ANDHRAPRADESH HOMEGUARD APPLICATIONS 2012

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					                                                                        SL.No.

                                          Form A
                          Application For Home Guard Enrolment
To,
The SP/CP.,
__________________________________________




                                                                                 Photo to be affixed

I desire to be enrolled as a member of the Home Guards

    1.   Name in Full:
         (Capital Letters Only)

    2.   Father’s/ Husband’s name:

    3.   Date of Birth:

    4.   Place of birth & Native district :

    5.   Address &telephone Number if any
         with nearest Police Station:

    6.   Male/Female

    7.   Whether S.T. ? :

    8.   Educational Qualification:

    9.   Technical Qualification/Experience :

    10. Trade/Occupation

    11. Whether convicted\arrested\involved in any crime,
        If so, give details of such conviction/arrest/involvement
        Along-with crime details:

    Encl : i) Passport size photos -2
           ii) Photo-copies of documents/certificates reg. Education,
               Trade/Technical, Nativity, Caste, etc.




                                                                                    Signature of the applicant
                                   HALL TICKET
        UNIT LEVEL HOME GUARDS RECRUITMENT                                              CANDIDATE COPY
                                                                                         Registration No.
             ANDHRA PRADESH HYDERABAD                                              (to be filled in by office only)

      Identity Card (Candidate copy) for the Post of Home Guard




1. Name of the candidate :




2. Signature of the Candidate                    3. Signature of the Chief Superintendent        Paste here firmly a signed
                                                                                                recent passport size colour
4. Identification marks:                                                                                photograph

a)

b)

Name of the Test           Date & Time             Venue of the test                           Result
5. Physical
measurement test                                                            Q          NQ            NP
     Signature of the Chief Superintendent


Name of the Test           Date & Time             Venue of the test                           Result
6. Qualifying test
in 800 mts                                                                  Q          NQ               NP
     Signature of the Chief Superintendent


Name of the Test           Date & Time             Venue of the test                           Result
7. Physical
efficiency tests (3)                                                         Q          NQ              NP


                                                                                     Signature of the Chief Superintendent


       Q – Qualified NQ- Not qualified       NP – Not Participated

				
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Description: ANDHRAPRADESH HOMEGUARD APPLICATIONS 2012