR THE POST OF:
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Paste here a copy of
your recent passport
size photograph and Put your signature in
the box bellow
12. e-Mail Id: ………………………………………………………………………………………………
13. Academic/Professional Qualification/Training Courses etc. From HSLC onwards: (Attach Supporting Documents)
Sl. No
Name of Exam
Division/Grade/Class
Year of
Passing
University/ Board
1
2
3
4
5
6
7
8
14. Employment/Experience: (Particulars of all previous and present employment/ experience relevant to advertisement are to be furnished)
Sl. No.
Name and address of
the employer
Post Held
Nature of Work/ Duty
Period
From To
1
2
3
4
5
6
7
8
15. Details of Enclosures (Write serial numbers on enclosures):-
Enclosure Details Number of Sheet
Academic Enclosures
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
ACR/ Service Book etc
1.
2.
3.
4.
5.
Other Enclosures
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
DECLARATION
I hereby declare that all the statements made in this application are true and
complete to the best of my knowledge and belief.
Place : _____________
Date : ______________ Full Signature of the Candidate
