Application format for vacancies in Goa Tourism Department

Date:
10.07.2015

 
APPLICATION FORMAT
 

Advertisement number      
 
Application for the post of __________________________
 

FULL NAME
(In Capital)
 
:
 
 
Full Address with Pin Code :-
 
:  
 
Contact No. :-  
Date of Birth and age as on date of Advertisement : DOB :- D D M M Y Y Y Y     Age:-  
Sex:-
 
                 
Nationality :-
 
  Category:-
(Gen/ST/SC/OBC/PH/Ex-serv./CFF)
 
Educational Qualification  
:
 
 
 
Extra Edu. Qualification  
:
 
 
 
 
Employment Registration No.:-
  15 yrs. Valid residential Certificate No. :-  
Language Known :  
Experience if any :  
                                 

 
Declaration
(i)         I hereby declare that I have read and fully understood the instructions and guidelines contained in the Notification issued by the Department concerned, in respect of the advertisement and the scheme for recruitment to the post applied for.
(ii)      I further declare that all the statements made in this application form are true and correct to the best of my knowledge and belief.
(iii)    I further declare that all the copies of the documents/certificates attached to this application form in support of my application to the post applied for, are true copies of the original documents/certificates and the same are not false or fabricated.
(iv)     I understand that in the event of any information furnished or certificates attached by me, are found to be false or incorrect, my candidature for the post applied for is liable to be cancelled/rejected even after selection.
(v)       I understand that I shall be held liable and for the consequences thereon, for any false declaration made or false certificates attached.
 

Signature of the Applicant
Place:-
Date:-

 
Enclose Self certified certificates copies and tick mark (√) against the same whichever submitted.

1.  Birth Certificate 
2.  15 years Residential Certificate 
3.  Valid Employment Registration Card          

4.  Educational Certificates                
5.  Extra Curriculam Activities Certificate 
6.  Cast certificate   
7.  Experience, if any