Recruitment Circular - Dated 14.08.2013 - West Bengal Agro ...

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9. Postal Address : ________________________________________
______________________________________________________________________
10. Permanent Address : ________________________________________
______________________________________________________________________
11. Telephone(LL)/Mobile No. : ________________________________________
12. Nationality : ________________________________________
13. Religion : ________________________________________
14. Caste Category : ________________________________________
Declaration: I hereby declare that the information furnished above are true and best to my
knowledge and belief. In case it is detected at any stage of interview and/or selection process
and/or even after appointment that I have furnished any incorrect/false information or have
suppressed any material fact(s), my candidature will automatically stand cancelled/services are
liable to be terminated without notice.
Date: _______________
_________________________________
(Full Signature of the Applicant)