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No.L-11013/02/2009-LTT Government of India Ministry of Personnel ...

No.L-11013/02/2009-LTT Government of India Ministry of Personnel ...

No.L-11013/02/2009-LTT Government of India Ministry of Personnel ...

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PROFORMA‐A(Additional information to be sent to DoPT only)POST GRADUATE PROGRAMME IN PUBLIC POLICY AND MANAGEMENT 2010‐12CONDUCTED BY INDIAN INSTITUTE OF MANAGEMENT, BANGALORE1 Name <strong>of</strong> the <strong>of</strong>ficer (in capital):(To be filled by the <strong>of</strong>ficer)2 Present designation:3 Official Address:Residential address:Telephone <strong>No</strong>:Fax <strong>No</strong>:Mobile <strong>No</strong>:e‐mail :4 Service/ cadre to which the <strong>of</strong>ficerbelongs (with year <strong>of</strong> allotment):5 Length <strong>of</strong> Service in Group ‘A’6 Do you belong to a ScheduledCaste/Scheduled Tribe7 Are you presently on deputation to the<strong>Government</strong> <strong>of</strong> <strong>India</strong> under CentralStaffing Scheme8 If yes, from what date9 What is the date <strong>of</strong> completion <strong>of</strong>tenure?SCYes/<strong>No</strong>ST10. Details <strong>of</strong> in‐service training programs/ courses attended (in <strong>India</strong> and abroad) {duration shouldbe at least two weeks or more}

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