Form of Receipt

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11/19/2012
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							                                                                 FORM OF RECEIPT
         (Form of receipt to be obtained from the Head of Office, and to be forwarded along with the original application).

         Certified that a copy of application dated .................................. for selection to the post of
.................................. on Rs. .............................................. in the ............................................................... (here
enter the name of Department/Corporation/Company/Local Authority) notified in the Gazette dated
.................................... has been received by me from ............................................................................ (here
enter the name of the applicant and the post held by him/her) and that the objections, if any, to the entertainment
of the application will be communicated to the Kerala Public Service Commission/District Office of the Kerala
Public Service Commission within one month from the last date fixed for receipt of applications.

                                                                                    Signature:
         Place:                                                         Name and Designation :
         Date:                                                             of the Head of Office.

                                      (Office Seal)

Note- (1)         "The above conditions are not applicable to employees provisionally appointed under Rule 9 (a) (i) of the
                  Kerala State and Subordinate Services Rules, 1958, that is, persons provisionally appointed through the
                  Employment Exchange."
           (2)     "In the case of those employed under the Government of India, or other State Government , the application
                  should be forwarded through proper channel with necessary endorsement to the effect that the application
                  has been made in accordance with the Rules made by the Government , concerned. Consent of the Govern-
                  ment concerned will be insisted upon if the application is not forwarded properly."




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