xure-II
_________________________________
7. Whether educational qualifications and other qualifications required for the post are satisfied:-
8. Please state clearly whether in the light of entries made by you above, you meet the requirement of the post:
9. Details of employment, in chronological order. Enclose a separate sheet, duly authenticated by your signature,
if the space below is insufficient
Office/Instt/ Post Held From To Scale of Pay & Nature of duties
Orgn. Present Pay
.2
-2-
10. In case the present employment is held on deputation/contract basis, please state
(a) The date of appointment ____________________________________
(b) Period of appointment ____________________________________
(c) Name of the parent office/organization to which you belong- ____________________________________
11. Additional information, if any which you would like to mention in support of your suitability for the post.
Enclose a separate sheet, if the space is insufficient
Date
Service particulars given by the applicant are verified with reference to service records and found to be
correct.
(i) It is certified that no vigilance case is either pending or being contemplated against the officer.
(ii) it is certified that no major/minor penalty has been imposed on the officer during the last 10
years,
(iii) It is certified that the integrity of the officer is beyond doubt.
Signature with seal of the Competent Authority and address for communication.