FORM – I

CHARACTER AND ANTECEDENT CERTIFICATE

Certified that Shri / Smt. / Kumari …………………………

………………………………………………………………………………….............

…………………………………………………………… son / wife / daughter of

……………………… …………….. …………. who is known to me for the last

…..………………years, possess good moral character and has no

antecedents which should render him/her unsuitable for Government

employment.

Certified that Shri / Smt. / Kumari ……………………………… ….…….is not related to me.

Signature

Name in Block letters Place:

Designation and Seal Office Telephone No.

INSTRUCTIONS

1. To be signed or countersigned by a Gazetted Officer of the Government of India or a State Government or magistrate 1st Class or a Member of the Parliament or State Legislature.

2. Signatory's designation may also be given in block letters. 3. Period, for which the vouching officer should have known the

candidates, should be at least one Year. 4. The certificate should be of recent data.