Letter No.*. Letter Date*. Designation*. Department*. Address*. Purpose of Certificate*. Job on compassionate grounds Pension. Ex gratia. Applicant's ...
SOLVENCY CERTIFICATE. Fields marked with (*) are mandatory. (Please paste court fee stamp here). Applicant's Details: Name*. Photograph of the person ( on whose name certificate is to be issued). (This photo is for scanning do ... Applicant's current
University of Pune Application form for Bonafide Certificate N.B. (1) Fee for each of Bonafide Certificate is Rs. 50/-. It should be paid in the Bank
Students of North Maharashtra University, Jalgaon studying in. Part - I / II / III / IV class under the Department / School of. During the year 20 - 20 . I required a bonafide certificate for the purpose of. Therefore, I hereby request to you, kindly
Retiree & Dependent ID Card Renewal Application Complete a separate application for each dependent requesting new card. Last Name: Phone Number: Completed 1172-2 online
FAA FORM 8130-6, APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Form Approved O.M.B. No. 2120-0018 12/31/2010 U.S. Department of Transportation
Download 3 Oct 2017 ... prohibited? YES. NO. 3. Will you wear your jogger's identification card at all times , whilst on the reservoir. YES. NO compound? 4. Walking on the curb wall of the dam is prohibited and I will obey the rules. YES. NO.
Download 3 Oct 2017 ... prohibited? YES. NO. 3. Will you wear your jogger's identification card at all times , whilst on the reservoir. YES. NO compound? 4. Walking on the curb wall of the dam is prohibited and I will obey the rules. YES. NO.
Miami-Dade County Local Business Tax Receipt Application Form Apply On-line at: www.miamidade.county-taxes.com/btexpress In person at: The Tax Collector’s Office
Application for Bonafide Certificate. (For Regular student). To,. Date:……………… ……….. The Principal,. RCERT,. Chandrapur. Sub: To issue Bonafide Certificate. Respected Sir, ... Dist………………………………. My date of birth is ……………… ………….. I am in need of bonafid
Income Details. Obligation / Deduction Details. Existing Loans (If Any). Bank Accounts Held. Credit Cards. Fixed Deposits. Other Current Assets (Bonds, Shares, Mutual Fund, Other Investments, Precious metals / Gold / Jewelry , Immovable Property etc)
You must… • Provide proof of your identity (e.g. passport or national identity card) at registration and every examination session. Second country nationals must
Name and Address of the organisation EMPLOYMENT HISTORY (Start from Present Employment) Total salary drawn In the Period Employment Total Period
– Department of Justice Commission on CERTIFICATE APPLICATION Peace Officer Standards and Training (POST)
Copyright 2013 Robin Mamlet and Christine VanDeVelde. All rights reserved. CollegeAdmissionBook.com 1 The Application Form
Tips for completing this form: ... Meersip pplication For faster processing, ... Membership Application PAGE 3 OF 4
職位請表 機 密 CONFIDENTIAL 此欄本院填寫 For Official Use Only 請編號 Application No. 筆詴編號 Written Test No. JOB APPLICATION FORM
HOW TO APPLY (INSTRUCTIONS TO CANDIDATES) (Detach this page while submitting the application form) 1. The Candidates should carefully go through the terms and
NIRMAN Application Form 4 5. Suppose after completing your formal education, you have the opportunity to work fulltime for 1 year on any one social problem
Dokumen Diperlukan ATAU Surat Pengesahan Majikan || bulan terkini/Penyata KWSP terkini/ | Penyata akaun bank syarikat 6 bulan | OREA Form/BE Fomm with ... telah membaca dan bersetuju dengan isi kandungan Helaian Maklumat Produk (PDS) yang diperolehi
u.s. department of homeland security u.s. coast guard cg-5585 (rev. 10-08) (water pollution) application for vessel certificate of financial responsibility approved
Page 1 of 2. Verification of Experience Form PDE 338 V ... Ending Date of Service. (month, day, year). Full-Time/. Part-Time. If Part-Time, total hours worked per week. Position Held (e.g.. Teacher, Counselor,. Supervisor, Principal, ... Upload or su
(If you have teaching experience in an Oklahoma nonpublic school or in an out-of-state school system, ... APPLICATION FOR OKLAHOMA SCHOOL CERTIFICATE
INTERNSHIP PROGRAMME APPLICATION FORM Send completed applications and supporting documents to: GDP Specialist, Talent Management, National Treasury, Private Bag X115
APPLICATION FORM (for the posts below Manager Cadre) Post applied for Advertisement No. and Date 1. Name of the Candidate ( in BLOCK LETTERS)
APPLICATION FORM DEPENDENT CERTIFICATE
(Please paste court fee stamp here)
Fields marked with (*) are mandatory
Details of Letter from the Department : Letter No.* Letter Date* Designation* Department* Address* Purpose of Certificate* Applicant’s Name* Father’s/ Husband’s Name* Gender* Mobile No* House No / Flat No * Tehsil / Sub-District* State/UT* Name of Deceased* Gender* Date of Death* Designation* Religion* House No / Flat No * Tehsil / Sub-District* State/UT* Sr. No.
Male
Job on compassionate grounds Pension Applicant’s Details : Relation With Deceased* Date of Birth* Male Female Transgender Aadhaar No E-mail* Applicant’s Address: Sector / Village* District* Pin Code* Details of the Deceased : Father’s/ Husband’s Name* Female Transgender Marital Status*
Ex gratia
Single Widowed Alive Islam
Mother’s Status* Buddhism Hinduism Jainism Christianity Others (Please Specify) Address of the Deceased: Sector / Village* Chandigarh District* Chandigarh Chandigarh Pin Code* Chandigarh Details of Dependents: Relationship Marital Name* with Age * Occupation* Status* Deceased*
Married Divorced Deceased Sikhism
Income* (per annum)
1 2 3 4 5 6 7 8 9 10 11 12 Self-Undertaking I………………………………………………………………Son/Daughter of Sh. ……………………………………………………….. aged ………… resident of ……………………………………………………………………………………………., verify that the above contents and supporting documents are correct to the best of my knowledge and belief and nothing has been concealed therein. I am aware that in case the information furnished above is found to be incorrect, I shall be liable for prosecution under Section 177 & 191 of the Indian Penal Code, which stipulates imprisonment and fine. Date : ……………………………………………
Signature : ………………………………………………………………..
Place: ……………………………………………
Name
Photograph of the person applying for the certificate with
cross signature)
: ………………………………………………………………..
*Without cross signature (half on paper and half on photograph) and signature on undertaking the application will be rejected
Check List of Requisite Document Required while Applying (Please check against the document being provided while applying) Applicant has to bring original documents for verification and scanning at Sampark 1
Application form along with Rs 2/- court fee (1.25 /-)
2
Photograph of Applicant
3
Identity Proof of Applicant
4
Self-undertaking/Affidavit
5
Letter from the Govt. Department addressed to DC Office regarding dependency
6
Death Certificate of Deceased employee in original
7
Residence proof of all the Dependents
8
Date of Birth proof of all the Dependents
Additional Document in Case the Purpose of Dependent Certificate is Pension 1. Income proof of son/daughter(s) of the deceased having age more than 25 2. Marital status proof of son/daughter(s) of the deceased having age more than 25
Date: ………………………………………..
Signature : ……………………………………………………………….. Name
: ………………………………………………………………..
Undertaking from Sampark Operator It is hereby certified that the original documents as specified in the above checklist have been personally seen by me and the same have been uploaded in the online application Date: ………………………………………..
Signature : ……………………………………………………………….. Name
: ………………………………………………………………..
Documentary Proof of Address
Documentary Proof of Identity
Documentary Proof of Date of Birth
Passport Telephone (BSNL landline or post-paid mobile bill) on the Name of Applicant Election Commission Photo ID card Applicant's current and valid ration card Aadhaar Card / E-Aadhaar letter issued by government of India.
Registered Rent Agreement (for a period of more than one year) Photo Passbook of running Bank Account (Scheduled Public Sector Banks and Regional Rural Banks only)
House Allotment Letter Revenue Record Registered Sale Deed Certified Voter List
Election Commission Photo ID card Aadhaar Card / E-Aadhaar letter issued by government of India. Driving License Passport
Arm’s License with Photo Graph Central Government Health Scheme Card or Ex-servicemen Contributory Heath Scheme photo card Applicant's current and valid ration card with Photograph Photo identity card issued by the Central Government or a State Government or a Public Sector Undertaking Pensioner Card having photograph of the applicants Certificate of identity in original signed by Member of Parliament or Member of Legislative Assembly or a Gazetted Officer containing duly attested photograph Bank certificate in original on letter head from the branch (along with name and stamp of the issuing officer) containing duly attested photograph and bank account number of the applicant(Scheduled Public Sector Banks and Regional Rural Banks only)
Birth certificate issued by a Municipal Authority or any office authorized to issue Birth and Death Certificate by the Registrar of Births & Deaths School leaving certificate / Secondary School leaving certificate/ Certificate of Recognized Boards from the school last attended by the applicant or any other recognized educational institution Passport Affidavit sworn before a magistrate stating the date of birth in case of illiterate and Semiliterate(Below Class 5) Pan Card
