Local Candidate Certificate for Educational Institutional ... - Meeseva

Post Local □ Post Non. Documents List: -(NOTE: All Upload Documents shou. □ Application Form*. □ Ration card/EPIC card/Aadhaar Card*. □ Study Certific...

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LOCAL CANDIDATE CERTIFICATE FOR EDUCATIONAL INSTITUTIONAL PURPOSE APPLICATION FORM Applicant Details (Postal Address) Address):Aadhar Number: ____________________________________________ _________________________________________ Name of the Applicant*:: __________________________ ____________________________________ Father Name*:: _____________________________________ District*: __________________________ __ Mandal Mandal*: __________________________ Village/Ward*: __________ ____________________ Locality/Landmark: ___________________________ ______________________________ Door No: _______________ Pin code: _____________________ ______ Mobile Number*:: ____________________________ Email Id Id*:: __________________________________________________________

Permanent Address:District*:: __________________________ Mandal Mandal*: __________________________ Village/Ward*: __________ ____________________ Locality/Landmark: ___________________________ ______________________________ Door No: _______________ Pin code: _____________________ ______

Service Specific Details:Admission for Course*: __________________ Appeared for the first time for the Examination*: ___________________________ ___________________ Name of the University*: ______________________________ Examination Held in*: ________________Month ___________Month __________Year. __________Year District

Mandal

Village

Period From

Period To

Informant Details:Informant Name*: ________________________ ________________________________________ Relationship with the Applicant*:: ________________________ ___________________ Delivery Type*:  At Kiosk  Post Local  Post Non Non-Local

Documents List: - (NOTE: All Upload Documents should be in PDF Format only and the size should not exceed 3MB)  Application Form*  Ration card/EPIC card/Aadhaar Card*  Study Certificates for last 7 years of matriculation/SSC /Intermediate/Graduation Examination Examination* (* - Indicates Mandatory)

Applicant’s Signature