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 of the officer (in capital):(To be filled by the officer)2 Present designation:3 Official Address:Residential address:Telephone No:Fax No:Mobile No:e‐mail :4 Service/ cadre to which the officerbelongs (with year of allotment):5 Length of Service in Group ‘A’6 Do you belong to a ScheduledCaste/Scheduled Tribe7 Are you presently on deputation to theGovernment of India under CentralStaffing Scheme8 If yes, from what date9 What is the date of completion oftenure?SCYes/NoST10. Details of in‐service training programs/ courses attended (in India and abroad) {duration shouldbe at least two weeks or more}
S.No.Name of the course/training programIn IndiaYear Name of the place/Institution Duration(in Weeks)Abroad11. DECLARATIONI certify that the information given in this application form is correct and true to the best of myknowledge. I agree to abide by the decision of the authorities regarding my selection to theprogramme.Place .................................................................................Date .................................................................................Signature of the candidate
Page 1: ToNo.L‐11013/02/2009‐LTTGovernm
Page 4 and 5: Demande de propositions de recherch
Page 6 and 7: (a) The officers will be treated as
Page 11 and 12: FORMAT OF BOND TO BE EXECUTED BY A

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

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