ffi fr\ tq - Amravati
ffi fr\ tq - Amravati
ffi fr\ tq - Amravati
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<strong>ffi</strong>flrtrq <strong>ffi</strong>h<br />
GOVERNMENT OF MAHARASHTRA<br />
DIRECTORATE OF INDUSTRIES<br />
II floor, New Administrative Building,<br />
Opp. Mantralay4 Hutatma Rajguru Chowh<br />
Madam Kama Road, Mumbai-400 032.<br />
APPLICATION FOR THE POST OF II\TDUSTRIES INSPECTOR<br />
(LOWER GRADE) / EXTENSTON OFFTCER (TNDUSTRTES)<br />
Important Instructions:<br />
L Please read instructions in the advertisement carefully before filling up the application form.<br />
2. The following information is to be filled in neatly by the applicant only in English CAPITAL<br />
LETTERS with dark black ball point pen.<br />
3. The applicant should a<strong>ffi</strong>x his same photographs on the application<br />
and the admission card of the examination which is at the end of the<br />
application form.<br />
4. Additional instructions given at the end of the application should be<br />
carefully observed.<br />
1. Full Name in Capital Leffers (As recorded in SSC Certificate)<br />
SURNAME<br />
2. Full Name in Case of Married Female Candidate<br />
SURNAME<br />
FIRST NAME<br />
3. Complete postal address of the candidate in Capital Leffers<br />
City<br />
State<br />
Contact No.<br />
Email Id:<br />
FIRST NAME<br />
District<br />
4. Date of Birth (As in SSC or equivalent Certificate) (DDA4M/YYYY format)<br />
5. Age as on prescribed date in the advertisement (YY/MM/DD)<br />
Pin<br />
6. Gender: Male / Female<br />
Mobile No.<br />
A<strong>ffi</strong>x Self<br />
Attested Latest<br />
Photograph<br />
FATHER'S NAME<br />
HUSBAND's NAME
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