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SAINIK SCHOOL BHUBANESWAR APPLICATION FOR THE POST OF GENERAL EMPLOYEE (GE) 4. Name of Applicant (in CAPITAL Letter) = eassscseee Recent 2 Father's/Husband’s Name: ....-csssssrereseseesensnee . Photograph Dp Tw >wTy~y yy 3. (a) Date of Birth: (©) Age as on 14 Dec 2019 Years Months Days a 5. Marital Status: 6 Nationality: 7. Religion: 8. Category (GEN / SC / ST / OBC / Ex-Serviceman). (Please attached relevant Documents) 9. AadharNo. | | | | | | 10. Present Address. Mob No: Email id 11. Permanent Address 12, Educational Qualification: class | Medium of |_Sublect studied | year of Name ot schoo | 289 | ai isg instruction Completion | College/Universi ain Main | _Ancitary | “PI ss "Y | supject 10° Matriculation 10+2 Graduation Any Other Contd... P2 13.__ Experience / Present Occupation: Maret | Honectinstaton and | Appoiiment | —-——Petodetsarice | | titans | Salary rw " eee | HET ty | way | ery | OMEN | Cee | (ne Proficiency in Co-currcular Activities Teno! . Games! Level played 1 SNo) co-curricular ;chool/Zonal/Regional College University state, Lseiiimaad 18. Hobbies: 16. Application fee (Demand Draft issued by a nationalized bank only) in favour of Principal, Sainik School Bhubaneswar payable at Bhubaneswar. Note: Candidate should write their Name, Post applied on the reverse side of Demand Draft DD No and Date: Drawn on: .. Amount: “400/- (°200/- for SC/ST) 17. anit ether relevant information / specialisation if any (Electrician, Masonry. Carpentry, Driving Gardening, Cooking, Messenger, Security, Watch & ward duties, Safaiwala, etc) = DECLARATION | hereby solemnly dectare that the above information is correct to the best of my knowledge and nothing has been concealed and distorted. If at any time, | am found to have concealed any material information; my appointment shall be liable to be summarily rejected. Place: Signature of Candidate Date:

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