8/16/2019 HP Patwari Application Form and Admit Card

http://slidepdf.com/reader/full/hp-patwari-application-form-and-admit-card 1/2

-  

APPLICATION FORM FOR

TH

ACCEPTANCE OF PATWARI CANDIDATES

1. Name   the Distt. to which applied _

2. Name of the Candidate _

  In Block letters)

3. Father s Name

 

4. Date

 

Birth _

Affix recent

passport size

photograph duly

attested by a

Gazetted officer

  orrespondence Address

House No/Vill age

Post

Office/Tehsil/Sub-

Tehsil/

 

istrict

State

Pin Code

Contact Number

6 Permanent Address

House No/Village

Post Office/Tehsil/Sub-Tehsil _

District

State

Pin Code

7. Category to which belong, _

8. Educational Qualification

9. Any other qualification /experience _

10. Fee Rs. Demand Draft No. Date

 

II . Whether registered in any employment exchange Yes/ No

12. If Yes, Registration No. and name of the employment exchange _

13. I hereby declare:-

  a)   hat I am not involved in any criminal case and no criminal proceedings are contemplat

against me in any court   law.

  b) That the above particulars mentioned in the application are correct and true to the best   m

knowledge and belief . If particulars mentioned by me are found false at any stage . then

shall be liable to be terminated without any notice.

Dated :-

2016. .

  Signature

 

the applicant)

8/16/2019 HP Patwari Application Form and Admit Card

http://slidepdf.com/reader/full/hp-patwari-application-form-and-admit-card 2/2

ADMIT CARD  

1. Name   Candidate . _

filled

by

the Candidate

S/o O/o

To be filled by the Candidate

3. Roll No.-.:-.

..:..

_

Examination Centre 

:

  _

4. Date of Examination

Tim  .,-- _

 To be Affix recent

passport size

photograph duly

attested by a

Gazetted officer

Signature

 

Candidate

 

Signature of Issuing Authority