Application Form for Document Verification for Successful Candidates
TAX ASSISTANT DIRECT RECRUITMENT EXAMINATION, 2014
(Application Form for Document Verification)
Roll No.
Commercial Taxes Department
Government of Rajasthan
Personal Details
1. Name
Photo
2.Father’s Name
3.Mother’s Name
4.Date of Birth
DD/MM/YYYY
7.Category
(General/ SC/ST /BC/SBC)
MALE
6.Gender
8.Sub-Category (Tick () TSP if you have Domicile of
FEMALE
TSP
Non-TSP
YES
NO
(Affix your passport
size Photo Graph and
sign across it )
TSP Area otherwise Tick () Non-TSP)
9.Whether Claiming Age Relaxation
If YES, then mention the age relaxation para of the advertisement
(See para 5.1 to 5.14 of Advt.)
10.Education Qualification (as per para 4.1 of the Advertisement)
Qualification
Name of
Degree/Diploma
Board/University
Year of
Passing
%/Grad
e
Degree
Post Polytechnic
Diploma or 3 Year
Diploma
Any other higher
Qualification
Yes/No
11. Attach self-attested copy of following Documents:—
i
Mark Sheet of Secondary School Examination
ii
Certificate of Secondary School Examination
iii
Certificate of Sr. Secondary School Examination
iv
Degree/Provisional Degree/Diploma Certificate/ Marks sheets in support of Educational Qualification
v
vi
Caste certificate issued by competent authority
vii
Domicile Certificate
viii
Domicile Certificate of Tribal Region (TSP Area)
ix
Differently abled certificate (if applicable)
x
Marriage Registration Certificate
xi
Certificate for the proof of outstanding sports person (if applicable)
xii
Certificate of proof of Ex. Service man
xiii
In case of divorcee candidate, Decree of Divorce
xiv
In case of widow candidate, death certificate of husband issued by competent authority
xv
Certificate in proof of age relaxation claim, if any, under para 5.5, 5.6, 5.7, 5.9, 5.11, 5.12, 5.13 of the advertisement
xvi
No Objection Certificate from the Employer, If the candidate is already employed
xvii
Undertaking regarding non-smoking and non-consumption of Gutakha in the given format
xviii
Hardcopy/Print out of the Online Application form of the candidate
Non creamy layer Certificate valid as on date of computer proficiency test (CPT)
DECLARATION
(I) I hereby declare that all the above information furnished by me in this form is true, complete and correct to the best
of my knowledge and belief. I do understand that I need to obtain and produce all the required original certificate
enlisted in the form by me at the time of Computer Proficiency Test. (II) I understand that entries made by me in this
application form are binding on me and further declare that in the event any information being found false or incorrect I
shall be liable for disqualification (III) I declared that after 01.06.2002 I do not have more than two children.
Date
Place
Signature of Candidate
And Left Hand Thumb
Impression
Signature of Candidate
Left Hand Thumb
Impression
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